By filling out this form you are expressing interest in participating in usability research for the IRS Free File online system. None of your responses here will be tied to your name, be publicly available, utilized for any further study, sold, or be used in the survey. This survey is only to determine eligibility for the Free File system.

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* 1. Name:

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* 2. Please select which best represents your household Adjusted Gross Income bracket.

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* 3. How many times have you filed taxes?

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* 4. How do you usually file your taxes?

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* 5. Email address: 

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* 6. Phone number:

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