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* 1. Full Name

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* 2. E-Mail Address

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* 3. Phone number to reach you

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* 4. For this study, we need to speak to people of various ages. Which of the following categories includes your age?

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* 5. Which of the following best describes your ethnic background?

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* 6. What is the highest level of education that you have completed?

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* 7. Which of the following best describes your household family composition?

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* 8. Are you, or is any member of your household, employed by any of the following?

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* 9. Which of the following ranges includes your gross annual household (you must only include yourself and your spouse or partner) income?

We are interested in talking to a mix of people who have experience participating in market research studies, and those who do not.

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* 10. In the past 3 months, have you ever participated in a market research interview or focus group?

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