Healthcare Study

Hello,

Thank you for being a part of the Q-Insights Database.

We are currently recruiting for an in person study on the topic of healthcare in Playa Vista, CA.

This session taking place on, October 29th and October 30th you will be compensated $125 as a thank you for your time.

If you are interested in participating, please fill out the survey below.

By clicking “OK” you agree that as to personal data you supply in response to this questionnaire, if any, we may (i) use it ourselves in connection with our recruitment activity, (ii) share it with third parties assisting us with this project, who may use it solely in connection with this project, or (iii) share it with the client commissioning the research study, who may use it in connection with the study. Please refer to our Privacy Policy for more details.

If you pre-qualify we will call you to ask some additional qualifying questions.

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* 1. What is your gender?

Male

Female

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* 2. What is your age?

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* 3. What was your highest level of formal education?

Some high school

Finished high school or GED

Some College

Associate's Degree

Finished 4 year college

Post Graduate school

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* 4. What is your current employment status?

Full time

Part time

Student

Homemaker

Retired

Unemployed

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* 5. What is your occupation?/Industry

Ocupation

Industry

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* 6. What is your relationship status?

Single

In a relationship, but not married or living with partner

In a relationship, not married but living with partner

Married

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* 7. Are you a parent?

Yes

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* 8. If so... What are the ages and genders of your children?

	Age	Gender
Kid 1	Kid 1 Age menu	Kid 1 Gender menu
Kid 2	Kid 2 Age menu	Kid 2 Gender menu
Kid 3	Kid 3 Age menu	Kid 3 Gender menu

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* 9. For statistical purposes, what was your total household income for last year? Your best guess will do fine

Under $60,000

$60,000 - $74,999

$75,000 - $89,999

$90,000 - $124,999

$125,000 - $149,999

Over $150,000

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* 10. In general, how knowledgeable would you say you are about matters relating to healthcare? Please answer using a scale of 1-10, where 1 means you’re not at all knowledgeable, and 10 means you’re extremely knowledgeable

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* 11. And how interested would you say you are in health-related topics, general health risks, etc.? Again, please use a scale of 1-10, where 1 means you’re not at all interested, and 10 means you’re extremely interested.

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* 12. Please tell me which, if any, of these you have ever done. Please choose all that apply, and please answer only for things that you have done yourself.

Taken an at-home genetic health test, using a kit provided by a company

Had a genetic health test performed by a clinician or healthcare provider

Had laser eye surgery such as Lasik

Used clear-aligner braces such as Invisalign, while under the care of a dentist or orthodontist

Used clear-aligner braces via an at-home kit, such as Smile Direct Club

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* 13. Thinking about using new technology, which of the following descriptions best applies to you? Please choose only one.

I am an expert technology user. I’m an avid reader or contributor to technology blogs, forums, or websites. I consider myself at the leading edge when it comes to technology

I am very interested in technology. Friends often ask me for advice on how to use tech and what to buy. I feel like I know enough to have a conversation about most aspects of technology, even though I’m not an expert

I am fairly interested in technology. I am confident using new technology, but people wouldn’t ask me for advice. I tend to take on new tech or devices at the point they become mainstream

I am not particularly interested in technology, but I appreciate the ways it makes my life easier. There are probably plenty of features of my devices that I’m not using. I tend to adopt new technology later than my friends do

I dislike technology, and I avoid adopting new technology or devices for as long as I can

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* 14. Thinking about personal legal, financial, medical or other “serious” personal information, which of your devices that you own do you use to access this kind of information most commonly? Please choose only one option.

Laptop computer

Desktop computer

Tablet

Smartphone

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* 15. With which of the following races or ethnicities do you most closely identify?

White/Caucasian

Black/ African American

Hispanic

Asian

Other

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* 16. What is your contact info?

Name

Email Address

Phone Number