Online Opinion Study - $125 - 2.14 and 2.15

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* 1. Contact Info

Name

Phone

E-Mail

Gender

Age

State

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* 2. What is your current employment status?

Full time

Part Time

Full time parent

Retired

Full time student

Furloughed

Not Currently Employed

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* 3. What is your current or previous....

Occupation

Industry

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* 4. We are always interested in talking to people that like to express their views and opinions about consumer products and services. When was the last time you participated in a market research discussion?

Last 6 months

Longer than 6 months ago

never

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* 5. We would like to include people with a range of backgrounds in our study. For classification purposes only, what is your ethnic background?

White/Caucasian

Black/African-American

Hispanic/Latino

Asian

Other (please specify)