1. Upcoming PAID in-home interview on Skin Conditions - October 12th - 13th

Thank you for taking the time to answer these brief questions. As always, we appreciate your input as a valuable Plaza Research respondent. We have a new study on SKIN CONDITIONS that you maybe in interested in.

PLEASE DO NOT RESPOND IF YOU HAVE DONE A STUDY WITHIN THE LAST 6 MONTHS.

We are looking for males and females at least 25 years old who have skin conditions. The study is a 90 minute interview in your home on Monday, October 12th - Tuesday, October 13th. The honorarium is $150.00.

Recruiters will be calling responses in the order received until the study is full.

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* 1. Contact Information

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* 2. Employment Information

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* 3. What city do you live in?

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* 4. What is your gender?

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* 5. What is your age?

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* 6. What is your ethnic background?

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* 7. In the past 6 months, have you been prescribed a medication to treat the symptoms of a skin condition by a dermatologist?

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* 8. What type of medication(s) were you prescribed by the dermatologist?

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* 9. Please name the topical foam medication(s) were you prescribed for your skin condition.

Thank you for participating in our survey. IF you qualify based on the answers provided THEN you will receive a call back. However due to the popularity of our surveys and groups, we can't contact everyone. Please note that all responses will be returned on a first come, first served basis until the studies are full.

*****REFERRALS ARE GREATLY APPRECIATED!*****

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* 10. ******FOR COMPANY USE ONLY******
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