Round 2 DRC1426 Navy Prescreener March 2017

1. Welcome

Welcome! We have a research study coming up very soon that requires specific information about the toothbrush you are currently using. If you are interested, please take a moment to complete the following questions. If you have any questions or concerns, please contact us at sonicareresearch@philips.com.

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1. Contact Info

First Name

Middle Initial

Last Name

City

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2. Email Address

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3. Are you currently enrolled in a Sonicare study?

Yes

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4. Have you participated in a Sonicare study in the last 6 months?

Yes