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* 1. Contact Information:

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* 2. Gender:

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* 3. Age:

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* 4. Do you or any member of your household, a close friend, or relative, work for...

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* 5. When was the last time, if ever, you participated in a market research group discussion or one-on-one in-depth interview?

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* 6. Which of the following best describes your martial status?

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* 7. Do you have children under the age of 18 living in your household?

T