Please fill in the following questions. Answer all questions.

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1. Please fill in the following questions. Answer all questions.

Gender

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2. Gender

Ethnicity

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4. Ethnicity

Household Income (Annual)

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5. Household Income (Annual)

What is the highest level of education you have completed?

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6. What is the highest level of education you have completed?

Do you or anyone in your household work for a market research company?

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7. Do you or anyone in your household work for a market research company?

Marital status?

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8. Marital status?

How many people including yourself live in your household?

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9. How many people including yourself live in your household?

Thank you for applying to joing the Consumer Science panel. You will be contacted with an email from surveys@consumerscience.com for a verification step when we have a survey opportunity for you.


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