630 DB OK Medical survey - November 2016 Question Title * 1. Full Name First Name Last Name Question Title * 2. E-Mail Address Question Title * 3. Phone number to reach you Question Title * 4. What is your age? Question Title * 5. What is the highest level of education that you have completed? No formal education Some High school High school diploma Trade/technical/vocational school Some college College (Bachelor’s Degree) University or above (Master’s or Doctoral Degree) Post Graduate Degree (please specify) Question Title * 6. What is your current employment status? employed full time away from home employed part time away from home employed full time at home stay at home/retired a full time/part time College or Graduate Student currently unemployed, looking for a job We are interested in talking to a mix of people who have experience participating in market research studies, and those who do not. Question Title * 7. Have you or has anyone in your household ever been employed by any of the following? An advertising/PR company Marketing or user Research Company Healthcare organization None of the above Next