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* 1. What is your age?

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* 2. What is your gender?

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* 3. In which region of the United States do you live?

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* 4. What is the year, make, and model of your automobile?

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* 5. Which design do you like best?

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* 7. Which Five words best describe your first choice in question #6? (please choose Five from the list below.)

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* 8. Which Five words best describe your Second choice in question #6? (please choose Five from the list below.)

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* 9. Additional Comments (optional)

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