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Hello and thank you for being a part of the Q-insights database.

We would like to invite you to participate in a focus group discussion on the topic of Personal Care.

This will be taking place on May 14th for Chicago and May 16th in LA  and you will be paid $100 via check as a thank you for your time.

If you are interested in participating, please complete this questionnaire.

If you pre-qualify a recruiter will be in touch with you to ask a few additional qualifying questions.

Thank you, QI-Team

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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 city do you currently live?

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* 4. In the past two years, which of the following, if any, have you used to try to lose weight?

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* 5. Which brands of weight loss supplements, medications, or fiber have you used in the past two years? For each, please also tell me if you are still currently using it or not.

  Used in P2Y, But No Longer Using Currently Using Never Used
Aerobic Life
Arafen
Best Factor
BSkinny
Burn-XT
Conjugated Linoleic Acid
Evlution
Forskolin Extract for Weight Loss
Garcinia Cambogia
Genius Diet Pills/Genius Fat Burner
Glucomannan
Green Coffee Bean
Guarana
Herbalife Formula 1
Hydroxycut
Lean PM
Lipozene
MusclePharm
NatureWise
Nutratech
Nutrisystem
Orlistol
RSP AminoLean
Skinny Gal
Vintage Burn
Zero Tea
Benefiber Shape
Fibercon Fiber
Metamucil Appetite Control
Alli
Liraglutide (Saxenda)
Lorcaserin (Belviq)
Naltrexone-bupropion (Contrave)
Orlistat
Phentermine-topiramate (Qsymia)
Xenical

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* 6. If you've used supplements, medications or fiber for weight loss, when did you stop?

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* 7. What diets, if at all, did you try to help you lose weight?

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* 8. Which diets, specifically, have you used? 

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* 9. Are you currently trying to lose weight?

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* 10. How open are you to try a new weight loss supplement?

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* 11. I’m going to read you a list of potential ingredients in weight loss supplements. For each ingredient, please indicate, using yes or no, if you would be open to using a weight loss supplement that contained that ingredient as the primary ingredient.

  Yes No
Caffeine
Green tea extract
Seaweed extract
Apple cider vinegar
Whey protein

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* 12. What is your height in inches?

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* 13. How many pounds do you weigh?

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* 14. How many pounds are you trying to lose in the next 6 months? If you are not trying to lose any weight, please enter 0.

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* 15. Lastly, would you be willing to send us a selfie of yourself as well as some photos of the weight loss supplements, medications, or fiber, if any, that you are currently using? We’re only interested in photos of the supplements you have on hand (not pictures pulled from the Internet).

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* 16. Contact Information

0 of 16 answered
 

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