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* 1. Are you applying for the New York Portion or the Nationwide part?  Please note - if you live in New York, we can NOT consider you for the nationwide part.

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* 2. If applying for the online portion, which best describes you?

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* 3. There is a 60 minute homework assignment that will need to be ocmpleted and returned prior to the study.  Are you willing to do this homework?

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* 4. Contact Info

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* 5. Employment Status

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* 6. What is your current/previous...

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* 7. Household Income

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