Adler Weiner Research

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Adler Weiner Research

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your phone number?

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* 4. What is your email address?

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* 5. What is your gender?

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* 6. Which range includes your age?

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* 7. Which of the following snack foods, if any, do you purchase for yourself to consume?  Please check all that apply.

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