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* 1. Contact Information

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* 2. What is your gender?

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* 3. Date of Birth

Date

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* 4. I am:

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* 5. I live:

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* 6. What is your ethnicity? (Please select all that apply.)

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* 7. Are you employed?

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* 8. Please list your current position.

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* 9. If unemployed or retired, please list most recent position.

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* 10. What is the highest level of education you have completed?

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* 11. Do you have children?

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* 12. Are you a registered voter?

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* 13. Political party affiliation

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* 14. What is the last presidential election you voted in?

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* 15. With regard to jury service, I...

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* 16. Other than a divorce, have you ever been a party to a lawsuit?

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* 17. Do you or any of your friends or family currently work for Newell Brands?

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* 18. Are you or any of your friends or family on the Board of Directors for Newell Brands?

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* 19. Are you or any of your friends or family an investor in Newell Brands stock?

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* 20. Do you work for any company that makes or helps to make NUK products, such as pacifiers, baby bottles or tableware for small children?

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* 21. Do you work for any company or organization that provides services (such as product distribution, marketing, retail, research and development or legal services) to or for Newell Brands?

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* 22. Have you been employed during your college education experience as an intern for Newell Brands?

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* 23. Have you ever worked at the Chicago, Downers Grove, Freeport or Oakbrook locations for Newell Brands?

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* 24. Have you ever worked at the corporate headquarters for Newell Brands in Atlanta, Georgia?

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* 25. I have social media accounts on:

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* 26. Whether television or internet, what national news organization are you likely to get your news from?

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* 27. I have lost friends or family because of my political beliefs:

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* 28. What is your favorite movie genre?

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* 29. Have you ever donated your time, money or items to charity?

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* 30. If selected to participate in this focus group, my preferred session is:

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