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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 Age?

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* 4. What is your gender?

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* 5. Best email address to reach you?

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* 6. Best phone number to reach you?

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* 7. What is your Zip Code?

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* 8. What is your home size? (square feet)

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* 9. Which describes your home type?

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* 10. What is your household income?

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* 11. Which of the following best represents your ethnicity?

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* 12. Which of the following describes your involvement in household decisions and financial matters?

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* 13. Do you pay for the following services? (mark all that apply)

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* 14. What kind of mobile phone do you use regularly? (mark all that apply)

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* 15. How much do you use these types of mobile apps per month? (mark all that apply)

  Not at all Once per month 2 to 5 days per month 1 to 2 weeks per month Most days but not every Every day
Social networking (Facebook, Twitter, Instagram, etc.)
Banking
Home Automation
Energy Management (to monitor and save electricity)
Email

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* 16. Are you interested in a smart home?

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* 17. Are you interested in energy efficiency?

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* 18. How best describes your adoption of new technology?

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* 19. Do you have any of the following in your home? (mark all that apply)

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* 20. Do you feel in control of your monthly bills?

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* 21. Availability for in-person interview? (Mark all that apply)

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* 22. Have you ever participated in a focus group and/or user study?

T