DETROIT AREA FAST FOOD DISCUSSION

DETROIT MI: LKRM will be conducting ONLINE research discussion groups with consumers in your area in October. If you qualify and participate, you will earn $150+ for your time and opinions. If interested please answer the few questions below and we will be in touch via phone shortly. Please be assured, we are not SELLING anything. We are simply interested in your opinions.

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* 1. What is your age?

17 or younger

18-24

25-29

30-34

35-44

45-54

55+

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* 2. In the past 30 days, which of the following fast foods restaurants have you eaten at? (Please select all that apply.)

McDonald's

Taco Bell

Wendy's

Subway

I have not eaten at any of these restaurants

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* 3. Do you consider yourself.......? (Please select all that apply.)

Vegetarian

Vegan

Something else

Neither

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* 4. Address

Name

City/Town

State/Province

Email Address

Phone Number

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* 5. Thank you for answering our questions! Someone will be in touch with you via phone very soon!