gotoresearch, a leading research and design firm, is conducting a study on a health care app. 

Sessions will be held remotely over a video conferencing tool and last 45-60 minutes the week of March 16, 2020. Individuals who complete the interview will receive $100 for their time. 

In order to help us identify a diverse group of participants, please complete this 3 minute survey about yourself. 

If you initially qualify to participate, we will contact you to discuss the study. You will be contacted ONLY if you initially qualify. Please do not contact gotoresearch directly.

Only individuals who are selected to participate and successfully complete the interview will receive the $100 for their time.

YOUR PRIVACY: The data you provide in this survey will be used solely to assist gotoresearch in identifying a diverse pool of participants for our research. gotoresearch will not use this information for any other purpose. None of the information you provide will be sold to or shared with any other party.

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* 1. Which gender do you identify with?

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* 2. What ethnicity do you identify with? (if two or more, select all that apply)

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* 3. In what year were you born? (enter 4-digit birth year; for example, 1976)

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