Introduction Section

Plaza Research Houston is conducting a Nationwide study with Consumers Ages 20-65 on the topic of Rheumatoid Arthritis. The discussion takes place multiple days in January, including the 3rd, 10th, 14th, 15th, 16th, 17th and 18th throughout the day and evening. This will be a telephone interview. If you qualify, and are chosen to participate, you will receive $150 for 1.25 hours of your time. 
**Proof may be required in order to participate if chosen**

**If you have previously filled out this survey, please disregard** Only New Respondents 

Please answer the questions below. If you look like a match, we will contact you by telephone.  

**Due to the large response to our surveys, we are only able to contact those that look like a match. Please continue to answer future studies, as you may be a match to those.

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* 1. Please provide us with the following information. We will be contacting you by telephone if you seem like a match.

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* 2. What is your Zip Code?

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* 3. What is your primary phone number?

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* 4. Alternate Contact number

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* 5. What is your age?

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* 6. What is your date of birth?

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* 7. What is your gender?

T