Allergy Study - $100

We have a 45 minute opinion study regarding allergies taking place in December 2016. You will need access to a phone plus computer to participate. Pay is $75 + $25 for checking your system - Total = $100 (by check) Subject: Allergies.

Question Title

* 1. Contact Info

Name

Phone

E-mail

State

Age

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* 2. Gender

Male

Female

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* 3. Which type of medical insurance do you currently have?

Private or Employer-Based Plan (HMO/PPO/POS)

Medicare

Medicaid

Veteran’s Administration

Other Government Sponsored Plan

No insurance / Cash pay