Hagen/Sinclair Research is looking for people in Chicago and surrounding areas to participate in a PAID GROUP about how you manage your health and well-being.

INCENTIVE: As a thank you for participating, those who complete the group will be paid $75 for the pre-task + $200 for the group.

DATE/TIME: The groups will take place in Chicago on April 11, 2018.

FORMAT: 2 1/2-hour focus groups plus a pre-task.

If you are interested in participating, please provide the following information. If your answers pre-qualify you for the study, one of our recruiters will call you to complete the screening process.

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* 1. Demographics: We ask for your industry in order to send you appropriate studies that relate to your profession. We ask your address so we can send your incentive payment.

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* 2. What is your gender?

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* 3. What is your age?

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* 4. What is your current employment status?

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* 5. What is the Occupation of the Chief Income Earner (this is the person in the household with the largest income). If the Chief Income Earner is now retired please use their occupation prior to their retirement.

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* 6. What is your occupation and the name of the company that you work for?

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* 7. Do you currently have any children living at home with you?

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* 8. How old are your children?

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* 9. Which of the following best applies to you?

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* 10. How many cigarettes do you currently smoke each day? NB: this does not include e-cigarettes.

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* 11. Prior to quitting, how many cigarettes did you smoke each day? NB: this does not include e-cigarettes.

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* 12. How long ago did you stop smoking?

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* 13. Which of the following applies to your current usage of cigarettes?

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* 14. Including your current attempt in total how many times have you attempted to quit smoking or reduce the number of cigarettes you smoke?

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* 15. Are you using any of the following?

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* 16. Which of the following are you currently using to help you quit or reduce the number of cigarettes you smoke?

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* 17. Which of the following would you never consider using to help you to quit or reduce the number of cigarettes you smoke?

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* 18. Which of the following best applies to you?

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* 19. Which of the following type of nicotine replacement products are you currently using?

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* 20. Thinking about how you use nicotine replacement products, which of the following best applies to you?

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* 21. To which extent do you agree with the following statements?

  Agree Neither Agree or Disagree Disagree
I find smoking very enjoyable
Sharing cigarettes brings people together
I have a love / hate relationship with smoking
Smoking helps me to relax
Smoking is an integral part of my daily routine
Smoking is addictive
Smoking can seriously harm my health
I don’t smoke enough to do any real harm
Quitting smoking is a life changing event

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* 22. How would your family and friends describe you?

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* 23. Imagine you have a day off work/studying and you can do anything you like - things that make you really happy and excited! Money is no object! Please tell us what would be involved in your ‘perfect day’ from the moment you get up to the moment you go to sleep. 

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* 24. Different patients sometimes respond in different ways to the same medicine, and some side effects may not be discovered until many people have used a medicine over a period of time. For this reason, we are now required to pass on to our client, who is a pharmaceutical company, details of any side effects/product complaints related to their own products that are mentioned during the course of market research. Although what you say will, of course, be treated in confidence, should you mention during the discussion a side effect when you, or someone you know, became ill after taking one of our client’s medicines, or a problem you have had with one of our clients medicines we will need to report this, so that they can learn more about the safety of their medicines. 
Are you happy to proceed on this basis?

Thank you for taking the time to fill out our survey. A recruiter will call you to complete the screening process if your answers are a match to the study qualifications.

This is a legitimate paid market research study. To verify, go to our website: WWW.HAGENSINCLAIR.COM. If you want to receive personal invitations to future studies click the PARTICIPANT REGISTRATION LINK and sign up. We will contact you if a project arises that looks like a good fit for you. Thanks again!

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