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* 1. Full Name

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* 2. E-Mail Address

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* 3. Phone number to reach you

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* 4. In what state or U.S. territory do you live?

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* 5. What is your age? (optional)

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* 6. What is the highest level of education that you have completed?

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* 7. What is your current employment status?

We are interested in talking to a mix of people who have experience participating in market research studies, and those who do not.

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* 8. Have you ever participated in a group discussion, personal interview, or telephone survey for market research purposes?

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* 9. Have you or has anyone in your household ever been employed by any of the following?

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