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Houston Studies - Dialysis October 2016

20.Deographic Section

Plaza Research Houston, a market research facility in the Galleria area, is looking for dialysis Patients & Nurses to participate in a individual interview. This study will be held on Thursday, October 20th through Friday, October 21st, 2016. If you qualify and are chosen to participate, you will receive $150 for participating in the 75 minute focus group.

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.

REFERRAL INCENTIVE OF $75 FOR ANY QUALIFIED NEPHROLOGISTS & $50 FOR ANY QUALIFIED NURSES THAT PARTICIPATE ON YOUR BEHALF. Please forward this survey to anyone you know that may qualify.
1.Please provide us with the following information. We will be contacting you by telephone if you seem like a match.(Required.)
2.Alternate Contact number
3.What is your age?(Required.)
4.Which of the following categories best describes your employment status?(Required.)
5.What is your occupation?(Required.)
6.What is the name and phone number or email of the person who referred you? 
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