Market Research Study Survey

1.Please provide the following information:(Required.)

First Name

Last Name

Address

City

State

Zip Code

Email

Phone Number

2.Please provide your gender:(Required.)

Male

Female

Non-Binary

Other (please specify)

3.Please provide your age(Required.)

4.Do you or any members of your immediate family work for any of the following types of companies?(Required.)

6.Please provide your highest level of education:(Required.)

10.How proactive would you say you are about your health?(Required.)

11.When do you typically see a physician?(Required.)

I visit multiple doctors (e.g., physician, eye doctor, dentist, etc.) for routine check-ups at least once a year

I go to a doctor at least once a year for a routine check-up

I go to to the doctor less than once a year for routine check-ups

I never go to the doctor for routine check-ups

I only go to the doctor when I am ill or have a health problem

12.Are you aware there are tests that are available to screen for one or more types of health/genetic conditions or cancers?(Required.)

Yes

No

13.Have you ever had this type of testing done to screen for specific health conditions?(Required.)

Yes

No

14.If you have done any type of genetic/hereditary testing, please select which tests you have had done:(Required.)

Other (please specify)

15.On a scale of 1-6, 1 being never and 6 being extremely likely, how likely are you to complete multi-cancer test screening?(Required.)

17.If you've had any of the above tests done, when was the most recent test done?(Required.)

19.Do you have any issues with either your eyesight, hearing or speech?(Required.)

Yes

No

Please describe your issue

20.What type of medical/health insurance do you currently have?(Required.)

21.Do you have a desktop or laptop computer working webcam?
Tablets and phones can not be used.(Required.)

Yes

No