Treatment concepts 1. Page1 / 1 100% of survey complete. Question Title * 1. Murray Hill National, a market research company, will be conducting PAID RESEARCH in your area soon. This is a Virtual interview that pays $125CASH upon completion. Please fill out of the following questions. If you meet the study qualifications, you will be contacted by phone for scheduling. PLEASE BE CAREFUL AND HONEST IN YOUR FEEDBACK BELOW - WE NEED A MIXTURE OF PEOPLE WITH VARIOUS RESPONSES (Required.) Name: * Company: Address: Address 2: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: Country: Email Address: * Phone Number: * Question Title * 2. Do you or any of your family have any paid affiliation with a pharmaceutical company, advertising, market research firm, or media outlet covering the pharmaceutical industry? Yes No Question Title * 3. Does anyone in your immediate family, or close circle of friends work in any of the following areas? For an advertising agency or public relations firm For a market research firm or the market research department of a company For a marketing firm or the marketing department of a company Newspaper or magazine publishing company For a company that is involved in the manufacturing, distribution or sales of medications or medical equipment For a government agency involved in pharmaceutical research or marketing None of the above Question Title * 4. What is your age? Question Title * 5. In which state do you currently reside? Question Title * 6. Which of the following medical conditions have you been diagnosed with and treated by a healthcare professional? Chronic Hives / Chronic Spontaneous Urticaria (CSU) / Chronic Idiopathic Urticaria (CIU) Multiple Sclerosis Atopic dermatitis/eczema High blood pressure/hypertension Scabies Psoriasis Asthma Cystic Fibrosis Cancer Thyroid Disease Other (please specify) Question Title * 7. Can you provide proof of Diagnosis? Yes No Done