CHI - WOMEN'S HEALTH - FEBRUARY 2017

Plaza Research Chicago has a research study on WOMEN'S HEALTH coming up that you may be interested in attending.

The interviews will be held on FEBRUARY 21 - FEBRUARY 22 during the morning, afternoon or early evening.

Who: Females ages 18-50
What: Women's Health
Where: Plaza Research Chicago
Length/Incentive: 1 hour/$100

**Please note that all responses will be called on a first come, first served basis until the study is full. Please note that we may or may not call you back based on your answers. Only replies through the Survey Monkey link with the answers requested and contact info will be considered.

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* 1. Please provide the following information to contact you if you pre-qualify:

First and Last Name

Primary Phone Number

Secondary Phone Number

Email Address

State/Province

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* 2. Gender

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* 3. Age Range

Under 18

18-25

26-33

34-38

39-45

46-50

51+

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* 4. Exact Age

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* 5. Ethnicity

African American

Asian

Caucasian

Hispanic/Latino

Native American/ Native Indian

Other (please specify)

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* 6. Occupation

Position

Company

Industry

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* 7. In the past 3 three months, have you participated in any market research studies?

Yes