Introduction Section

Plaza Research Houston is conducting a discussion with consumers from ages 26-64 on the topic of Health Insurance. The discussion takes place Monday, July 23, and Tuesday, July 24, 2018, time varies throughout the day and evening.  If you qualify, and are chosen to participate, you will receive $200 for 1.75 hours of your time.

**Proof of health insurance will be required show in order to participate if chosen**

Please answer the questions below. 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.

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* 1. Please provide us with the following information. We will be contacting you by telephone if you seem like a match.

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* 2. Alternate Contact number

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* 3. What is your age?

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