Ice Cream Study Screener

Welcome

Thank you for your interest in our ice cream study.

For this study, you will be evaluating 4 samples of ice cream at one of the scheduled sessions. Testing should take no more than 10-15 minutes.

Kindly provide us with the following information about yourself. All the information you provide will be kept confidential.

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* 1. Name (First and Last)

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* 2. Email Address

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* 3. Phone Number (XXX-XXX-XXXX)

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* 4. You are:

Male

Female

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* 5. Please indicate your age group.

19 years and younger

20-34

35-44

45-54

55-64

65 years and older

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* 6. Please indicate your ethnic background for this research.

African American

Caucasian

Asian (Chinese, Korean)

Asian (Japanese American)

Asian (Indian, Pakistan)

Asian (Southeast Asian)

Asian (Pacific islander and others)

Latino/Hispanic (excluding Spanish)

Middle Eastern

Native American

Multiracial or Other (please specify)

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* 7. Are you a U.S. citizen?

Yes