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Sharp Cheddar Cheese Study Screener

Welcome

Thank you for your interest in our cheese study.

For this study, you will be evaluating samples of sharp cheddar cheese 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.

*1.Name (First and Last)(Required.)

*2.Email Address(Required.)

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

*4.You are:(Required.)

Male

Female

*5.Please indicate your age group.(Required.)

19 years and younger

20-34

35-44

45-54

55-64

65 years and older

*6.Please indicate your ethnic background for this research.(Required.)

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)

*7.Are you a U.S. citizen?(Required.)

Yes

No

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