Nationwide study - Patients/Caregivers

Plaza Research is conducting a nationwide telephone study and is currently looking for Patient or Caregivers of Patients diagnosed with specific conditions.

If you meet the qualifications and participate in the phone interview you would receive $100 for 60 minutes of your time.

Please answer the questions below to see if you meet the specifications we are looking for.

Question Title

* 1. Contact Information

Name:

State:

Email Address:

Phone Number:

Question Title

* 2. Age

Question Title

* 3. Have you, or are you a caregiver of a patient, who has been diagnosed with any of these following conditions?

HIV/ AIDS

Non-Small cell lung cancer

Alzheimers disease

Non-Hodgkin Lymphoma

Leukemia

None of these

Question Title

* 4. Employment

Full time

Part time

Not employed

Thank you for your time. If you meet the specifications we are looking for someone from Plaza Research Chicago will contact you to ask some additional questions and see if you can qualify for this study.

When you click DONE you will be redirected to our Facebook Page. Facebook and Plaza Research are not, in any way, connected. You also do not need to be a Facebook member in order to qualify for the study that you just applied for. This is strictly a convenience if you, our respondent, would like to "like" our page as another avenue to be notified of upcoming groups.