Thank you for taking the time to answer these brief questions. As always, we appreciate your input as a valuable Plaza Research respondent. Plaza Research San Francisco is currently looking for Males & Females ages 30-48 for a two hour in-home interview taking place in your home on September 13 or September 14. You will receive a $150-$200 honorarium for your time.

IF you qualify based on the answers provided THEN you will receive a call back. However due to the popularity of our surveys and groups, we can't contact everyone.

Please note that all responses will be returned on a first come, first served basis until the studies are full.

Question Title

* 1. Contact information

Question Title

* 2. Exact Age

Question Title

* 3. Employment

Question Title

* 4. Employment Information (if not employed, please write "n/a")...

Question Title

* 5. Ethnic background

Question Title

* 6. What is your household income?

Question Title

* 7. What is the highest level of education you have completed?

Question Title

* 8. Which of the following do you currently have? (check all that apply)

Question Title

* 9. Which of the following, if any, do you currently own or have and have used or accessed in the past 30 days? (check all that apply)

Question Title

* 10. In the past 60 days, which of the following services, if any, have you used? (check all that apply)

Question Title

* 11. Which of the following BEST describes your current financial situation?

Question Title

* 12. Do you currently have children living at home?

Question Title

* 13. Which of the following describes your current marital status?

**IMPORTANT: PLEASE PUSH THE "DONE" BUTTON AT THE BOTTOM OF THIS SCREEN. YOUR ANSWERS WILL NOT BE SAVED WITHOUT DOING SO!**

Thank you for participating in our survey. IF you qualify based on the answers provided THEN you will receive a call back. However due to the popularity of our surveys and groups, we can't contact everyone. Please note that all responses will be returned on a first come, first served basis until the studies are full.

*****REFERRALS ARE GREATLY APPRECIATED!*****

Question Title

* 14. ******FOR COMPANY USE ONLY******
(Please press next)

T