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1. SF Upcoming PAID study on Computers- January 26, 2011

Thank you for taking the time to answer these brief questions. As always, we appreciate your input as a valuable Plaza Research respondent. We have a new study on Computers that you may be interested in.

We are currently looking for males and females at least 18 years old for a study on computers. This study is a 2-hour group interview in the evening and will take place in downtown San Francisco on Wednesday, January 26, 2011. You will receive a $100 honorarium for your participation.

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.

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* 1. Contact Information

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* 2. Employment Information

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* 3. What is your gender?

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* 4. In which age range do you fall?

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* 5. Which of the following best describes your ethnicity?

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* 6. Do you own a PC, either a desktop or notebook?

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* 7. If so, what operating system is your PC running?

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* 8. If you own a PC, either a desktop or notebook, have you ever attached a peripheral of any kind (for example, printers, cameras, scanners, portable media players, smartphones, etc.) to it?

**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!*****

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* 9. ******FOR COMPANY USE ONLY******
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