1. Health and Wellness - September 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 HEALTH AND WELLNESS that you maybe interested in.

Please take note that you are ineligible to participate if you have taken part in any research study in the last 6 months.

We are looking for couples interested in Health and Wellness . This is a 2-hour focus group discussion in downtown San Francisco on Monday, September 19th through Tuesday, September 27th. The honorarium is $300.00 per couple if you qualify and participate.

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. Which of the following groups best fits your age?

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