Thank you for your interest in this upcoming marketing research. If your survey answers indicate that you might be a good match for this study a phone interviewer will call you. We will need to 'screen' you further via a live call in order to ask a few more questions as well as go over the information we have already collected. We need to insure we have your correct responses recorded. We must do all we can to pair you with a study that is relevant to your lifestyle. Your honest answers are very important to us!

Your information is kept strictly confidential and will not be used for anything other than to recruit you for upcoming studies. Unfortunately, we are unable to call every person that responds. If your survey answers indicate that you do not initially qualify for this research we will keep you in mind for future studies.

Thank you for your time!
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1. Please fill in the following contact information....
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2. What is your gender?
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3. What is your current age?
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