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1. SF Upcoming PAID study on Media - March 21, 2011 or March 25, 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 Media that you may be interested in.

We are currently looking for people who watch TV, 18 years and older. This study is a 1.75-hour individual interview. You will receive a $100.00 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. Which best describes your education level?

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* 4. Which best describes your employment status?

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* 5. What is your marital status?

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* 6. Do you currently have any children living at home under 18 years old? If so how many?

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* 7. What is your gender?

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* 8. In which age range do you fall?

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

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* 10. Do you have internet service at home?

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* 11. How many hours per day do you watch TV during the week? (Monday-Friday)

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* 12. How many hours per day do you watch TV on the weekend? (Saturday & Sunday)

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* 13. How many TV sets do you have in your home?

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* 14. How many TV sets in your home are HD?

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* 15. Do you currently subscribe to and watch cable television in your home?

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* 16. If you are a cable subscriber, who is your service provider?

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* 17. Do you subscribe to a Premium service such as Showtime or HBO? If so, which ones?

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* 18. On average how often do you rent movies?

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* 19. What type of rental service do you most frequently use?

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* 20. Which social networking sites do you participate in, if any?

**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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