Nationwide Tax Refunds Study Week of October 24th

Greetings! Plaza Research San Diego is conducting a nationwide telephone research study on tax refunds and would like to see if you qualify. Qualified participants will be paid $100 for a 1-hour phone interview.

Please fill out the survey below and we will get back to you if it looks like you will be a match for this exciting research study! Please note that all responses will be returned on a first-come, first-serve basis until the groups are filled. Additionally, we may or may not contact you based on your answers given in this survey.

Thank you in advance for your interest and input!!

(YOU MUST ANSWER ALL QUESTIONS TO BE CONSIDERED FOR THIS SURVEY)

Question Title

* 1. Contact Info

First Name

Last Name

Phone Number 1

Phone Number 2

Age

Gender:

City, State

Question Title

* 2. Please select which of these situations apply to you:

I have received an income tax return by direct deposit into my bank account

I have received an income tax return by check in the mail

I have received an income tax return by refund card

I have never received an income tax return

I have received a Refund Anticipation Loan or cash advance on my income tax refund

Specify from where

Question Title

* 3. What is your household's total income before taxes in 2011?

Between $0 and $15,000

Between $15,000 and $30,000

Between $30,000 and $45,000

Between $45,000 and $60,000

More than $60,000