New Products - October 2011

Thank you for taking the time to answer these brief questions. As always, we appreciate your input as a valuable Plaza Research respondent. Plaza Research San Francisco is currently looking for males and females ages 25-45 for a 2-hour focus group discussion on the topic of new products. You will receive a $85-$100 honorarium for your time.

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. What age range do you fall into?

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* 3. What is your gender?

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* 4. Please indicate your marital status:

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* 5. What is the highest level of education you have completed?

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* 6. Please indicate your current employment status:

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* 7. Employment Information (if not employed, please write "n/a")...

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* 8. In what range does your total household income fall?

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* 9. Ethnic background

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* 10. Please indicate which of the follow devices you own. (check all that apply)

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* 11. Please indicate how you clean the screens on the devices you own? (Check all that apply).

**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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* 12. ******FOR COMPANY USE ONLY******
(Please press next)

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