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1. Brothers - March 2010

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 BROTHERS that you maybe in 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 parents of at least two male children between the ages 6 to 10. The participating siblings should have a difference of at least 3 years of age (i.e., a pair consisting of a 6 and 9 year old sibling, or a pair of 6 and 10 year old sibling). This study is a 2-hour discussion and will take place in Palo Alto between Wednesday, March 17th thru Sunday, March 28th. The honorarium is $150.00 per family.

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 spouse/partner's employment information?

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* 4. What is your gender?

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* 5. Which of the following groups best fits your age?

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* 6. What is your EXACT age?

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* 7. What is your current employment status?

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* 8. Do you have any children?

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* 9. What are the names, ages and gender of your children?

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* 10. Do you and your children live in the same household full-time or part-time?

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* 11. What city do you live in?

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* 12. What range best describes your total annual household income?

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* 13. In order to represent all groups equally, which of the following best describes your ethnic background?

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* 14. What level of education have you, yourself, completed?

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* 15. What kinds of games or activities do your children play (for example, board games, dolls, video games, etc.)?

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* 16. Who do they play these with?

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* 17. Do your children play together? If so, what kinds of things?

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* 18. How would you describe each of your child's reading abilities (in English)?

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* 19. If you qualify for this study, will you and at least two of your children be willing to attend this study in Palo Alto?

**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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* 20. ******FOR COMPANY USE ONLY******
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