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1.

Please fill out the following. If you meet the criteria you will receive a follow up phone call to schedule an appointment.

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* 1. Have you participated in a survey or study with in the past 3 months

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* 2. What is your marital status?

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* 3. Who in your household is responsible for tax preparation and planning, including deciding on the tax preparation method?

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* 4. Which of the following best describes your age range?

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* 5. Often, people who work in businesses related to the products and services we research can bring new insight to our work. Do you or any member of your household or family CURRENTLY WORK in…?

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* 6. Which of the following methods best describes how you prepared your 2010 FEDERAL income tax return – the one due April 18th, 2011?

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* 7. How did you prepare your STATE taxes this year?

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