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* 1. This survey is being conducted by Adler Weiner Research in order to determine your eligibility for a focus group or interview about which you have been contacted. At no point are your individual answers ever sold or shared with our clients (aggregate data or anonymized summaries of the overall survey information may possibly be shared with our clients, however). This survey serves solely as a means for screening. Once the project has been completed this data will be deleted.  For more information please see:
Right to Opt-Out Info
Financial Incentive Info
Adler Weiner Privacy Policy

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* 2. CONTACT INFO Please provide the following:

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* 3. Where in the country do you live?

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* 4. Gender:

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* 5. Age:

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* 6. In which city do you currently live/work?

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* 7. Do you or does any member of your family or close friends work for any of the following?

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* 8. With what companies, and in what occupations are you and/or other members of your household employed?

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* 9. Do you own any pets (which are currently living in your household)?

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