Pet Research

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* 1. Contact Information

First and Last Name

City

State

Primary Phone Number

Secondary Phone Number

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* 2. What is your gender?

Female

Male

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* 3. What is your age?

Under 21

21-29

30-39

40-54

55-69

70 or older

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* 4. What pets, if any, do you currently have in your household?

Dog(s) or Cat(s)

Bird(s)

Small Pet(s) (Hamster, gerbil, reptiles, etc)

None of the above