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1. Please read the privacy policy before opting in our panel

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https://murrayhillnational.com/privacy-policy/

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* 1. Murray Hill National, a market research company, will be in your area soon conducting PAID RESEARCH. We would like to invite you to receive notifications on all studies that might apply to you.  All of our
research will pay you an incentive.  Cash and / or Rewards.   We will input your information into our
database and contact you if you meet specific criteria.  To get started, we require, at a minimum,
your contact information.  We are asking a host of questions that will assist us in narrowing down which
studies / research best meets your profile.  We are excited to work with you.

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* 2. Please tell us about your profession

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* 3. Which category below includes your age?

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* 4. What is your gender?

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* 5. What is your ethnicity?

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* 6. What is your approximate average household income?

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* 7. Which of the following best describes your health insurance coverage?

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* 8. Please pick all that apply

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* 9. Please check any of the following that apply to you:

  I have been diagnosed with this condition I am a caregiver to a family member or loved on with this condition
AFIB
AIDS / HIV
Alopecia
Alzheimers / Dementia 
Ankylosis Spondylitis
Arthritis
Asthma
Atopic Dermatitis
Bladder Condition
Cardiomyopathy
Celiac Disease 
Chronic/Congestive Heart Failure Patients
Crohn's Disease
COPD
COVD19 
Diabetes Type 1
Diabetes Type 2
Epilepsy
Emphysema
Endometriosis
GURD
Hemophilia A 
Hemophilia B 
Hepatitis A
Hepatitis B
Hepatitis C 
High Blood Pressure 
High Cholesterol
Hypogonadism
Incontinence
Kidney Disease 
Lupus
MDD (Major Depression Disorder) 
Multiple Sclerosis
NAFLD ( Non Alcoholic Fatty Liver Disease) 
NASH (nonalcoholic steatohepatitis)
Neutropenia
Parkinson's Disease
Primary biliary cirrhosis
Plaque Psoriasis (PS)
Rheumatoid Arthritis (RA)
Sickle Cell Anemia
Ulcerative Colitis (UC)
Uveitis

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* 10. Please list the medications you are currently taking...

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* 11. Do you use Snuff or Snus products?

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* 12. Can you tell me which of the following products you use in your household?

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* 13. Please list the ages of all people living in your household:

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* 14. We now require proof of diagnosis for all studies related to medical conditions. Are you willing to provide proof of medication and/or a doctor's note?

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* 15. Do you own an automobile, if so what type

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* 16. Did you purchase your vehicle

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* 17. Please list all of the vehicles Year, make and model in your household

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* 18. We do various types of research and we would like to know which types of projects you might be interested in. Please select all the applicable types of research below that you would be interested in receiving project announcements about

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