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Dieting

Hello,

Thank you for signing up with the Q-insights database. We are currently conducting a study regarding "Dieting" and we are looking for males and females that are between the ages of 25-55 to participate. This study will be an online study and it begins from June 28th until July 22nd (with a break in there for 4th of July); you will be paid $200 for your time and opinions. If you are interested, please fill out the questionnaire below and if you qualify a recruiter will contact you to follow up.

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* 1. Gender:

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* 2. What is your age?

Example: 23

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* 3. What ethnic group do you consider yourself to belong to?

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* 4. Do you have a webcam or video camera that you can connect directly to your computer to record video?

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* 5. Are you able to upload and download imagery, photos, and other links from your computer?

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* 6. Which social networks and/or social media do you regularly use?

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* 7. To what extent are you concerned about your weight?

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* 8. Over the past 6-18 months, what have you done to lose weight?

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* 9. How would you describe the overall weight loss goal you've been working towards......

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* 10. Which of the following products have you purchased and consumed within the past 18 months in your efforts to lose, maintain or manage your weight, or live a healthier lifestyle?

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* 11. Which, if any, of the following brands of weight loss and weight managaement products are you familiar with?

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* 12. Which of the following are you CURRENTLY using within your weight loss regime or weight maintaining?

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* 13. Which, if any, of the following products have you used within the past 18 months?

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* 14. Which, if any, of the following products would you NEVER consider using in the future?

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* 15. For each of the following statements, please tell us whether it decribes you very well, somewhat, or not at all?

  Very well Somewhat Not at all
I am open about expressing my thoughts
I enjoy meeting and talking to new people
I prefer to spend my free time home alone
When I meet people for the first time, I'm shy and don't talk much
My friends consider me friendly and outgoing

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* 16. Which of the following best describes your current marital status?

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* 17. Do you have children under 18 years of age living at your house?

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* 18. Which of the following best describes your last level education?

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* 19. Which of the following best describes your employment situation?

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* 20. Please provide your contact information so, if you qualify a recruiter can contact you to follow up.

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