Cellf Defense: The App that helps you to reduce exposure to cell phone radiation (Initial questionnaire)

WELCOME TO OUR INITIAL SCREENING SURVEY

CellfDefense is an iPhone App created to help you understand better the electro-magnetic radiation emitted by your cellphone. If you are interested in trying it and sharing with us feedback on how to improve it, please fill out the questionnaire below and we will get back to you soon with instructions on how to install the CellDefense App.

Question Title

* 1. Please let us know the email address where we should send the information on how to download the CellfDefense App.

Email address

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* 2. What is your age?

18-24

25-34

35-44

45-54

55-64

65+

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* 3. What is your gender?

Female

Male

Other

Prefer not to answer

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* 4. What is your annual household income?

Less than $20,000

$20,000 to $34,999

$35,000 to $49,999

$50,000 to $74,999

$75,000 to $99,999

$100,000 to $149,999

$150,000 or More

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* 5. How many people live in your household including you?

2-3

4-5

Cellf Defense: The App that helps you to reduce exposure to cell phone radiation (Initial questionnaire)

WELCOME TO OUR INITIAL SCREENING SURVEY

Question Title

* 1. Please let us know the email address where we should send the information on how to download the CellfDefense App.

Question Title

* 2. What is your age?

Question Title

* 3. What is your gender?

Question Title

* 4. What is your annual household income?

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* 5. How many people live in your household including you?

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* 6. How many children under the age of 18 live in your household?

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* 7. How many people in your household have an Iphone?