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Plaza Research Atlanta is currently looking for Males and Females, 12-65 years old for a project taking place at our Buckhead facility. As with all Plaza Research studies, participants are booked on a first come first serve basis. Not all participants who complete the following pre-questionnaire will qualify for the study, nor will everyone receive a callback. Please do not call in reference to the studies below. If you pre-qualify, a recruiter will contact you with further questions and details.

This study will take place on Wednesday, February 25, 2015. These are group discussions that will last 90 minutes and pay $150.

*Referrals for this study are welcome! Please forward this email to anyone you think may qualify.

If you are interesting in qualifying, please click on "next" below to continue through our online surveys.

All qualified responses will be called on a first come, first serve basis until all seats have been filled.

**PLEASE DO NOT CALL OFFICE IN REGARDS TO STUDY!**

Good luck!

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* 1. Contact info:

First Name:

Last Name:

City/Town:

Email Address:

Phone Number:

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* 2. What is your gender?

Male

Female

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* 3. Which of the following best fits your age range?

12-18

19-25

26-35

36-45

46-55

56-65

over 65

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* 4. What is your age?

Age

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* 5. With which of the following types of diabetes have you been formally diagnosed by a physician? Select all that apply

Type I Diabetes

Type 2 Diabetes

Gestational diabetes

None of the Above

Other (please specify)