*1. Are you:
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Male Female
*2. Which age group best describes you?
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Younger than 18 years 18-24 years 25-34 years 35-44 years 45-54 years 55-64 years 65 or older
3. Which of the following best describes you?
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I am employed full-time I am employed part-time I am currently not employed I am retired
4. Please select your educational background:
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High school graduate or equivalent Attended some college/university Graduated college/university Post-graduate degree Other
*5a. Are there any children 18 years of age or younger living in your household?
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Yes No
*5b. If yes, which age are they:
6. Please indicate your total household income:
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Under $29,999 $30,000-$49,999 $50,000-$74,999 $75,000-$99,999 Over $100,000
7. Which of these activities/topics do you or your family members enjoy? Click all that apply.
8. Which of the following do you own? Click all that apply:
9. Indicate which of the following product categories would you like to be a Product Tester. Click all that apply.
10. Do you belong to a social network?
11. How many contacts do you have in your social network?
12. Do you own a mobile device?
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Blackberry Iphone Another type of mobile device