Pre-Qualifying Survey

Note: This pre-screening survey will help us to determine your eligibility to participate in the paid study. You will not be compensated for taking this pre-screener.

IMPORTANT: Please note that once you press the “Next” or “Submit” button at the end of each page, you cannot go back to change your response. If you click the back button or exit the browser before completing the survey, you will not be able to retake it. Please make sure that your responses are accurate before submitting each page of the survey.

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1. What is your first name? *This question is required.

2. What is your last name? *This question is required.

3. What is your primary phone number with area code? *This question is required. Please use format xxx-xxx-xxxx

4. Email Address *This question is required.

5. What is your age? *This question is required. This question requires a valid number format.

Pre-Qualifying Survey

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