20-4194.4 Issues

1. So that we may contact you if you pre-qualify for this study, please include your contact information below. Note: This survey is a pre-screening survey to see if you qualify for the paid study. You do NOT get compensated for taking this online screener. IF you pre-qualify, you may receive a phone call from a Recruiter.

By submitting your information here, you acknowledge that 20/20 Research may contact you about participating in this or other future research studies. Your information will not be sold or shared with any third parties and no sales will take place in any of our studies.

*Please note you cannot use the back button or refresh your browser during the survey. If you do so, you will not be able to complete it.

First Name *This question is required.

Last Name *This question is required.

Primary Phone *This question is required. please enter in this format 615-777-2020

Email address *This question is required. This question requires a valid email address.

2. What time zone are you in? *This question is required.