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The following questions are for classification purposes only and are kept strictly confidential. This database is for the sole use of the Answernet MRC for research purposes only.
Each time a group is scheduled that meets your basic profile - you will be contacted by phone to verify qualification and to schedule your research session.
Thank you for your interst in registering with the Answernet MRC Research Institute.
Please email the following information with a Subject Line: "Join Focus Groups".
First Name
Last Name
Age
Gender: Male / Female
Home Phone
Cell Phone
E-Mail Address
Do you currently have children at home? Yes / No
