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houston

Thank you for your interest in our upcoming focus groups in Houston, TX on June 28 and June 29.

This information is for research and screening purposes only and will be kept confidential. It will not be shared, and you will not receive marketing offers as a result of completing this questionnaire. Upon completion of each group, each participant will receive $125 in thanks for their time and opinions.


If you have any problems with this form, please contact susan@opinionworks.com.
1. Please provide your contact information so we know how to get in touch with you. *This question is required.
2. 1. What is your age? *This question is required.
3. 2. What is your gender? *This question is required.
4. 3. Which of these best describes your home? *This question is required.