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1. E-Mail Address?
2. Name? 3.Phone? 4. What year were you born? 19 5. Sex? (which, not how often) 6. Please indicate the highest level of education completed: 7. Household Income: 8. Do you own or plan to buy any of the following?
9. Which of the following would you use if it were offered online?
10. Where do you use your computer most often? |
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