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20-420 Cleaning

Thank you for your interest in this upcoming paid marketing research study!

Please complete this survey to determine your eligibility for a 12 week in home video observation to begin the week of 5/26 or 6/1 . If qualified and invited to participate, you will receive $575 for completing the study.

After you fill out the survey, we will give you a call if you initially qualify. Your information is kept strictly confidential and will not be used for anything other than to recruit you for THIS study. We will not be able to call people who do not initially qualify for this study or if the study is now filled.

Please enter your name

Email Address

Cell Phone Number

We will send you a text confirmation. If you do not wish to enter your cell phone and receive phone call confirmations at another number, please enter that.

Alternate Phone Number

What is your gender?

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What is your age?

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In what state do you reside?

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