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JCRP Database Opt-In Survey

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7. Gender? *This question is required.
8. What is your date of birth? *This question is required.
This question requires a valid date format of MM/DD/YYYY.
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10. What is your current level of household income? *This question is required.
11. What is the highest level of education you have completed? *This question is required.
12. I would like to receive survey requests from JC Research Partners from time to time to see if I qualify for Paid Focus Groups either nationally or in my area. *This question is required.
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