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Tobacco Usage
We are currently seeking men and women who currently or previously have smoked cigarettes to participate in a 2 hour paid focus group. You will be paid $125 for your time.
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First Name
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Last Name
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Email Address
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Phone Number
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City You Live In
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State you live in
Illinois
Colorado
Texas
Connecticut
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Age
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What year were you born in
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Race / Ethnicity
African American/Black
Caucasian/White
Latino/Hispanic
Asian/Pacific Islander
Something Else
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Highest Level of Education
Less than High School
HS/GED
Some College/Trade/Tech
College Grad
Post Grad/PhD/Masters
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Employment Status
Full Time
Part Time
Retired
Unemployed
Homemaker
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Occupation & Industry you currently or previously work in
Your answer
Do you currently smoke cigarettes or did you in the past?
Yes, I currently smoke cigarettes
No, I quit smoking
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What is the brand you smoke or used to smoke most often
Your answer
How did you hear about the study
Craigslist
Facebook/Social Media
Newspaper Ad
Referred by friend or family
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