MHNC1936 ~ Dentures NJ Jonathan Dentures We are seeking Men and Women for an in person Denture study. This is in East Rutherford NJ and Pays you $100. Thank you OK Question Title * 1. Address Name Company Address Address 2 City/Town State/Province ZIP/Postal Code Country Email Address Phone Number OK Question Title * 2. What is your gender please? Male Female OK Question Title * 3. What is your age please? Under 18 18-24 25-34 35-44 45-54 55-64 65-70 71 and older OK Question Title * 4. Which, if any, of the following statements best applies to you? I wear a full set of dentures I wear full and partial dentures I wear partial dentures only I don’t wear dentures OK Question Title * 5. What is your ethnicity? White or Caucasian Black or African American Hispanic or Latino Asian or Asian American American Indian or Alaska Native Native Hawaiian or other Pacific Islander Another race OK Question Title * 6. We are looking for people who work in particular industries. Do you, or any of your close friends or relatives work, or have you or they worked in any of the following: Advertising Marketing Market Research Journalism Public Relations Manufacture/Distribution/Wholesale of toiletries, oral care products, personal products Retail of toiletries, oral care products, personal products Dental professions, i.e. Dentists, Dental nurses, Hygienists Medical profession, e.g. doctors, nurses, health care professionals, etc. None of these OK Question Title * 7. Do you, or any members of your family work for any of these companies? GlaxoSmithKline Procter and Gamble Reckitt Benckiser SC Johnson Unilever L’Oreal Colgate Palmolive None of these OK Question Title * 8. Please tell me the highest level of education you have achieved? Not completed High School High School Some College College Degree Post Graduate Degree OK Question Title * 9. Please could you tell me into which of the following groups your annual household income falls into? Under $29,999 $30,000-$34,999 $35,000-$49,999 $50,000-$74,000 $75,000-$99,999 $100,000 and over Don’t know/Refused OK Question Title * 10. When did you start wearing your first dentures? In the last 6 Months In the last Year 2-3 Years Ago 3-4 Years Ago 5-6 Years Ago 7 Years Ago or Longer OK Question Title * 11. Please describe one of your favorite advertisements? What was the message of this advertisement? OK Question Title * 12. And please can you tell me what it is you like about this advertisement? OK DONE