SPARKLING WATER

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* 1. What's your email address?

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* 2. Name:

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* 3. Gender

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* 4. What is your exact age?

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* 5. Cell phone number you can be reached?

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* 6. Please select which best describes your race/ethnic background

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* 7. What is the highest level of education you've completed?

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* 8. What is your current Marital Status?

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* 9. Occupation Title

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* 10. In which area of the city do you work?

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* 11. Have you consumed sparkling water in the past month?

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