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* 1. Contact Info:

* 2. Gender:

* 3. Please select the highest level of education you have completed.

* 4. Date of Birth (Ex. 08/25/1987)

* 5. Do you own a webcam that is either built into your laptop / computer or is hooked up and ready to use on your computer?

* 6. Which of the following best describes your current employment status?

* 7. Occupation - Industry & Title:

* 8. Which of the following best describes your total household income?

* 9. Which if any, have you experienced in the past 6 months?

* 10. What type of home do you live in?

* 11. Do you rent or own your home?

* 12. Do you have any children under the age of 18 living in your home?

* 13. If you do have children under the age of 18 what are their ages?

* 14. What pets do you own?

* 15. Do your pets primarily live indoors or outdoors?

* 16. Which of the following services do you use at your home on a regular basis (once a quarter or more)?

* 17. Please tell if me which out of the following stores would be your first stop for getting new household products, and which ones you would consider or not consider as well.

  First Stop Would Consider Would Not Consider
Bed, Bath & Beyond
Home Depot

* 18. If you were to purchase any of the following household products, please tell me if you would be the primary decision maker, if you would share that responsibility, or if it would be someone else's decision about it.

  Primary Share Someone Else
Toaster Oven
Vacuum Cleaner
Crock Pot
Wet/ Dry Vac
Steam Floor Mop

* 19. Which of the following household cleaning tasks are you: primarily responsible for, share equal responsibility for, or rarely/ never do?

  Primary Share Rarely/Don't Do
Cleaning counter tops
Sweeping floors
Mopping / steam cleaning floors
Vacuuming floors
Scrubbing toilets
Cleaning showers/ bath tubs

* 20. How often do you personally use the following cleaning products?

  Daily Weekly 2x Month Monthly N/A
Broom and dust pan
Handheld vacuum / dust buster
Upright vacuum
Canister vacuum
Mop and bucket
Swiffer or similar cleaning tools
Steam floor mop

* 21. Which type of vacuum do you have in your home?