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Nationwide Medical Study/35-70/$225 or $275

smidge1 23,923 10,717 October 9, 2015 at 04:58 PM in Survey (2)
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Nationwide Medical Study
• You don’t even have to leave your home for this.
Patients ages 35-70
We need YOUR opinions!

$275 or $225
depending upon which group you fall into

Week of: October 26 for RJ
Week of: November 2 for VRT

Nationwide Reflective Journey (RJ) (5 days / 1 hour a day)
Nationwide Virtual Round Table (VRT) (4 days - 1 hour a day)

Have you been diagnosed by a medical doctor as having any of the following conditions?

• a.) Asthma • b.) Hypertension/high blood pressure • c.) COPD (Chronic Obstructive Pulmonary Disease) • d.) NCFB (Non-cystic fibrosis bronchiectasis)
• e.) Bronchiectasis • f.) Emphysema • g.) Cystic Fibrosis • h.) Chronic Bronchitis • i.) Type 2 Diabetes • j.) Depression • k.) PCD (primary ciliary dyskinesia)
• l.) Other (Specify) _______________

Enclose requested information below with your answers to the right of each item addressed to BOTH projects@marketresearchdallas.com AND info@sunshineday.net. Be sure Nationwide Med Study + the state you live in is on the subject line when responding. (Ex. MA Med Study) If you do not receive a telephone call back from MRD (Market Research Dallas, then either your age group filled up or your answers did not prequalify. No sales are involved & all information will remain strictly confidential.

PLEASE DELETE THE ABOVE INFORMATION INCLUDING THIS LINE BEFORE SENDING IN YOUR REPLY!

First & Last Name:
Address:
City, State, Zip:
County (Not Country)
Referred by Melinda aka SunshineDay
Phone Number(s) Please!
Home #
Work #
Cell #
Best Day Time #
Email:
Age:
Date of Birth:
Gender:
Ethnicity:
Marital Status:
Highest Level of Education:
Employment Status:
Household Income:
Job Title/Occupation:
Job Industry:
What were you diagnosed with above? Please list
What medication(s) are you taking? Please list
How long have you been taking this medication(s)? Please list
If your group falls in the daytime would you be able to participate for 1 hour each day?
Did you address this email to BOTH projects@marketresearchdallas.com AND info@sunshineday.net?
Do you have Nationwide Med Study + the state you live in listed in the subject line? (Ex. MA Med Study)

If you'd like to be added to my email list for future studies, please go to https://www.facebook.com/SunnyDayBiz, click on the blue box that says 'Join Email List' & follow the prompts.

3 Comments

1

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Joined May 2010
L10: Grand Master
13,449 Posts
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Pro
#2
Thx just did it. Smilie
Reply Helpful Comment? 0 0
#3
Done. Is this done in Va.? Thanks!
Reply Helpful Comment? 0 0
#4
Will get in on this
Reply Helpful Comment? 0 0
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