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Shopping Center

Shopping Study

Shopping Study

First name

Last name

Email

Address

City

State

Zip code

Birthday

Phone

Occupation

What company do you work for?

When is the last time you went shopping?

How many times have you shopped (either online or in-store) for clothing, shoes or accessories in the past 12 months?

Please tell which stores you have shopped at in the last 12 months ? * Required

Tj Maxx

Ross

Macy's

kohls

Amazon

Target

Walmart

Marshalls

Ethnic Background

Marital Status

Do you have children in the household? if yes, what are their ages

Highest Level of Education completed?

Income Level

Thanks for applying for our research project! We'll get back to you if we can use you for the study!

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