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Stove Study

Stove Study

First name

Last name

Email

Address

City

State

Zip code

Birthday

Phone

Occupation

What company do you work for?

When was the last time you purchased a new stove for your home?

Do you plan on purchasing a new stove in the future? if so when

How much did you spend/ how much do you intend on spending on new stove?

What type of stove did you buy/ or age going to buy?

What brand of stove do you have?

Residence

Ethnic Background

Household Income

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

Marital Status

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

Superior Recruiting LLC

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