Food Pre-screening Survey

Page One

1. This short survey will help us determine if you qualify for the paid portion of this study. If you qualify, you will receive a phone call within 2-5 business days from a 20/20 Research Recruiter.

Please provide the following information:

First Name Required Question

Last Name

City

State

Zip Code

Email Address Required Question

Daytime Number Required Question

Evening Number Required Question

Gender

Date of birth (MM/DD/YYYY) Required Question

By submitting your information here, you acknowledge that 20/20 Research may contact you about participating in this or other future research studies. Your information will not be sold or shared with any third parties and no sales will take place in any of our studies.