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Email *
Name (first and last): *
Age: *
Gender *
Phone Number: *
Which of the following best describes your Ethnicity? *
What is your Highest Level of Education? *
Are you currently employed? If so, what is your current job title? *
Which of the Following Best Represents your Household Income? *
What STATE do you live in? *
What CITY do you live in? *
What COUNTY do you live in? *
What is your current marital status? *
How many children, if any, have you or your husband ever had?
Have you ever grown vegetables, herbs or other plants useful for human consumption? (ex. Lettuce, tomatoes, basil, etc)
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Is your refrigerator built-in or counter-depth or, is it the regular, full depth?
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Please pick the style of refrigerator you currently own in your home (Photo proof will be required): *
What is the brand of the refrigerator you have in your kitchen:
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Do you currently own your home?
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