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Last Name*
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Current Employment*
Company Name
Position
Home Phone
Cell Phone
Race*
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Education*
Income
Home Address*
City*
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Child 1
Name (Child 1)
Date of Birth (Child 1)
Gender (Child 1)
Child 2
Name (Child 2)
Date of Birth (Child 2)
Gender (Child 2)
Child 3
Name (Child 3)
Date of Birth (Child 3)
Gender (Child 3)
Devices and Conditions
HealthCare Devices
- Contacts - Hard
- Contacts - Soft
- Eyeglasses - Bi-focals
- Eyeglasses - Single
- Eyeglasses - Tri-focals
- Glucose Meter
- Hearing aid
- Toothbrush - Battery
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Health Conditions
- Acid Reflux
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- HIV/AIDS
- Human Growth Hormone Deficiency
- Hypertension
- Incontinence
- Irritable Bowel Syndrome
- Lasik Eye Surgery
- Menstrual Cramps
- Migraines
- Osteoporosis
- Post-Menopausal
- Pre-Menopausal
- Psoriasis
- Regular Monthly Menstrual Periods
- Rosacea
- Sensitive Teeth
- Sinus
- Ulcers
- Urinary Tract Infection
- Yeast Infection
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Our Clients

Walgreens

Scotts

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Lenscrafters

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Our Mission

Our mission is to provide quality market research services that help our clients meet their objectives.

Headquarters

11353 Reed Hartman Hwy
Cincinnati, OH 45241
Offices: Suite 200
Focus Facility: Suite 101

(513) 489-9000

marketing@variousviews.com

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