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| First Name: * |
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| Mobile Phone: |
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| Demographic Information: |
| Gender: |
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| Date of Birth: |
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| Income: |
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| Smart Phone Owners Information: |
| Do you own a smart phone? |
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| How many smart phones does your household own? |
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| Who is your smart phone carrier? |
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| Are you happy with your smart phone service? |
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| Are you planning on switching your smart phone service in the next 6 months? |
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| What type of smart phone do you own? |
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| Do you use the web on your phone? |
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| Do you text on your cell phone? |
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