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  Welcome to the consumer panelist questionnaire
  Please take a few minutes to fill out the information about your household.
 
Household Last Name  
Household Address  
City  
State  
Zip  
Home Phone   () - 
Female Head Cell Phone   () - 
 
  Now we would like to ask you some questions about your household.
  Please enter the number of people living in your household, including children and yourself?