www.surveymonkey.com Open in urlscan Pro
18.66.112.88  Public Scan

Submitted URL: https://www.surveymonkey.com/tr/v1/te/akU_2BQc2vAhAsa_2B264x1g6_2FpF_2Fhy3EhxbpxJDHYpYZT2IfHMPxttyWWzwub84sxgB_2BQqtv3w0H8WVq...
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Submission: On March 15 via manual from US — Scanned from DE

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Text Content

MEDICAL PRACTICE INSURANCE PRODUCTS - Q2 INSIGHTS


PAID MARKET RESEARCH OPPORTUNITY $200

Q2 Insights is conducting compensated research interviews on Zoom with key
decision makers who choose insurance products for their physician office
practice or healthcare clinic. The interviews are for research purposes
only. This is strictly a marketing research study so no sales are involved. 

The interview will be a 30-minute interview taking place via Zoom on a date
convenient for you from February-March 2023.

Those who participate will receive a $200 incentive for their participation.


QUESTION TITLE

* 1. ARE YOU INTERESTED IN PARTICIPATING?

Yes
No


QUESTION TITLE

* 2. PLEASE FILL OUT THE FOLLOWING INFORMATION:

Name
Company
Address
City/Town
State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ
ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District
of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI
HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME
MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS
MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New
JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern
Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto
RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT
VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY
Wyoming
ZIP/Postal Code
Country
Email Address
Phone Number


QUESTION TITLE

* 3. WHAT WOULD BE THE BEST TIME TO REACH YOU FOR A SCREENING CALL?


Done

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