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first name*	last name*
email address*	age*
address	city
state/province	zip	country
Number of children
Ethnicity (Optional)
Income
Do you or any family or close friends work for:
In the past 6 months, have you used any of the following nail products? (Check all that apply)
Plain- no color glue-on nails Solid color glue-on nails with no designs French Manicure with no designs Gel nail kit Glue-on Toenails (Plain- French Pedi) Nail art Solid color glue-on nails with designs French Manicure with design Acrylic nail kit Self stick nails (nails with glue already on them) Glue-on Toenails (French with design) Natural nail care (Strengthener, hardener, etc…)
How often do you buy at-home artificial nail products?
What is your favorite nail brand?
What is your preferred length for artificial nails?
What nail size do you prefer to purchase?
Do you frequently purchase your nail products at any of the stores listed below? (Select up to 3)
Drug Store Food Store Mass Retailers (ie. Wal-Mart, Kmart, Target, etc…) Beauty Supply Salon
Yes, I would like to receive emails with product updates and promotions.