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   Address 2
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Date Of Birth
Gender Male  Female  
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Which of the following do you purchase?
  For Yourself As Gifts Neither
Fragrances
Cosmetics
Bath & Body

How often do you purchase the following items
  Do Not
Purchase
12+ times
a year
4 times
a year
Once
a year
Cosmetics
(i.e. Foundation, Mascara, Blush)
Fragrances
(ie. Perfume, Spray Cologne, Body Splash)
Personal Care Products
(i.e. Deodorant)
Bath & Body
(i.e. Lotion & Bath Products)

Where do you typically purchase these types of products (choose all that apply)
Mass Merchandisers/
Department Stores
JCPenney
Kmart
Sears
Target
Wal-Mart
Drug Stores
Brooks
CVS
Eckerds
Longs
Rite Aid
Walgreens
Other Stores
Gottschalks
Meijer
Sephora
Ulta
Duane Reade
Other Grocery

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