Beverage Study Germany

About You

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* 1. Contact Information

Full Name *

Address *

PLZ/Postal Code *

Country

Email Address *

Phone Number *

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* 2. Gender

Male

Female

Diverse

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* 3. Age

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* 4. Please note the occupation of the person in your household with the largest income.
If you are not the largest income earner in your home, please also indicate your job.

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* 5. What is your yearly household income (in €)?