Nichols Research – Request Participation Status Step 1 of 8 12% Removal_Reason(Required)Please select your primary reason for this removal request:I have movedI am unable to travel to research sessionsI receive too many emailsI never seem to qualifyI am simply no longer interestedOtherName(Required) First Last Email(Required)Email Still_Willing(Required)Would you still be interested in participating in research sessions within the vicinity of your new location, or even online/remote, from the comfort of your own computer/connected device (including for those who are unable to travel)? Yes No USA_Canada(Required)You mentioned that you have moved. Do you still reside in the USA or Canada? Yes - USA Yes - Canada No - Neither Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Address(Required) Street Address Address Line 2 City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Phone(Required)Best phone number to reach you: Other_Removal_Reason(Required)You selected 'Other' for your reason to be removed from the Nichols Research Participation Panel. Please tell us why: Δ
