THIS IS A SAMPLE OF OUR SURVEY - NOT AN ACTUAL WORKING SURVEY!

Your help is urgently needed. Please take a few minutes to complete the following survey and be automatically entered to win a $300 American Express gift certificate.

We are conducting research on behalf of Medco, a nationwide insurance provider of prescription medication and benefits. Medco intends to offer the new Medicare prescription benefit beginning January 1, 2006. Your input will help this provider to decide on the proper message and name for their new Medicare program and member card.

For this research, we would like to know two things. First, which of four statements about the company and its offering appeals most to you? Second, which program name appeals most to you?

Your personal information will not be shared with any third parties. Only your responses will be collected and used in our research.

By completing our research survey, you will be eligible to win a $300 American Express gift certificate. One $300 gift certificate will be awarded by DTM at the end of this study. Participation in this research expires at 5:00 a.m. on Wednesday April 6, 2005. Employees of DTM, their families and third party participants are not eligible to participate in this research.