Consumer Market Research Phone Interview Pre-survey

Thanks for your interest in this study!

MFORCE Research, a market research company in Chicago, is looking for men and women in the San Francisco area to participate in a paid market research study. The study will consist of a 45-minute phone interview taking place within the next two weeks. Participants will be mailed a check for $200 for their time.

Please fill out the survey below. A recruiter will call you with some follow-up questions if it appears that we can place you in the study.

Question Title

* 1. About You.

Name

Age

Daytime Phone Number

Email Address

Home Zip Code

Question Title

* 2. What is your gender?

Male

Female

Question Title

* 3. Are you, or any member of your household, or someone that you are particularly close to and talk to often, currently employed or have ever been employed in any of the following?

	Yes	No
In Advertising/ Promotions/ Public Relations	In Advertising/ Promotions/ Public Relations Yes	In Advertising/ Promotions/ Public Relations No
In Market Research/ Marketing/ Consulting	In Market Research/ Marketing/ Consulting Yes	In Market Research/ Marketing/ Consulting No
In Healthcare	In Healthcare Yes	In Healthcare No
In Financial Services	In Financial Services Yes	In Financial Services No
In the Cable or Satellite TV industry	In the Cable or Satellite TV industry Yes	In the Cable or Satellite TV industry No
By a Telephone or Communications Company	By a Telephone or Communications Company Yes	By a Telephone or Communications Company No
By a Home Security Company	By a Home Security Company Yes	By a Home Security Company No
In Media: TV/Broadcasting/Radio/Journalism, etc.	In Media: TV/Broadcasting/Radio/Journalism, etc. Yes	In Media: TV/Broadcasting/Radio/Journalism, etc. No
In a large Tech company like Apple, Google, Microsoft	In a large Tech company like Apple, Google, Microsoft Yes	In a large Tech company like Apple, Google, Microsoft No

Question Title

* 4. Do you own or rent your home?

Own

Rent