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Join the database 2026
7.
Join our panel and start being paid for your valuable opinions.
7 / 1
700%
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1.
Get Paid to Share Your Opinion!
We're looking for everyday people, business and healthcare professionals to join our paid market research database/panel. Your feedback helps shape the products and services of tomorrow — and you get rewarded for it.
What's involved: Surveys, focus groups, product testing, and interviews — all from the comfort of your home or locally at an easy to reach location, depending on the study.
What you'll earn: Compensation/Rewards varies by study, but participants can receive cash, gift cards, or vouchers for their time.
Who we're looking for: We welcome people from USA, all walks of life — your unique perspective is exactly what we need.
How to join: Simply answer as many questions in this questionnaire. The more details the better we can match you to studies that fit your profile.
We will make sure and connect you with each topic you seem to be interested in. There's no obligation — you choose which ones you want to participate in.
(Required.)
Name:
*
Company:
Address:
Address 2:
City/Town:
State:
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
Country:
Email Address:
*
Phone Number:
*
2.
What is your profession or job title?
3.
In what industry do you work?
*
4.
Are you a Healthcare Professional? What is your specialty?
(Required.)
Nurse
CNA
NP
PA
PCP
Other Specialty
I am not a healthcare professional
Yes
Nurse
CNA
NP
PA
PCP
Other Specialty
I am not a healthcare professional
No
Nurse
CNA
NP
PA
PCP
Other Specialty
I am not a healthcare professional
5.
Which category below includes your age?
17 or younger
18-20
21-29
30-39
40-49
50-59
60 - 65
65 - 80
80+
6.
What is your gender?
Female
Male
Other
*
7.
What is your ethnicity?
(Required.)
Caucasian
African American / Black
Asian
American Indian / Native American
Hispanic / Latino
Asian Indian
Other
Other (please specify)
8.
What is your approximate average household income?
$0-$24,999
$25,000-$49,999
$50,000-$74,999
$75,000-$99,999
$100,000-$124,999
$125,000-$149,999
$150,000-$174,999
$175,000-$199,999
$200,000 and up
9.
What is your employment status?
FT
PT
Retired
Homemaker
Currently looking for a position-Unemployed
Student
Other
10.
Please pick all that apply
Have children under 18
Have children under 5
Drink alcoholic beverages
Smoke regular cigarettes
Smoke menthol cigarettes
Have health insurance I pay for privately
Have employer paid health insurance
Own home
Rent apartment
Vote regularly
Own a dog or dogs
Own a cat or cats
Vape Only
Smoke and Vape
11.
Please check any of the following that apply to you-you personally, have been treated for, under treatment for:
Cancer
Asthma
COPD
Diabetes Type 1
Diabetes Type 2
Epilepsy
Emphysema
Incontinence
Hypogonadism
Parkinson's Disease
Sickle Cell Anemia
Alzheimer
Chronic/Congestive Heart Failure Patients
Afib
Orthopedic
Fabry Disease
Cardiomyopathy
Plaque Psoriasis (PS)
Crohn's Disease
Ulcerative Colitis (UC)
Hidradenitis Suppurativa (HS)
Uveitis
Chronic Heart Failure
Other
Other (please specify)
12.
Please list the medications you are currently taking ...
13.
Have you ever been diagnosed with any of the following or had a diagnosis confirmed by a physician? Please select all that apply.
Abdominal Pain
Alzheimers
Age related memory loss
Anchiall Psoriasis
Anxiety Disorders
Arthritis
Attention Deficit Hyperactivity Disorder (ADHD)
Back Problems
Bipolar Disorder
Breast Cancer
Cardiomyopathy
Crohn’s Disease (CD)
Cystic Fibrosis
Depression
Diabetes
Disorders of Lipid Metabolism
Dissection (tear in the Aorta)
Dontiolefiesis
Eating Disorders
End Stage Renal Disease
Fabry Disease
Gastrointestinal Disorders
Hemophilia A
Hemophilia B
Hepatitis A
Hepatitis B
Hepatitis C
HIV
Hydrocephalus
Hydrolinquitis
Hyperhidrosis
Infertility
Irritable Bowel Syndrome (IBS)
Lung Cancer
Liver Disease
Multiple Sclerosis
Non-traumatic Joint Disorders
Non-specific Chest Pain
Overweight/ Obesity
Pancreatitis
Parkinson's Disease
Plaque Psoriasis (Ps)
Prostate Cancer
Psoriatic Arthritis (PsA)
Pulmonary Arterial Hypertension (PAH)
Rheumatoid Arthritis (Ra)
Schizophrenia
None of these
Chronic lymphocytic leukemia (CLL)
Glioblastoma metforme
Any cancer
cITP chronic immune thrombocytopenia
Pulmonary Embolism
Deep vein Thrombosis
A-fib
Bladder Cancer
Colorectal Cancer
Skin Cancer
Melanoma.
Brain Cancer
Cervical cancer.
Ovarian Cancer
Non-Hodgkin lymphoma.
Pancreatic Cancer
Thyroid cancer
Uterine cancer
Gastric Cancer
Esophageal Cancer
Breast Cancer
Liver Cancer
Kidney Cancer
Traumatic Brain Injury
Leukemia
Non Hodgkin Lymphoma
Hodgkin Lymphoma
deep vein thrombosis
pulmonary embolism
14.
Are you the caregiver to anyone being diagnosed with any of the following
Please select all that apply.
Abdominal Pain
Alzheimers
Age related memory loss
Anchiall Psoriasis
Anxiety Disorders
Arthritis
Attention Deficit Hyperactivity Disorder (ADHD)
Back Problems
Bipolar Disorder
Breast Cancer
Cardiomyopathy
Crohn’s Disease (CD)
Cystic Fibrosis
Depression
Diabetes
Disorders of Lipid Metabolism
Dissection (tear in the Aorta)
Dontiolefiesis
Eating Disorders
End Stage Renal Disease
Fabry Disease
Gastrointestinal Disorders
Hemophilia A
Hemophilia B
Hepatitis A
Hepatitis B
Hepatitis C
HIV
Hydrocephalus
Hydrolinquitis
Hyperhidrosis
Infertility
Irritable Bowel Syndrome (IBS)
Lung Cancer
Liver Disease
Multiple Sclerosis
Non-traumatic Joint Disorders
Non-specific Chest Pain
Overweight/ Obesity
Pancreatitis
Parkinson's Disease
Plaque Psoriasis (Ps)
Prostate Cancer
Psoriatic Arthritis (PsA)
Pulmonary Arterial Hypertension (PAH)
Rheumatoid Arthritis (Ra)
Schizophrenia
None of these
Chronic lymphocytic leukemia (CLL)
Glioblastoma metforme
Any cancer
cITP chronic immune thrombocytopenia
Pulmonary Embolism
Deep vein Thrombosis
A-fib
Bladder Cancer
Colorectal Cancer
Skin Cancer
Melanoma.
Brain Cancer
Cervical cancer.
Ovarian Cancer
Non-Hodgkin lymphoma.
Pancreatic Cancer
Thyroid cancer
Uterine cancer
Gastric Cancer
Esophageal Cancer
Breast Cancer
Liver Cancer
Kidney Cancer
Traumatic Brain Injury
Leukemia
Non Hodgkin Lymphoma
Hodgkin Lymphoma
deep vein thrombosis
pulmonary embolism
15.
Can you tell me which of the following products you use in your household?
Soda
Diapers -Cloth only
Disposable
Training Pants
Paper Plates
Packaged Meat
Incontinence Products
Shampoo and Conditioner
16.
Please list all vehicles in your household...include motorcycles and ATV or farm equipment
Vehicle 1 Year, Make, Model
Vehicle 2 Year, Make, Model
Vehicle 3 Year, Make, Model
Vehicle 4 Year, Make, Model
17.
What are all the types of vehicles you have in your household
Gas Powered
EV
PHEV
HEV
Diesel
18.
Now please take a selfie and upload...this will expedite getting you started. This is not mandatory. This will get you started quicker than no selfie.
Take the photo in good natural or indoor lighting — avoid harsh shadows or backlit situations (e.g. don't stand in front of a window) Face the camera directly, with your full face visible Keep a neutral or natural expression unless instructed otherwise Remove sunglasses, hats, or anything that obscures your face Make sure the photo is in focus and not blurry
Choose File
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