Question Title * 1. This survey is being conducted by Adler Weiner Research in order to determine your eligibility for a focus group or interview about which you have been contacted. At no point are your individual answers ever sold or shared with our clients (aggregate data or anonymized summaries of the overall survey information may possibly be shared with our clients, however). This survey serves solely as a means for screening. Once the project has been completed this data will be deleted. For more information please see:Right to Opt-Out InfoFinancial Incentive InfoAdler Weiner Privacy Policy I consent to Adler Weiner Research collecting, storing and processing my personal information for the purpose of determining my eligibility for this market research focus group or interview. I understand and consent to the following: That should I be eligible for participation in this market research focus group or interview, my contact information (phone, email, and home address) may be shared with the client for purposes related only to this particular project and are not limited to: screening calls to further determine eligibility, sending of "homework" or pre-session assignments via email, allowing access to an online platform via email, or for in-home interviews conducted at your residence. Question Title * 2. Please fill in the following Name Address City/Town ZIP/Postal Code Email Address Phone Number Question Title * 3. With which gender do you identify? Male Female Non-binary Other (please specify) Question Title * 4. To which age group do you belong? Under 18 18-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60 or older Question Title * 5. What is your exact age? Question Title * 6. With which ethnicity do you identify? White Black or African American Asian or Asian American Hispanic or Latino Other (please specify) Question Title * 7. What city and zip code / postcode do you live in? City Zipcode Question Title * 8. As we are looking for people with exposure to certain industries, do you or any member of your family work, or have ever worked, in any of the following industries OR organizations? Yes No An advertising agency An advertising agency Yes An advertising agency No Public relations firm Public relations firm Yes Public relations firm No Marketing research Marketing research Yes Marketing research No Electronics retailer Electronics retailer Yes Electronics retailer No Video game related hardware or software industries Video game related hardware or software industries Yes Video game related hardware or software industries No Provider, distributor, or retailer of financial services, or banking/investment products Provider, distributor, or retailer of financial services, or banking/investment products Yes Provider, distributor, or retailer of financial services, or banking/investment products No Manufacturer, distributor, or retailer of healthcare or medical products/insurance Manufacturer, distributor, or retailer of healthcare or medical products/insurance Yes Manufacturer, distributor, or retailer of healthcare or medical products/insurance No Question Title * 9. Have you participated in a consumer discussion group or in-home research session in the past 6 months? Yes No Question Title * 10. What subjects have you discussed in focus groups or in-home research? Question Title * 11. How would you best describe your employment status? Employed part-time, less than 30 hours a week Employed full-time, 30 or more hours a week Full-time student Not currently working Question Title * 12. What is yourJob Title, Company Name and Industry? Job Title Company Name Industry Question Title * 13. Can you tell me which of the following online activities you participated in within the last 30 days? Check all that apply Playing video games on a TV, computer, phone, tablet, gaming console or handheld gaming device Checking/reading social media. Posting photos or videos on Facebook, Instagram, Tik Tok, or other social media. Reading online news. Reading a blog. Contributing to your own blog and/or vlog Shopping online. Streaming my own video game playing online and have a following doing so Reading/posting product reviews. None of the above Next
