1. Qualifying questions

Hello and thank you for your interest in our video interviews about insurance. To help us see if you qualify, please answer the questions below. We will follow up with you for phone screening if you appear to match the study requirements. If chosen to participate, you will receive $100 to thank you for your time and opinions.

Please be reassured that all personal information will be used for market research projects only. You may withdraw your consent at any time by writing to privacy@hagensinclair.com or Hagen/Sinclair Research, 519 Reed Park Drive, Chico, CA 95926.

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* 1. Do you give your consent for us to have your personal information?

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* 2. Do you currently work or have you worked within the last 5 years in any of the following industries?

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* 3. What is the name of the company that you work for? What type of company is that?

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* 4. Have you ever participated in a focus group or in-person or online market research interview?

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* 5. Have you ever participated in a focus group or in-person market research interview?

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* 6. When was the last time you participated in a market research discussion?

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* 7. What subjects did you discuss in your most recent focus group or in-person interview?

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* 8. What is your age?

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* 9. Which of the following best describes your marital status?

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* 10. Are there any children under the age of 18 that you care for living with you?

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* 11. What is your gender?

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* 12. Which state do you live in?

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* 13. Which of the following best describes your current situation? Select all that apply

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* 14. What is your current job or occupation?

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* 15. Does your household currently carry any of the following insurance products? 

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* 16. Who in your household was responsible for researching and selecting your current insurance provider or providers?

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* 17. Please describe how much influence you have in the final decision of which insurance product or products to choose:

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* 18. Which company is your current home owner’s insurance provider? Write N/A if appropriate.

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* 19. Which company is your current renter’s insurance provider?

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* 20. Which company is your current auto insurance provider?

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* 21. Of the following statements, which ONE best describes how you feel about your insurance providers?

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* 22. Which of the following statements best describes how you feel about bundled vs. non-bundled insurance?

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* 23. And which of these statements best describes how you feel about the cost of insurance?

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* 24. Thinking now about how your household has used insurance, have you needed to make a claim for any of the following within the last 3-6 months?

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* 25. If applicable, please describe what the claim was for and when you made it.

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* 26. Thinking of how your life might have changed recently, have you done any of the following within the last 3-6 months?

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* 27. If applicable, please describe the life change and when it took place.

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* 28. Changing gears now to think about technology: I’m going to read some statements about the use of technology to help manage your personal affairs. Please tell me which of these statements best describes you?

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* 29. I’m going to read you some statements about how people might feel about purchasing technology. Please tell me which one best describes you?

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* 30. Now, please rate how much you agree with this statement about your use of tech, using a 5-point scale in which 1 means “completely disagree” and 5 means “completely agree”:

“I like to try out new, unproven technologies.”

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* 31. What is your approximate annual household income before taxes?

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* 32. Which of the following best describes your highest level of education?

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* 33. How would you describe your ethnicity?

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* 34. I’m now going to read a few short statements. For each please tell me whether you agree strongly with the statement, agree somewhat, disagree somewhat, or disagree strongly.

  Agree
Strongly
Agree
Strongly
Disagree
Somewhat
Disagree
Strongly
I consider myself an imaginative person.
I am comfortable discussing my own views, opinions, and personal experiences with people I may not know very well.
My friends look at me for the latest trends.
 I enjoy doing new and different activities.
I am curious to know more about things that are unfamiliar to me.

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* 35. How often have you ever used Zoom, Skype, Facetime, or anything similar from your computer?

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* 36. To successfully participate in this discussion, you must have the Edge, Chrome or Mozilla Firefox browser installed. Which browser(s) do you currently have installed on your computer?

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* 37. Would you be willing to install Chrome, Edge or Mozilla Firefox on your computer?

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* 38. Because this is a webcam based interview, you will need a webcam. Please let us know if you currently have a webcam, either built into your laptop/computer or a separate piece of equipment plugged into your laptop/computer.

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* 39. During your discussion, it is recommended that you use a headset or earbuds that include a microphone. Please let us know if you currently have a headset or earbuds?

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* 40. How did you learn about this research?

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* 41. May we contact you in the future about other paid marketing research studies?

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* 42. What is your social media URL (Instagram, Facebook, LinkedIn)?

Thank you very much for answering all our questions!  The information you shared will be used for this study only. We will follow up with you by telephone if you match the study requirements.

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* 43. Please provide your contact information below.

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