*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:
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Financial Incentive Info
Adler Weiner Privacy Policy(Required.)

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.

*2.CONTACT INFO Please provide the following:(Required.)

Name *

Address *

Apt # if applicable

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

*3.What is your age?(Required.)

*4.In what age range do you fall?(Required.)

Under 18

18-23

24-30

31-35

36-40

41+

*5.Gender:(Required.)

Man

Woman

Non-binary

Other (please specify)

*6.Which best describes the area in which your primary residence is located?(Required.)

Urban (a developed city that is densely populated)

Suburban (a residential area on the outskirts of the city)

Rural (a small town outside of a city that is sparsely populated)

*7.What is your zip/postal code?(Required.)

*8.Which of the following activities do you actively participate in? Select all that apply.(Required.)

Running and Jogging

Trail Running

Baseball or Softball

Cycling

Mountain Biking

Dance, Step, Zumba, and Other Choreographed Exercise to Music

Football

Pilates

Snow Sports (Skiing, snowboarding, cross country skiing)

Soccer

Swimming

Tennis or other racket sports

Volleyball

Walking for fitness

Yoga

Boot Camp Style Training

HIIT (High Intensity Interval Training)

Hiking (Day Hiking)

Hiking (Backpacking)

Weightlifting

None of the above