Join User Research Panel!

Thank you for your interest in our User Research Panel. Please take a moment to tell us about yourself.
Your answers to the following questions will help us select research opportunities most relevant to you.
You can choose to not answer any of the following questions, however the more we know about you, the more likely we'll find a relevant research opportunity.

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* 1. First and Last Name:

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* 2. Email Address:

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* 3. Employer

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* 4. Phone Number:

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* 5. Do you have access to a computer connected to the internet

Yes

Other (please specify)

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* 6. Gender

Male

Female

Other(please specify)

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* 7. Age Range

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* 8. City, State of Residence

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* 9. Current Occupation

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* 10. Highest level of education completed

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* 11. Are you able to fluently speak, read, and answer questions in English?

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* 12. Assuming your schedule allowed, would you be willing to participate in the following types of research

Online one-on-one Meeting

In Person one-on-one Meeting

Online Survey

Other (please specify)

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* 13. Frequency of logging into your wellness program website (choose best answer):

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* 14. How often would you like be contacted to participate?

Quarterly

Twice a year

Once a year

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* 15. Preferred method of contact

Phone

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* 16. Have you ever participated in usability study before?

Yes