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

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2. By proceeding, you certify that all answers provided in this application are truthful, accurate, and complete to the best of your knowledge. You also confirm that you have completed this application independently, without the assistance of AI tools, chatbots, or other external aids. Lastly, you confirm that you live within the United States and are not suing a VPN to change your location in any way.

Please note: The client reserves the right to disqualify and turn away any participant without compensation if any information provided is found to be untruthful, inaccurate, or generated by AI.

Do you agree with the conditions above?

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3. FOR IN PERSON RESEARCH:
In order to gain admittance to the facility, you need to bring:
  • A Photo ID
  • Reading glasses if you need them
Please make sure to self assess your health prior to the session and we ask that you cancel in advance if you are sick with Cold/Flu/Covid-19 symptoms. 

Frequently we do not allow cell phones, smart watches, cameras or any electronic/digital devices into the research. There is a possiblity you will be asked to leave your devices with our front desk team where they will be kept securely during the research. 

If qualified and based on these participation requirements, are you willing to participate in this in-person interview? (Required.)

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4. CONTACT INFO Please provide the following: (Required.)

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5. With which race/ethnicity do you identify (Required.)

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6. What gender do you identify with? (Required.)

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7. How old are you? (Required.)

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8. What is your exact age? (Required.)

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9. Are you, your spouse, or members of your family employed, hoping to be employed in the future, or a volunteer at any of the following types of organizations or professions? (Required.)

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10. In the past 12 months, have you visited/attended any of the following types of places/attractions? (Required.)

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11. Below is a list of places to visit in the San Francisco Bay area. Which of the following places have you visited at least once? Please select all that apply (Required.)

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12. When did you last visit these places? (Required.)

  Less than 3 months ago Between 3 and 6 months ago Between 6 months and 1 year ago Between 1 and 2 years ago More than 2 years ago Never been
San Francisco Museum of Modern Art (SFMOMA)
The de Young
The Legion of Honor
California Academy of Sciences
San Francisco Botanical Garden
The Asian Art Museum
Exploratorium
San Francisco Zoo
Alcatraz Island
Oakland Museum of California (OMCA)
Yerba Buena Center for the Arts
The Walt Disney Family Museum
The Contemporary Jewish Museum
The Berkeley Museum of Art

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13. If you can remember please provide date, month, year? If you haven't been to a certain place on this list, please put down today's date. (Required.)

Date
Date
Date
Date
Date
Date
Date
Date
Date
Date
Date
Date
Date
Date

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14. If you received free entrance to the following places, would you definitely attend, maybe attend, or not attend? (Required.)

  Definitely attend Maybe attend Never Attend
A Zoo
An Art Museum
A Science museum

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15. Now for a different type of question. What is one thing you really enjoyed doing as a child? (Required.)

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16. Which county do you live in? (Required.)

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17. What is the highest level of education you have completed? (Required.)

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18. Are you currently: (Required.)

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19. For statistical purposes only, into which of the following categories does your total annual household income fall? (Required.)

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20. Do you identify a someone who has a disability? (Required.)

Thank you so much for completing this survey and expressing your interest in this research opportunity.  We will review your answers and our recruitment team will contact you if you are a match for the project. 
Please note, you must be contacted and confirmed by a recruiter to participate; filling out this survey does not guarantee your participation.   Unfortunately, due to the volume of responses we receive, if you do not qualify or if the project is already full, you may not be contacted.

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