*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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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

City/Town

Email Address

Phone Number

*3.When was the last time you participated in market research?(Required.)

Within the last 3 months

Within the last 6 months

6-12 months ago

More than 12 months ago

Never

*4.With which gender do you identify?(Required.)

Male

Female

Non-binary/genderqueer

Other (please specify)

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

Under 18

18-24

25-34

35-44

45 and over

*6.Do you consider yourself to be…?(Required.)

White/Caucasian

Hispanic/Latinx

Black/African American

Asian/Asian American

Native American

Pacific Islander

Mixed Race

Other (please specify)

*7.Are you or anyone in your immediate family currently working—or have you previously worked—in any of the following industries or jobs?(Required.)

An advertising agency or department

A marketing company or department

A market research company or department

A consumer electronics or consumer technology company

A public relations firm or department

A social media company or department

A tech company or IT department

None of these

*8.What is your current employment status?(Required.)

Full-time employed

Part-time employed

Full-time student

Part-time student

Stay-at-home-parent

Retired

Furloughed or Unemployed

*9.What is your occupation?(Required.)

Job Title:

Employer:

Industry:

*10.What was your total household income for last year? Your best guess is fine.(Required.)

Under $24,999

$25,000 - $49,999

$50,000 - $74,999

$75,000 - $99,999

$100,000 - $149,999

$150,000 - $249,999

More than $250,000

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

Did not graduate from high school

High school graduate

Some college, but no degree (yet)

2-year college degree

4-year college degree

Postgraduate degree (MA, MBA, MD, JD, PhD, etc.)

*12.Which of the following best describes your approach to new technology?(Required.)

I am generally the first to try a new technology product

I am generally among the first to try a new technology product

I am generally in the middle when it comes to trying a new technology product

I am generally among the last to try a new technology product

I am generally the last to try a new technology product