Question Title * 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 InfoFinancial Incentive InfoAdler Weiner Privacy Policy 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. Question Title * 2. CONTACT INFO Please provide the following: Name * Address * Apt # if applicable City/Town * State/Province * ZIP/Postal Code * Email Address * Phone Number * Question Title * 3. What is your gender? Male Female Non Binary Prefer not to say Question Title * 4. Which age group do belong in? 18-24 25-34 35-44 45-54 55-64 Question Title * 5. What is your exact age? Question Title * 6. Where in the country do you live? Southern CA Northern CA West outside of CA Illinois Midwest outside of Illinois South East Northeast Question Title * 7. Do you or any member of your household or immediate family work in any of the following industries? An Advertising agency or firm Airline/Travel Banking/Financial A Marketing research firm or market research department of a restaurant Restaurant, or a distributor of food or beverage products to restaurants Grocery store or convenience store Real estate Dietician or Nutritionist None of these Question Title * 8. Which of the following best describes the highest level of education you have had the opportunity to complete? Grade school or less Some high school High school graduate Some college/Technical school College graduate degree Post graduate work or degree Question Title * 9. Which of the following best describes you? Employed full time (40 hrs/week Employed part time (less than 40hrs/wk Student Stay at home parent Not currently working/employed Retired Question Title * 10. Which of the following ranges includes your total household income before taxes? Under $25,000 per year $25,000 to under $50,000 $50,000 to under $75,000 $75,000 to under $100,000 $100,000 to under $125,000 $125,000 to under $150,000 More than $150,000 Question Title * 11. What is your zip code? Question Title * 12. To ensure that we represent the opinions of all people, which of the following best describes you? Asian Black, African American Caucasian Hispanic or Latino/a Indigenous Peoples (e.g., Native American, Alaska Native, Native Hawaiian) Some other ethnic background Prefer not to answer Question Title * 13. Please tell me if you have any children and whether they live in your household or not. Yes, I have children living in my household Yes, I have children but they do not live with me No, I do not have any children at all Next
