*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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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.Before we begin – please tell me how old you are.(Required.)

Under 20

20-24

25-34

35-44

45-54

55 or over

*4.Where in the country do you live?(Required.)

Southern CA

Northern CA

West outside of CA

Illinois

Midwest outside of Illinois

Southeast

South

Southwest

East

New England

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

*6.What is your gender identity?(Required.)

Male

Female

Non-binary

Prefer to self-describe

*7.Other than yourself, who else lives in your household?(Required.)

I live alone

Spouse or significant other

My children

Roommates

My parents or my spouse/significant others parents

*8.What are the ages of the children living in your home?(Required.)

0 to 4 years

5 to 8 years

9 to 12 years

13 to 17 years

18 years or older

I do not have children living in the household

*9.Which of the following best describes your current employment status?(Required.)

Employed full-time

Employed part-time

Full-time homemaker

Student

Not employed / Looking for work

Retired

*10.We are interested in speaking to people who work in various industries. What is your current occupation?(Required.)

Job Title:

Company Name:

Industry:

*11.Do you or anyone in your household currently work in any of the following industries?(Required.)

Advertising or public relations

Market research company or department

Books industry (e.g., publisher / author / editor, etc.)

Power or utilities company

Travel or Hospitality

Banking or financial institutions

Education, government or public sector

Architecture or design firms

None of the above

*12.When was the last time you went on a trip that required you to stay at a hotel or vacation rental?(Required.)

Within the last month

Within the last 6 months

Within the last year

More than a year ago

I have never done either of these activities

*13.How many trips for leisure/vacation and business travel have you gone on in the past 12 months that required you to stay at a hotel or vacation rental? Please include business and leisure trips.(Required.)

Vacation Rental:

Hotel:

*14.How many trips for leisure/vacation and business travel have you gone on in the past 12 months that required you to stay at a vacation rental? Please include business and leisure trips.(Required.)

0

1

2

3

4

5 or more