*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.)

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.Which gender identity do you most identify with?(Required.)

Man

Woman

Nonbinary

Other (please specify)

*4.Which age range do you fall into?(Required.)

Under 18

18-24

25-34

35-44

45-54

55-64

65+

*5.Please state your exact age and date of birth:(Required.)

Age

DOB

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

Southern CA

Northern CA

West outside of CA

Illinois

Midwest outside of Illinois

South

East

Northeast

*7.We are interested in talking to people with a variety of backgrounds. Have you, or have any members of your family, worked (either currently or at some point) in any of the following types of companies?(Required.)

Marketing Research

Advertising, Marketing or Public Relations Firm

Media (i.e. TV, radio, entertainment industry, newspaper)

Telecommunications or Telephone Company

A cable or satellite television provider

None of the above

*8.For classification purposes only, please tell me which of the following best describes your ethnic background?(Required.)

Black, African American, or Caribbean American

Asian American or Pacific Islander

White or Caucasian

Hispanic or Latino/a/x/e

Middle Eastern or North African

Indigenous or Native American or Alaskan Native

Other (please specify)

*9.What language do you primarily speak at home(Required.)

*10.Sometimes we need to speak with people who have and who haven’t been in market research studies in the past. When, if ever, was the last time you participated in an online focus group study?(Required.)

Never

Within the last 3 months

More than three months ago

*11.Which of the following describes your household makeup?(Required.)

I am married or living with partner with no kids living at home

I am married or living with partner with kids under 18 years old who live with me

I am married or living with partner with kids over 18 years old who live with me

I am married or living with partner with kids over 18 years old who don’t live with me

I am single and live alone

I am single and live with a roommate / parents

I am single and live with kids under 18 years old

I am single and live with kids over 18 years old

Other (please specify)

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

Some high school

High school graduate

1-3 years of college

College graduate

Some graduate school

Graduate school

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

I am employed full-time

I am employed part-time

I am a homemaker

I am a full-time student

I am retired

I am not currently employed

*14.Which of the following best describes your household income?(Required.)

Under $30,000

$30,000 - $49,999

$50,000-$74,999

$75,000-$99,999

$100,000-$149,999

$150,000+

*15.Which of the following paid TV services, if any, does your household receive(Required.)

Cable (e.g. FX, CNN, USA, Showtime etc.)

Satellite or Telco/Fiber

Online subscription service that streams live TV (e.g., YouTube TV, Hulu + Live TV, Sling TV, etc.)

Video streaming service (e.g., Netflix, Disney+, Max, Paramount+, etc.)

None of the above