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 county doyou live in? Los Angeles County Orange County Ventura County Other (please specify) Question Title * 4. What is your zip code? Question Title * 5. What best describes your gender? Male Female Choose to self-identify (please specify) Question Title * 6. What is your age range? Under 18 18-24 25-34 35-45 46-54 55+ Question Title * 7. What is your exact age and date of birth? Exact age: Date of birth: Question Title * 8. Do you or does anyone in your household/family work in any of the below industries? Advertising, PR, digital communications (e.g., social media), or publishing Marketing research or a marketing research consulting company Restaurants or food delivery services Ride-sharing services None of the above Next
