26-015 Entertainment

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* 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

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.

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* 2. CONTACT INFO Please provide the following:

Name *

Address *

Apt # if applicable

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 3. Where in the country do you live?

Southern CA - Los Angeles area

Southern CA - areas outside of LA

Northern CA

West outside of CA

Illinois

Midwest outside of Illinois

South

East

Northeast

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* 4. Do you currently reside in Los Angeles or New York?

Yes

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* 5. Which gender do you identify with?

Male

Female

Non-Binary/Other

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* 6. What is your age range?

Under 18

18-28

29-39

40-54

55 +

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* 7. What is your exact age and Date of Birth?

Age:

DOB:

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* 8. When was the last time you participated in a market research study, either In Person or Online?

Never

Within the past 3 Months

3-6 Months Ago

6-12 Months Ago

Over 1 Year Ago

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* 9. What is the highest level of education you completed?

Some high school

High school graduate

Some college, but did not graduate

College graduate

Some graduate school

Graduate school

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* 10. Which of the following best describes your household makeup?

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

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

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

I am single and live alone

I am single and live with a roommate or parents

I am single and live with kids under 18 years old

I am single and live with kids over 18 years old