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1.
FOR IN PERSON RESEARCH:
In order to gain admittance to the facility, you need to bring:
A Photo ID
Reading glasses if you need them
Please make sure to self assess your health prior to the session and we ask that you cancel in advance if you are sick with Cold/Flu/Covid-19 symptoms.
Frequently we do not allow cell phones, smart watches, cameras or any electronic/digital devices into the research. There is a possiblity you will be asked to leave your devices with our front desk team where they will be kept securely during the research.
If qualified and based on these participation requirements, are you willing to participate in this in-person interview?
(Required.)
Yes
No
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2.
Please fill in the following informaion
(Required.)
Name (first and last)
Phone Number
Email
Town
Zipcode
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3.
In which County is your permanent address?
(Required.)
Los Angeles
Orange County
San Bernardino
Ventura
Riverside
Other (please specify)
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4.
With which gender do you identify?
(Required.)
Male
Femaile
Non-binary
Other (please specify)
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5.
With which ethniciity do you mostly identify
(Required.)
White, Caucasian, European, European-American
Black, African-American, Caribbean, African, Caribbean-American
Hispanic, Latino, or Spanish origin
Asian-American, Asian, Pacific Islander
Other (please specify)
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6.
To which age group do you belong?
(Required.)
Under 18
18-22
23-27
28-35
36-40
41-45
46-60
61 - 64
65 and over
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7.
What is your exact age?
(Required.)
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8.
Which of the following best describes your current employment status?
(Required.)
Employed, full time
Employed, part time
Self-employed
Homemaker
Full-time student
Retired
Not currently employed
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9.
What is your current Job Title, Company Name and Industry?
(Required.)
Job Title
Company Name
Industry
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10.
What is your annual household income?
(Required.)
Less than $50,000
$50,000-$74,000
$75,000 - $99,000
$100,00-$149,000
$150,000 - $199,000
$200,000-$250,000
$250,000 or more
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11.
What city and state do you reside in?
(Required.)
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12.
Do you or does anyone in your household work in any of the following industries?
(Required.)
Yes
No
A marketing, branding, advertising, or market research firm
Yes
No
A company involved in the clothing or fashion industry
Yes
No
A newspaper, magazine, or other written periodical
Yes
No
An entertainment or media company
Yes
No
An educational institution
Yes
No
A software or technology company, please specify
(please specify)
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13.
When did you last participate in a market research study of any kind?
(Required.)
In the last 3 months
3-6 months ago
Over 6 months ago
Never
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14.
On what topics have you participated in marketing research in the past year?
(Required.)
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15.
Which, if any, of the following devices do you personally own and use? Check all that apply
(Required.)
Smartphone (e.g. iPhone, Android phone, etc.)
Laptop computer
Desktop computer
ablet (e.g. iPad, Surface, Galaxy Tablet, etc.)
Video game console (e.g. Xbox One, PlayStation 4, Nintendo Switch, etc.)
4K or Ultra High Definition (UHD) TV
None of the above