24-286 Wireless Providers (LA) 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. 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? Yes No Question Title * 3. Thanks again for your interest in our study about Wireless Providers. There are two parts to this study. Part One is an online assignment that will take around 45 mins- 1 hr to complete the week of August 11th. You must use a computer to complete this assignment. You'll be paid $75 for part one. Part Two: -A 2 hour focus group at Adler Weiner in Westwood (West LA) on Monday, August 25th OR - A 90 minute in home interview on Tuesday, August 26th. The clients will come to your home to interview you. You'll be paid an additional $175 for part two. Please check off which times you're available for part two. Each group has different qualifications so please make sure you check off all time(s) you're available. If you qualify and we have a spot for you in the study; we will be in touch! Monday, August 25th: 3pm-5pm- focus group at Adler Weiner Monday, August 25th: 6pm-8pm- focus group at Adler Weiner Tuesday, August 26th: 9am-10:30am- In home interview (clients comes to your home to interview you) Tuesday, August 26th: 12pm-11:30pm- In home interview (clients comes to your home to interview you) I am not available Next
