Skip to content
*
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
City/Town
Email Address
Phone Number
*
3.
Do you live in the Los Angeles metropolitan area, and are you willing to travel to /near Westwood if selected for this study?
(Required.)
Yes
No
*
4.
What type of phone do you currently use?
(Required.)
iPhone
Android
Non-smartphone/Other
*
5.
What is the model number of the iPhone you currently use?
OR
What is the operating system of the Android you currently use?
(Required.)
*
6.
If asked to participate, you will be asked to agree to a non-disclosure agreement which states you will not share the details of the study with anyone outside of the study. Are you willing to do this?
(Required.)
Yes
No
*
7.
If you were selected, would you be willing to install an app temporarily on your phone for the purposes of this research?
(Required.)
Yes
No
*
8.
If you were selected, would you be willing to use a one-on-one video chatting app and talk with new people online over the course of the interview?
(Required.)
Yes
No
*
9.
What is your age?
(Required.)
under 18
18-22
23-26
27-34
35 and older
*
10.
With which gender do you most identify?
(Required.)
Woman
Man
Non-Binary, Gender Non-Conforming, Bigender, or Something else
*
11.
Which races, ethnicities, or origins best describe you?
(Required.)
White
Black or African American
Hispanic or Latino
Asian or Asian American
Other
*
12.
What is your current employment status? (Select one)
(Required.)
Working full-time
Working part-time
Stay-at-home parent
Unemployed; looking for work
Unemployed; not looking for work
Retired
Student full-time
*
13.
Are you currently working in or have you worked in any of the following occupations or industries within the past five years?
(Required.)
Advertising or branding
Marketing or market research
Sales promotion or public relations
Journalism or Media (i.e. TV, radio, newspaper)
Online Dating
Social media website, app or service
Web or App development & design
None of the above
*
14.
Have you participated in a research study on any of the following topics in the past year?
(Required.)
Dating
Social connection
Sports
Food
Sleep
Shopping
I have not participated in any research studies in the past year
*
15.
What is your current relationship status?
(Required.)
Single
In a relationship or Married
*
16.
When was the last time you met a NEW friend ONLINE? Your best estimate is fine.
(Required.)
In the past month
In the past 3 months
In the past 6 months
In the past year
More than a year ago
Never
