25-158 Restaurants 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 is your gender identity? Male Female Non-Binary Other (please specify) Question Title * 4. What age range do you fall into? Under 18 18-24 25-34 35-44 45-54 55+ Question Title * 5. What is your exact age? Question Title * 6. What is your annual household income before taxes? Under $30,000 $30,000-$49,999 $50,000-$79,999 $80,000-$99,999 $100,000-$149,999 $150,000+ Question Title * 7. What is your employment status? Full Time Part Time Not Working Student Other (please specify) Question Title * 8. What is your marital status? Married Single Cohabiting In a relationship/not cohabiting Question Title * 9. Do you have children in your household? Ages 0-4 Ages 5-10 Ages 11+ No Children in Household Question Title * 10. We have to find people in certain jobs and careers. Do you or any of your close family work, or have worked, in the recent past in any of the following professions? Publicity/Advertising Agencies Creative and Design Agencies/Consultancies Direct Marketing Consultancies Media Independents Outdoor Specialists (ie. Poster Advertising) Public Relations Publishing Journalism (TV/Press/Radio) Marketing/Market Research Sales Promotion Agencies None of the above Question Title * 11. Have you participated in a focus group or one on one in depth interview with a market research company in the last 6 months? Yes No Question Title * 12. Which, if any, of the following activities do you do at least once a month? Dine out Eat takeaway food, either delivered or that you pick up Go to a gym Watch YouTube content Visit museums Read books None of the above Next
