25-360 Consumer Habits (MLN) Parents & Kids- DO NOT DELETE

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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:
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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. Thanks again for your interest in our study about consumer habits with Moms and Dads of kids ages 9 to 17 OR Girls and Boys ages 9 to 17 (the study is for you or your child)

The groups will be held online on Wednesday, September 24th and Thursday, September 25th.

You or your child will be paid $140 for your/their time. Checks are mailed out after the study.

Please check off which time, if any, your could would be able to participate.

Only one person per household can participate.

If you or your child qualifies and we have a spot in the study, we will be in touch.

Wednesday, September 24th: 12pm-1:30pm EST (MOMS of kids ages 9 to 17)

Wednesday, September 24th: 4pm-5:30pm EST (Girls and Boys ages 9 to 12)

Thursday, September 25th: 6pm-7:30pm EST (DADS of kids ages 9 to 17)

Thursday, September 25th: 8pm-9:30pm EST (Girls and Boys ages 13-17)

Myself/ my child is not available