SurveyMonkey Powered Online Survey

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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:
Right to Opt-Out Info
Financial Incentive Info
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. Please fill in the following

Name (First and last)

Address

City

State

Zip code

Phone

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* 3. Which area of the country is your permanent residence?

Northeast (Maine, New Hampshire, Vermont, Massachusetts, Rhode Island, Connecticut, New York, New Jersey, and Pennsylvania)

Midwest OUTSIDE of Illinois (Ohio, Michigan, Indiana, Wisconsin, Minnesota, Iowa, Missouri, North Dakota, South Dakota, Nebraska, and Kansas)

Illinois

South (Delaware, Maryland, Virginia, West Virginia, Kentucky, North Carolina, South Carolina, Tennessee, Georgia, Florida, Alabama, Mississippi, Arkansas, Louisiana, Texas, and Oklahoma.)

West OUTSIDE of California (Montana, Idaho, Wyoming, Colorado, New Mexico, Arizona, Utah, Nevada, Oregon, Washington, Alaska, and Hawaii.)

California

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* 4. With which gender do you identify?

Male

Female

Non-binary

Other (please specify)

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* 5. To which age group do you belong?

Under 18

18-24

25-34

35-40

Over 40

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* 6. What is your exact age?

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* 7. With which ethnicity do you identify? Check all that apply

White

Black or African American

Hispanic or Latino

Asian or Asian American

Other (please specify)

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* 8. We are interested in talking to people with a variety of backgrounds. Have you, or have any members of your family, worked (either currently or at some point) in any of the following types of companies?

	Yes	No
Advertising agency or public relations firm	Advertising agency or public relations firm Yes	Advertising agency or public relations firm No
Marketing research company	Marketing research company Yes	Marketing research company No
Video game development or video game platform industry	Video game development or video game platform industry Yes	Video game development or video game platform industry No
Industry analyst firm	Industry analyst firm Yes	Industry analyst firm No
Social media company	Social media company Yes	Social media company No
Broadcast industry or television station	Broadcast industry or television station Yes	Broadcast industry or television station No
Journalism / Online media	Journalism / Online media Yes	Journalism / Online media No
Movie production or film studio	Movie production or film studio Yes	Movie production or film studio No
Electronics, computer hardware or software industries	Electronics, computer hardware or software industries Yes	Electronics, computer hardware or software industries No
Automotive industry	Automotive industry Yes	Automotive industry No
Transportation industry	Transportation industry Yes	Transportation industry No
Health care industry (doctor, nurse, dentist, etc.)	Health care industry (doctor, nurse, dentist, etc.) Yes	Health care industry (doctor, nurse, dentist, etc.) No
Tourism industry	Tourism industry Yes	Tourism industry No
Energy-supply, including power and gas companies	Energy-supply, including power and gas companies Yes	Energy-supply, including power and gas companies No
Education, including teachers and administration	Education, including teachers and administration Yes	Education, including teachers and administration No

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* 9. Which of the following do you do at least a few times a month?

Play video games on a PC or console

Play video games on a smartphone or tablet

Read manga

Listen to music using a music streaming service

Stream movies or TV shows on streaming services such as Netflix, HBO max, etc.

Go on social media

Read a book

Exercise outside