Join Our Panel Newton Marketing Network has launched September 1st, 2025 as a Market Research recruiting vendor. We are excited to include respondents from all over the United States to participate in a variety of paid research projects. If you would like to be contacted for paid study opportunities, please complete the information below. Please see our privacy policy at https://newtonmarketingnetwork.com/privacy-policy/ Question Title * 1. Name Question Title * 2. Email Question Title * 3. Phone Question Title * 4. Address Question Title * 5. What is your ethnicity? Please select all that apply American Indian or Alaska Native Asian or Asian American Black or African American Hispanic or Latino Middle Eastern or North African Native Hawaiian or other Pacific Islander White Another race Prefer not to answer Question Title * 6. Which of the following options most closely aligns with your gender? Woman Man Non-binary A gender not listed here Prefer not to answer Question Title * 7. What is your age? 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 or older Question Title * 8. Which of the following best describes your current relationship status? Married Widowed Divorced Separated Cohabiting with a significant other or in a domestic partnership Single, never married Prefer not to answer Question Title * 9. How many children are you parent or guardian for and live in your household (aged 17 or younger only)? None 1 2 3 4 More than 4 Prefer not to answer Question Title * 10. What is your total household income? Less than $20,000 $20,000 to $34,999 $35,000 to $49,999 $50,000 to $74,999 $75,000 to $99,999 $100,000 to $149,999 $150,000 or More Prefer not to answer Question Title * 11. Which type of pet do you currently have? (Check all that apply) Bird Dog Fish Reptile Horse None of these Cat Prefer not to answer Other (please specify) Question Title * 12. Which of the following electronic devices do you use? (Please select all that apply.) Android Based Smartphone Apple Based Smartphone Desktop Computer Laptop Computer Tablet computer (e.g. iPad, Samsung Galaxy) Digital Camera E-book Reader (e.g., Kindle, Nook) Linear (Non-Internet Enabled), High Definition TV (HDTV) Printer Streaming Media Device (e.g., Roku, Chromecast) Smart Watch (e.g., Apple Watch) Smart TV (Internet enabled TV) Smart Home Devices (e.g., Nest, Roomba, Alexa) Home Security Devices (e.g., Ring, Nest) None of these Prefer not to answer Question Title * 13. In what state or U.S. territory are you currently registered to vote? Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia (DC) Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota resident. Voter registration not available. Northern Marianas Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming None of these Prefer not to answer Question Title * 14. Which of the following most closely represents your political ideology? Very Liberal Liberal Neutral Conservative Very Conservative Something Else Prefer not to answer Question Title * 15. What is the year, make, and model of your automobile? Year Make (e.g., Ford) Model (e.g., Mustang) Question Title * 16. Which of the following products, if any, do you use or consume regularly(once per month or more often)? Cigarettes Smokeless tobacco products( snus, dip, moist snuff, chewing tobacco, nicotine pouches) Nicotine vapes (disposable or refillable) Flavored nicotine vapes Other vape/e-cigarette products THC vape pens/cartridges THC edibles (gummies, chocolates, baked goods, etc.) THC beverages THC concentrates (wax, shatter, oils, etc.) Pre-rolled joints or blunts (THC) Cannabis (Non-THC / CBD & Flower) Cannabis flower (buds/loose leaf) Cannabis edibles (CBD only) Cannabis tinctures/oils Cannabis topicals (creams, lotions, patches) Other cannabis/CBD products Beer Wine Spirits/liquor (vodka, whiskey, rum, tequila, etc.) Ready-to-drink cocktails (hard seltzers, canned cocktails) Other alcoholic beverages None of these Prefer not to answer Question Title * 17. Which of the following categories best describes your employment status? Employed, working full-time Employed, working part-time Not employed, looking for work Not employed, NOT looking for work Retired Disabled, not able to work Prefer not to answer Question Title * 18. We conduct research projects based on a variety of research topics, please select from the following list the types of research you would like to participate in. Please select all that apply B2B - Business Decision Maker - I own or manage a business or organization and am interested in participating in research related to business products, services, or decision-making B2B - Business Professional - I work in a professional role and am interested in participating in research related to work based products or services. Medical Patient - I am a patient with a diagnosed condition with personal experience in treatment and medical care and am open to sharing insights for research Medical Caregiver - I have a loved one with a diagnosed condition with personal experience in treatment and medical care and am open to sharing insights for research Consumer - I am an individual consumer willing to provide opinions and feedback on everyday products, services, or experiences None of these Prefer not to answer Question Title * 19. Please tell us about your employment Job Title Industry Company Name Question Title * 20. Which, if any, of the following medical conditions have you been diagnosed with? Alzheimer's Asthma Cancer COPD Chronic Pain Crohn’s Epilepsy Heart Disease HIV / AIDS Hypertension Incontinence Kidney Disease Mental Health Conditions ( ADD / ADHD, Anxiety, Bipolar, Depression, Schizophrenia, etc.) Obesity Parkinson’s Disease Psoriatic Arthritis Substance Abuse Disorder Type 1 Diabetes Type 2 Diabetes Ulcerative Colitis None of these Prefer not to answer Other (please specify) Question Title * 21. Which, if any, of the following medical conditions has a LOVED ONE been diagnosed with with, for whom you are a primary caregiver for? Alzheimer's Asthma Cancer COPD Chronic Pain Crohn’s Epilepsy Heart Disease HIV / AIDS Hypertension Incontinence Kidney Disease Mental Health Conditions ( ADD / ADHD, Anxiety, Bipolar, Depression, Schizophrenia, etc.) Obesity Parkinson’s Disease Psoriatic Arthritis Substance Abuse Disorder Type 1 Diabetes Type 2 Diabetes Ulcerative Colitis None of these Prefer not to answer Other (please specify) Question Title * 22. Which of the following interests or hobbies do you participate in regularly? Blogging / Vlogging / Content Creation Cars / Auto Clubs Crafting Extreme Sports Gaming ( E Gaming, Video Game Consoles) Gardening Hiking / Swimming / Running / Other Outdoor Activities Reading Social Causes - Community activism, political activism, social activism Sports - Professional Sports Fan Traveling Volunteering None of these Prefer not to answer Other (please specify) Question Title * 23. Which of the following products or service do you currently have? Please select all that apply Checking accounts Savings accounts Certificates of Deposit (CDs) Money Market Accounts Crypto Currency Debit cards Credit cards Personal loans Auto loans Mortgages Home equity loans & HELOCs (Home Equity Lines of Credit) Student loans Payday loans Health insurance Dental and vision insurance Life insurance Disability insurance Long-term care insurance Homeowners insurance Renters insurance Auto insurance Employer-sponsored retirement plans (401(k), 403(b), 457 plans) Individual Retirement Accounts (IRAs – traditional, Roth, SEP, SIMPLE) Brokerage accounts (stocks, ETFs, mutual funds) Annuities 529 college savings plans Health Savings Accounts (HSAs) Trusts Estate planning services Managed investment portfolios Financial advisory services Federal Housing Administration (FHA) loans Veterans Affairs (VA) loans Social Security benefits None of these Prefer not to answer Other (please specify) Done
