Welcome to the CCR Panel Registration Survey!

Thank you for your interest in becoming a Consumer Connections Research panelist. 

Your answers to the following questions will enable us contact you regarding research projects for which you may be eligible.

Please do not complete this questionnaire more than once.  There is no need to complete the survey if you have been receiving emails from us about research projects.  Please visit
for information on how to update your contact information or enroll a new child in our Children's Research Panel.

If you have any questions or problems with this questionnaire, please contact us in Green Bay, WI, at 920-494-1812, or toll-free at 888-811-5771.
6% of survey complete.