*1.FOR IN PERSON RESEARCH:
In order to gain admittance to the facility, you need to bring:

• A Photo ID
• Reading glasses if you need them

Please make sure to self assess your health prior to the session and we ask that you cancel in advance if you are sick with Cold/Flu/Covid-19 symptoms. 

Frequently we do not allow cell phones, smart watches, cameras or any electronic/digital devices into the research. There is a possiblity you will be asked to leave your devices with our front desk team where they will be kept securely during the research. 

If qualified and based on these participation requirements, are you willing to participate in this in-person interview?(Required.)

Yes

No

*2.CONTACT INFO Please provide the following:(Required.)

Name *

Address *

Apt # if applicable

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

3.Which gender identity do you most identify with?

Male

Female

Non-binary

Other (please specify)

4.What is your age?

Under 18

18-24

25-34

35-44

45-54

55 or older

5.What is your exact age?

6.Which of the following best describes your racial or ethnic background?

Hispanic or Latino (Spanish, Mexican, Latin America: Colombian, Brazilian, etc., Caribbean: Cuban, Puerto Rican, Dominican, etc.)

White European (e.g. German, Irish, English, Italian)

Middle Eastern or North African (e.g. Lebanese, Turkish, Egyptian)

Black American or of African Descent (e.g. Jamaican, Haitian, Nigerian, Ethiopian, Somali)

Asian (e.g. Chinese, Taiwanese, Korean, Japanese, Vietnamese, Indian, Indonesian, Filipino, Thai)

Native Hawaiian or other Pacific islander (e.g. Samoan, Chamorro, Tongan, Fijian)

Native American, Inuit, or Aleut (e.g. Navajo Nation, Nome Eskimo Community, Cherokee)

Other (please specify)

7.Are you or is any member of your household, (including immediate family, roommates, renters, etc.) currently employed in any of the following types of business?

An advertising, marketing, or public relations firm

Marketing research firm

A newspaper, magazine, book publisher, blog, or website

A company that manufactures or sells consumer electronics, games, or apps

A website or company that offers or distributes video online

An actor in commercials, TV or movies

A social media company, software design, or web applications company

A company that sells, distributes, or manufactures virtual reality (VR), augmented reality (AR), or mixed reality (MR) hardware or software

None of the above