Please note that this project will take place in Los Angeles at Adler Weiner Research LA in Westwood. Only complete this application if you are willing and able to attend in person sessions in Los Angeles. Thanks! Question Title * 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 InfoFinancial Incentive InfoAdler Weiner Privacy Policy (Required.) 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. Question Title * 2. By proceeding, you certify that all answers provided in this application are truthful, accurate, and complete to the best of your knowledge. You also confirm that you have completed this application independently, without the assistance of AI tools, chatbots, or other external aids.Please note: The client reserves the right to disqualify and turn away any participant without compensation if any information provided is found to be untruthful, inaccurate, or generated by AI.Do you agree with the conditions above? Yes No Question Title * 3. CONTACT INFO Please provide the following: (Required.) Name * Address * Apt # if applicable City/Town * State/Province * ZIP/Postal Code * Email Address * Phone Number * Question Title * 4. What is your exact age? (Required.) Question Title * 5. In what age range do you fall? (Required.) 21-24 25-32 33-39 40+ Question Title * 6. Which gender do you identify as? (Required.) FEMALE MALE OTHER Question Title * 7. To ensure that we speak to a representative group of people, can you please tell me your race / ethnicity? (Required.) White / Caucasian Black / African American Asian / Pacific Islander Hispanic or Latino Other (please specify) Question Title * 8. Do you, or does anyone in your household, work for any of the following types of companies? (Required.) A marketing research company An advertising or public relations firm A company that produces, sells, or distributes alcoholic beverages A bar, restaurant, liquor store, or other distributor/retailer of alcoholic beverages A media company involved in radio, TV, newspapers, or magazines NONE OF THESE TYPES OF COMPANIES Question Title * 9. How many servings of alcoholic beverages do you drink in a typical month? (Required.) None 1-2 3-5 6-9 10-15 16-20 21-30 31-40 41-50 51-60 61-70 71-80 81 or more Next
