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Entertainment 25-404
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1.
Please fill in the following
(Required.)
Name (First and last)
City
Zip code
Phone
Email
*
2.
In which county is your permanent address?
(Required.)
Orange County
Los Angeles
Ventura
San Bernardino
Riverside
Other (please specify)
*
3.
With which gender do you identify?
(Required.)
Male
Female
Non-binary
Other (please specify)
*
4.
With which ethnicity do you identify? Check all that apply
(Required.)
White
Black or African American
Hispanic or Latino
Asian or Asian American
Other (please specify)
*
5.
To which age group do you belong?
(Required.)
Under 18
18-24
25-34
35-44
45-54
Over 54
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6.
What is your exact age?
(Required.)
*
7.
Have you, or as far as you’re aware have any of your close family or household members taken part in any market research before?
(Required.)
Yes, in the last 3 months
Yes, between 3 and 6 months ago
Yes, longer ago than 6 months
No
8.
What was/were the subject(s) of the market research participated in the last 6 months ago?
*
9.
Do you, or as far as you’re aware do any of your close or household members work or study in any of the below fields?
(Required.)
Yes
No
Finance/Banking
Yes
No
Healthcare
Yes
No
Automotive
Yes
No
Entertainment/Media
Yes
No
Agriculture
Yes
No
Energy
Yes
No
Aerospace/Defense
Yes
No
Marketing or Market Research
Yes
No
Psychology
Yes
No
Education
Yes
No
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10.
1. Please indicate into which of the below your annual household income falls.
(Required.)
Under $10k
$10k-$24,999
$25K - $49,999
$50K - $74,999
$75K - $99,999
$100K - $149,999
$150K+
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11.
Are you…?
(Required.)
Employed full time (or work 30 hours or more per week)
Employed part-time (or work less than 30 hours per week)
Retired
A homemaker
An unemployed student
Currently unemployed
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12.
Let’s talk about movies! How many films do you typically watch at a movie theater each year?
(Required.)
None
1
2-5
6-9
10 or more
