*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 Info
Financial Incentive Info
Adler 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.

*2.Where in the country do you live?(Required.)

Southern CA

Northern CA

West outside of CA

Illinois

Midwest outside of Illinois

South

East

Northeast

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

Name *

Address *

Apt # if applicable

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

4.What is your gender?

Male

Female

Non-Binary / I prefer to self-identify

Prefer not to answer

5.Which age bracket do you fall into?

Under 18

18-24

24-35

35-44

45-54

55-64

6.What is your exact age?

7.Which of the following best describes your ethnicity?

American Indian or Alaska Native

Asian or Asian American

Black or African American

Hispanic or Latino

White

Another race

Prefer not to answer

8.Which of the following best describes your household’s total monthly income, after taxes?

Less than $25,000

$25,000 to less than $50,000

$50,000 to less than $75,000

$50,000 to less than $100,000

$100,000 to less than $125,000

$125,000 to less than $150,000

$150,000 to less than $250,000

$250,000 to less than $500,000

$500,000 to less than $1,000,000

$1,000,000 or more

9.We are interested in talking to people with a variety of backgrounds. Have you, or have any members of your family, worked (either currently or at some point) in any of the following types of companies?

Marketing Research

Healthcare

Advertising, Marketing or Public Relations Firm

Technology

Media (i.e. TV, radio, entertainment industry, streaming service, gaming, newspaper)

Retail

Manufacturing

Telecommunications or Telephone Company

Social Media, Online or Internet Services – including digital marketing, social networking

Automotive

A cable or satellite television provider

None of the Above

10.What do you do for a living?

11.What is the highest level of education you have completed?

Some high school

High school graduate

Currently in college

Some college

College graduate

Some graduate school

Graduate school

12.For classification purposes, which of the following best describes your current employment status?

I am employed full-time

I am employed part-time

I am a homemaker

I am a full-time student

I am retired

I am not currently employed

13.Which of the following activities do you do regularly? (i.e. on a weekly basis)

Play games on my phone

Go shopping

Play organized sports

Read

Watch movies

Cook

Hike

Garden

Watch movies/TV through a subscription streaming service

Play games on PC/console

None of the above