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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.)
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?
3.CONTACT INFO Please provide the following:(Required.)
4.Which Chicago suburb do you live in?(Required.)
5.With which of the following do you most closely identify?(Required.)
6.In what age range do you fall?(Required.)
7.What is your exact age?(Required.)
8.What is your marital status?(Required.)
9.Which of these describe your household? Please select all that apply.(Required.)
10.What is the age and gender of each person living in your household (including you)?(Required.)
11.When was the last time that you participated in a marketing research study?(Required.)
12.If you participated in any market research studies in the last 6 months please list the topic. If none please put N/A(Required.)
13.Are you currently scheduled to participate in any marketing research studies?(Required.)
14.What is your current employment status?(Required.)
15.Are you or any member of your household employed by any of the following types of companies?(Required.)
Yes
No
Advertising/Public Relations
News Media (such as TV, radio or newspaper)
Financial Services (consultant, bank manager or employed by a brokerage or investment firm)
Market Research (such as a firm or the market research department within a company)
Website or Internet-related company (such as Google, Yahoo, etc.)
Telecommunications company (such as Time Warner, Comcast, AT&T, etc.)
A manager or employee of a home improvement store
As a repairer, remodeler and/or restorer
In a specialty trade related to construction, building, repair, remodeling and/or restoration (e.g., plumber, HVAC, electrician, carpenter, etc.)
Residential Property Manager or Contractor
Manufacturing for plumbing or other connected products
Medical professional, e.g. Doctor, Nurse, Dentist, etc.
Academic professional, e.g. Teacher, Professor, Councilor, etc.
First Responder, e.g. Police Officer, Firefighter, EMT, etc.
16.Which of the following, if any, currently applies to your life? Check all that apply(Required.)
17.Which of the following best describes your home ownership?(Required.)