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

Name *

Address *

Apt # if applicable

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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

Southern CA

Northern CA

West outside of CA

Illinois

Midwest outside of Illinois

South

East

Northeast

4.What gender do you identify as?

Male

Female

Non-Binary

Other (please specify)

5.What age range do you fall into?

Under 18

18-28

29-43

44-60

61-65

66+

6.What is your exact age?

7.Which income category best describes your total household income last year?

Under $25,000

$25,000 but less than $50,000

$50,000 but less than $75,000

$75,000 but less than $100,000

$100,000 but less than $125,000

$125,000 but less than $150,000

$150,000 but less than $200,000

$200,000 or more

8.What ethnicity do you consider yourself?

White

Asian or Asian American

Hispanic or Latino

Black or African American

American Indian or Alaska Native

Other (please specify)

9.Who in your household is primarily responsible for preparing and filing your annual income tax return?

I am primarily responsible

I share the responsibility with someone else

Someone else is primarily responsible

10.How did you prepare your tax return this year, for tax year 2024?

Used a professional tax preparer or CPA

Went to a tax service such as H&R Block, Jackson Hewitt, or other tax service

Used an online tax program over the internet

Used a tax program that you installed or downloaded on your computer

Prepared it yourself by hand (completed the forms by hand using pen or pencil)

Had a friend or family member prepare it

Don’t know/don’t have to file a return