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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.)
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.
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.
Also only respondents who live and log in from the United States will have access to the online platform. The platform does not allow any VPN's or people that log in from another country, even if visiting.
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
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3.
Please fill in the following
(Required.)
Name (First and last)
Address
City
State
Zip Code
Phone
Email
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4.
Which area of the country is your permanent residence?
(Required.)
Northeast (Maine, New Hampshire, Vermont, Massachusetts, Rhode Island, Connecticut, New York, New Jersey, and Pennsylvania)
Midwest OUTSIDE of Illinois (Ohio, Michigan, Indiana, Wisconsin, Minnesota, Iowa, Missouri, North Dakota, South Dakota, Nebraska, and Kansas)
Illinois
South (Delaware, Maryland, Virginia, West Virginia, Kentucky, North Carolina, South Carolina, Tennessee, Georgia, Florida, Alabama, Mississippi, Arkansas, Louisiana, Texas, and Oklahoma.)
West OUTSIDE of California (Montana, Idaho, Wyoming, Colorado, New Mexico, Arizona, Utah, Nevada, Oregon, Washington, Alaska, and Hawaii.)
California
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5.
With which gender do you identify?
(Required.)
Male
Female
Non-binary
Other (please specify)
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6.
To which age group do you belong?
(Required.)
Under 18
18-24
25-34
35-49
50-54
55-64
65+
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7.
What is your exact age?
(Required.)
*
8.
With which ethnicity do you identify? Please check all that apply
(Required.)
White
Black or African American
Hispanic or Latino
Asian or Asian American
Other (please specify)
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9.
Do you or does any member of your immediate family (SPOUSE, CHILD, OR PARENT) have any current or past employment history with any of the following industries? (Mark as MANY as apply.) [Current or past employment with these industries]
(Required.)
Marketing Research
Advertising, Marketing or Public Relations Firm
Media (i.e. TV, radio, entertainment industry, newspaper)
Telecommunications or Telephone Company
Social Media, Online or Internet Services – including digital marketing, social networking
A cable or satellite television provider
Publishing
None of the above
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10.
What is the highest level of education you have completed?
(Required.)
Attended some high school
Graduated from high school/GED
Graduated from vocational/trade school or other 2-year program
Attended some college 3 –6
Graduated from college
Post-graduate college study
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11.
What is your employment status?
(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.
Please provide your employment information. If not currently employed please indicate your previous employment details:
(Required.)
Job Title
Company
Industry
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13.
Please indicate into which of these yearly income groups your household would fall. (Cumulative salaries of everybody in the household. If you are a full time student it would be the household of the parent (s))
(Required.)
Under $35,000
$35,000 - $49,999
$50,000-$74,999
$75,000-$99,999
$100,000+
14.
In an average week, approximately how many hours do you spend watching TV shows and movies across any devices (e.g. TV screen, smartphone/tablet, computer, etc.)?
Less than 5 Hours
5-10 Hours
11-15 Hours
16-20 Hours
Over 20 Hours
15.
Which of the following streaming services or networks do you subscribe to/currently have access to in your household?
Yes
No
Prime Video
Yes
No
Paramount+
Yes
No
Hulu
Yes
No
Netflix
Yes
No
HBO Max
Yes
No
Apple TV
Yes
No
Disney+
Yes
No
Peacock
Yes
No
YouTube Premium
Yes
No
ABC
Yes
No
NBC
Yes
No
CBS
Yes
No
FOX
Yes
No
ESPN+
Yes
No
ESPN
Yes
No
