Question Title * 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 InfoFinancial Incentive InfoAdler Weiner Privacy Policy 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. Question Title * 2. Please fill in the following Name Address City/Town State/Province ZIP/Postal Code Email Address Phone Number Question Title * 3. Which area of the country is your permanent residence? 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 Question Title * 4. To which age group do you belong? 20 and under 21-24 25-34 35-45 46-49 50+ Question Title * 5. What is your exact age? Question Title * 6. With which ethnicity do you most identify? Asian or Asian American Black or African American Hispanic or Latino White Native American Other (please specify) Question Title * 7. Do you or does anyone in your household work in any of the following industries? Yes No Advertising, marketing, or market research Advertising, marketing, or market research Yes Advertising, marketing, or market research No Journalism or the media Journalism or the media Yes Journalism or the media No Online or print publisher Online or print publisher Yes Online or print publisher No Public relations Public relations Yes Public relations No Clothing retailer or manufacturer Clothing retailer or manufacturer Yes Clothing retailer or manufacturer No Computers or information technology Computers or information technology Yes Computers or information technology No Motion picture studio or video company Motion picture studio or video company Yes Motion picture studio or video company No Video game manufacturer, publisher or developer Video game manufacturer, publisher or developer Yes Video game manufacturer, publisher or developer No Question Title * 8. What is your total family household income before taxes? Under $49,999 $50,000 to $74,999 $75,000 to $99,999 $100,000 to $124,999 $125,000 to $149,999 $150,000 to $199,999 $200,000 or more Question Title * 9. Which of the following best describes your current employment status? Employed – full time Employed – part-time Self Employed Student Retired Not currently employed Next
