$175 NYC Technology Study Survey

Study Information

Thank you for your interest in the $175 New York Technology Study! The study lasts up to 1hr 45mins and involves testing a new technology product.

We're also looking for people with same gender siblings! (we can still use you if you dont have a sibling!) If you have any siblings within 5 years of your age and you both participate (even at different times), you will each receive a $25 bonus.

Feel free to share this survey with any friends or family that may be interested as well. We look forward to reaching out to you and having you participate!

1.Contact Info(Required.)

Full Name:

Email:

Phone:

Age:

Gender:

City, State:

DOB:

2.Are you proficient in written and spoken english?(Required.)

Yes

3.Do you have normal or corrected-to-normal vision and hearing?(Required.)

Yes

4.Do you have full use of both hands and feet?(Required.)

Yes

5.Are you available to travel to Chelsea NYC between the hours of 7:30 AM and 8:30 PM to participate?(Required.)

Yes

7.What is your:(Required.)

Job Title:

Company:

8.Do you have a history of any serious medical condition that may hinder your participation in this study?(Required.)

Yes

11.Do you have a sibling of the same gender and within 5 years of age who is also available to participate in this study? YOU DO NOT NEED TO COME TOGETHER! You each come at a date/time that is convenient for either of you.

If yes, it would be great if you can share this with them!(Required.)

Yes