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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.
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2.
Are you available to participate in an in-person paid research session to be conducted on Wednesday, August 7th and Thursday, August 8th, 2024 from 8:30am to 6:00pm?
[MUST be available for the entire time period BOTH DAYS]
(Required.)
Yes
No
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3.
Please provide the following:
(Required.)
Name
City/Town
State/Province
Email Address
Phone Number
4.
What is your gender?
Male
Female
Non-Binary
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5.
Have you participated in any type of marketing or attitude research discussion groups in the past 6 months?
(Required.)
Yes
No
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6.
Have you ever participated in any of the following types of research projects?
(Required.)
Mystery Shopping
Taste Test
Mock Jury/Legal Study
Political Focus Group
None of the above
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7.
Are you a US citizen?
(Required.)
Yes
No
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8.
Have you ever been convicted of a felony?
(Required.)
Yes
No
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9.
Are you currently registered to vote or do you have a current California driver's license?
(Required.)
Yes
No
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10.
What county do you live in?
(Required.)
Orange
Los Angeles
Other
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11.
What is your city/town of residence?
(Required.)
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12.
Into what age group do you fall?
(Required.)
Under 18
18-24
25-34
35-44
45-54
55-64
65-74
75+
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13.
What is your exact age?
(Required.)
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14.
Are you a student?
(Required.)
Yes
No
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15.
If you are a student, are you full-time or part-time?
(Required.)
I am not a student
Full-time
Part-time
16.
If you are a student, what are you currently studying?
If not a student, please type "N/A"
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17.
Please indicate your race
(Required.)
White or Caucasian
Hispanic or Latino
Black or African American
Asian or Asian American
Another race
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18.
What is your current employment status?
(Required.)
Full Time
Part Time
Self Employed
Retired
Homemaker
Unemployed
Disabled
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19.
Please complete the following
(if not currently employed please put you last job):
(Required.)
Job Title:
Industry:
Company:
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20.
What is your marital status?
(Required.)
Married
Not Married (never married, divorced, separated, widowed)
21.
If married, what is your spouse's occupation (if not married put N/A)?
Job Title:
Industry:
Company:
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22.
How many years of school have you completed?
(Required.)
Some High School or Less
High School Graduate
Some College, Community College, Tech./Trade School
College Grad
Post-Graduate work/Post-Graduate Degree
Thank you so much for completing this survey. Our recruitment team will contact you if you are a match for the research.
