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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.
CONTACT INFO
Please provide the following:
(Required.)
Name
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Address
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Apt # if applicable
City/Town
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State/Province
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ZIP/Postal Code
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Email Address
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Phone Number
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3.
What is your gender?
(Required.)
Male
Female
Non-Binary/Other
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4.
What is your racial or ethnic identity?
(Required.)
Asian or Asian American
Black or African American
Hispanic or Latino
Middle Eastern or North African
Native Hawaiian or other Pacific Islander
White
Other (please specify)
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5.
What is your age?
(Required.)
0-18 years
18-24 years
25-34 years
35-44 years
45-54 years
55-64 years
65-74 years
75+ years
6.
What is your exact age?
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7.
Which of the following best describes where you live?
(Required.)
Urban
Suburban
Rural
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8.
About how often do you personally use the following methods of payment for food, goods or services?
(Required.)
Daily
Multiple times a week
Weekly
Monthly
Never/Don't use
Cash
Daily
Multiple times a week
Weekly
Monthly
Never/Don't use
A peer-to-peer app such as Venmo or Cash App
Daily
Multiple times a week
Weekly
Monthly
Never/Don't use
A debit card linked to a bank account
Daily
Multiple times a week
Weekly
Monthly
Never/Don't use
A prepaid debit card
Daily
Multiple times a week
Weekly
Monthly
Never/Don't use
A credit card
Daily
Multiple times a week
Weekly
Monthly
Never/Don't use
9.
In a few sentences, describe how you use cash. If you don't use cash, type in N/A.
