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. FOR IN PERSON RESEARCH:In order to gain admittance to the facility, you need to bring: A Photo ID Reading glasses if you need them Please make sure to self assess your health prior to the session and we ask that you cancel in advance if you are sick with Cold/Flu/Covid-19 symptoms. Frequently we do not allow cell phones, smart watches, cameras or any electronic/digital devices into the research. There is a possiblity you will be asked to leave your devices with our front desk team where they will be kept securely during the research. If qualified and based on these participation requirements, are you willing to participate in this in-person interview? Yes No Question Title * 3. Please fill in the following Name Address City/Town ZIP/Postal Code Email Address Phone Number Question Title * 4. Are you available to participate in an in-person paid research session to be conducted on Wednesday July 9, 2025 from 8:30am to 6:00pm Pacific Time? Yes No Question Title * 5. With which gender do you identify? Male Female Non-binary Other (please specify) Question Title * 6. To which age group do you belong? Under 18 18 – 24 25 – 34 35 – 44 45 – 54 55 – 64 65-74 Over 74 Question Title * 7. What is your exact age? Question Title * 8. With which ethnicity do you identify? White Hispanic or Latino Black or African American Asian or Asian American Other (please specify) Question Title * 9. Have you participated in a marketing survey or market research in the past 6 months (e.g., mall intercept, phone survey, focus group)? Yes No Question Title * 10. Have you ever participated in any of the following types of research projects? Yes No Mystery Shopping Mystery Shopping Yes Mystery Shopping No Taste Test Taste Test Yes Taste Test No Mock Jury/Legal Study Mock Jury/Legal Study Yes Mock Jury/Legal Study No Political Focus group Political Focus group Yes Political Focus group No Question Title * 11. Are you a U.S. Citizen? Yes No Next
