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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.
2.
By proceeding, you certify that all answers provided in this application are truthful, accurate, and complete to the best of your knowledge. You also confirm that you have completed this application independently, without the assistance of AI tools, chatbots, or other external aids.
Please note:
The client reserves the right to disqualify and turn away any participant without compensation if any information provided is found to be untruthful, inaccurate, or generated by AI.
Do you agree with the conditions above?
Yes
No
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3.
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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4.
Which gender identity do you most identify with?
(Required.)
Male
Female
Non-binary
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5.
Are you or is any member of your immediate family currently employed in any of the following types of business?
(Required.)
An advertising, marketing, or public relations firm
A marketing research firm or department
Film, television, streaming, animation, or motion picture production like Disney, Pixar, Marvel, Lucasfilm, Netflix, Warner Bros., Universal, Paramount, Sony Pictures, etc.
Broadcast television, cable television, satellite TV, radio, or sports media like ABC, ESPN, NBC, CBS, Fox, iHeartMedia, DirecTV, etc.
Entertainment, media, or gaming companies like Disney, Netflix, Hulu, Peacock, Amazon MGM Studios, Electronic Arts, Activision Blizzard, Roblox
Theme parks, attractions, destination entertainment, or cruise lines like Disneyland Resort, Walt Disney World, Universal Studios, Six Flags, Sea World, Knott’s Berry Farm, Disney Cruise Line, etc.
Travel, tourism, destination marketing, visitor bureaus, hospitality marketing, or tourism consulting organizations
Travel influencers, travel bloggers, vloggers, content creators, social media influencers, or individuals who create content about travel, tourism, theme parks, attractions, or destinations
A retailer that sells kids toys or clothing or other merchandise
A financial services, banking, or insurance company
A healthcare, pharmaceutical, or medical services company
None of the above
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6.
What is your age?
(Required.)
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7.
In what age range do you fall?
(Required.)
under 18
18-24
25-34
35-44
45-54
55-64
65 or older
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8.
Which, if any, of the following items do you personally own and regularly use?
(Required.)
Broadband or High-speed internet access
Laptop or desktop computer with a functioning web cam (attached or built in)
Smartphone with a data plan (e.g., iPhone, Android)
Tablet (like an iPad, Galaxy Tab, Kindle Fire, etc.)
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9.
Which of the following best describes you?
(Required.)
I am the parent/legal guardian of a child (or children) under the age of 18 years
I am the parent/legal guardian of children under the age of 18 years AND over the age of 17 years
I am the parent/legal guardian of a child (or children) all over the age of 17 years
I am not the parent/legal guardian of any child(ren)