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. CONTACT INFO Please provide the following: Name * Address * Apt # if applicable City/Town * State/Province * ZIP/Postal Code * Email Address * Phone Number * Question Title * 3. What gender do you identify as? Male Female Non-Binary Other (please specify) Question Title * 4. What age range do you fall into? Under 18 18-24 25-34 35-44 45-54 55-64 65+ Question Title * 5. What is your exact age? Question Title * 6. Which of the followingbest describes you? American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander Hispanic White Other (please specify) Question Title * 7. Which of the following best describes your household’s total annual income, after taxes? Less than $25,000 $25,000 to less than $50,000 $50,000 to less than $75,000 $75,000 to less than $100,000 $100,000 to less than $125,000 $125,000 to less than $150,000 $150,000 to less than $250,000 $250,000 to less than $500,000 $500,000 to less than $1,000,000 $1,000,000 or more Question Title * 8. We are interested in talking to people with a variety of backgrounds. Have you, or have any members of your family, worked (either currently or at some point) in any of the following types of companies? Marketing Research Advertising, Marketing or Public Relations Firm Media (i.e. TV, radio, entertainment industry, streaming service, gaming, newspaper) Social Media, Online or Internet Services – including digital marketing, social networking Healthcare Technology Retail Manufacturing Telecommunications or Telephone Company Automotive None of the above Next
