26-040 Entertainment 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 note that the incentive is slightly raised for this project as you will not only screen with our recruitment team, but also have a follow up 5 minute call with the client team to verify all answers. What this means is we ask that you answer as truthfully as possible to avoid being cancelled due to mismatched answers. The client is looking for all different types of individuals. Do you understand? Yes No Question Title * 4. CONTACT INFO Please provide the following: Name * Address * Apt # if applicable City/Town * State/Province * ZIP/Postal Code * Email Address * Phone Number * Question Title * 5. What gender do you identify as? Male Female Non-Binary Other (please specify) Question Title * 6. What age range do you fall into? Under 18 18-24 25-29 30-34 35-44 45+ Question Title * 7. What is your exact age? Question Title * 8. What ethnicity do you consider yourself? Caucasian Hispanic African American Asian Other (please specify) Question Title * 9. 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? Yes No Marketing Research Marketing Research Yes Marketing Research No Healthcare Healthcare Yes Healthcare No Advertising, Marketing or Public Relations Firm Advertising, Marketing or Public Relations Firm Yes Advertising, Marketing or Public Relations Firm No Technology Technology Yes Technology No Media (i.e. TV, radio, entertainment industry, streaming service, gaming, newspaper) Media (i.e. TV, radio, entertainment industry, streaming service, gaming, newspaper) Yes Media (i.e. TV, radio, entertainment industry, streaming service, gaming, newspaper) No Modern Modern Yes Modern No Manufacturing Manufacturing Yes Manufacturing No Automotive Automotive Yes Automotive No Question Title * 10. Please provide your employment information. If not currently employed please indicate your partner's information or your previous employment details: Job Title Company Industry Question Title * 11. Which of the following activities do you do regularly? Play games on PC/Console/Phone Go shopping Going to concerts Play organized sports Read Watch movies Hike Watch movies/TV through a subscription streaming service Next
