*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.CONTACT INFO Please provide the following:(Required.)

Name

City/Town

Email Address

Phone Number

3.Which of the following best describes your current gender/gender identity?

Male

Female

Non-binary or gender fluid

Other (please specify)

*4.What is your age range?(Required.)

Under 13

13-17

18-24

25-34

35-44

45-54

55-64

65+

5.What is your exact age?

6.Do you or any member of your family work, or have ever worked, in any of the following industries?

Advertising agency or public relations firm

Marketing research company

Video game development or video game platform industry

Industry analyst firm

Social media company

Broadcast industry or television station

Journalism / Online media

Movie production or film studio

Electronics, computer hardware or software industries

Automotive industry

Transportation industry

Health care industry (doctor, nurse, dentist, etc.)

Tourism industry

Energy-supply, including power and gas companies

Education, including teachers and administration

None of the above

7.Approximately when was the last time you participated in either a focus group or in-home research session

Less than 3 months ago

3-6 months ago

Over 6 months ago

Never