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Kitchen Study 26-108
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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.
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2.
Please fill in the following
(Required.)
Name (First and last)
Address
City
State
Zip Code
Phone
Email
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3.
Which area of the country is your permanent residence?
(Required.)
Northeast (Maine, New Hampshire, Vermont, Massachusetts, Rhode Island, Connecticut, New York, New Jersey, and Pennsylvania)
Midwest OUTSIDE of Illinois (Ohio, Michigan, Indiana, Wisconsin, Minnesota, Iowa, Missouri, North Dakota, South Dakota, Nebraska, and Kansas)
Illinois
South (Delaware, Maryland, Virginia, West Virginia, Kentucky, North Carolina, South Carolina, Tennessee, Georgia, Florida, Alabama, Mississippi, Arkansas, Louisiana, Texas, and Oklahoma.)
West OUTSIDE of California (Montana, Idaho, Wyoming, Colorado, New Mexico, Arizona, Utah, Nevada, Oregon, Washington, Alaska, and Hawaii.)
California
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4.
With which gender do you identify?
(Required.)
Male
Female
Non-binary
Other (please specify)
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5.
With which ethnicity do you identify? Check all that apply
(Required.)
White
Black or African American
Hispanic or Latino
Asian or Asian American
Other (please specify)
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6.
To which age groupdo you belong?
(Required.)
Under 25
25-29
30-39
40-49
50-59
60-64
65+
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7.
What is your exact age?
(Required.)
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8.
When was the last time you participated in any type of market research project?
(Required.)
Within the past 3 months
3 months ago, to a year
More than a year ago
Never
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9.
Which describes the type of company or departments you or anyone in your household work for?
(Required.)
Yes
No
Legal
Yes
No
Food Service
Yes
No
Marketing/Ad agency or Marketing Research
Yes
No
Auto (e.g., Dealerships, repair services, etc.)
Yes
No
Retail
Yes
No
Kitchen/Bath product manufacturer, wholesaler or retailer
Yes
No
Government
Yes
No
Agriculture
Yes
No
Home construction/repair/remodel includes plumbers, contractors, home builders
Yes
No
Education
Yes
No
Hotel Industry
Yes
No
Retail – home improvement or hardware store
Yes
No
Airline/Transportation
Yes
No
Website development
Yes
No
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10.
Do you currently own or rent your current residence?
(Required.)
Own
Rent
Live on campus or other living situation
