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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.
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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3.
What is your gender?
(Required.)
Female
Male
Non- binary/Other
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4.
Are you, or is anyone in your immediate family or household currently, or have ever been, employed by any of the following…
(Required.)
A market research or public opinion research company or department
An advertising agency or public relations firm or department
A TV or radio station
A newspaper or magazine
A public official/elected official or were paid to work in a political campaign
An online news or information provider including hobby or personal blogs or forums
The accounting, bookkeep or tax preparation field
Law enforcement
A cable or satellite TV company
A telephone company
The entertainment field or any business related to the entertainment industry
None of the above
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5.
At any time in the past year, have you participated in a research focus group discussion?
(Required.)
Yes
No
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6.
What was/were the topic(s) of the group(s)? If none put N/A
(Required.)
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7.
In what town and county do you live?
(Required.)
Town (i.e. Van Nuys, Westwood, Boyle Heights, etc.):
County:
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8.
Do you currently own or rent your home or apartment?
(Required.)
Own home
Rent
Other (please specify)
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9.
Do you consider yourself to be a Republican, a Democrat, a member of some other party or an Independent voter?
(Required.)
Republican
Democrat
Other party
Independent/No Party Preference
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10.
In candidate contests where Republicans run against Democrats, would you say you always vote for the Democrat, mostly vote for the Democrat, always vote for the Republican, mostly vote for the Republican, or are you about 50-50 between Democrats and Republicans?
(Required.)
Always/almost always Democrat
Mostly Democrat
50-50
Mostly Republican
Always/almost always Republican
Don’t know
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11.
Did you vote in the 2024 presidential election?
(Required.)
Yes
No
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12.
Did you vote for Donald Trump, Kamala Harris, or someone else for president in this election?
(Required.)
Donald Trump
Kamala Harris
Someone else
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13.
Thinking about your general approach to issues, do you consider yourself to be progressive, liberal, moderate, somewhat conservative or very conservative?
(Required.)
Progressive
Liberal
Moderate
Somewhat conservative
Very conservative
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14.
Please tell me if you have a favorable or unfavorable opinion of each of the following public figures. . Do you have a strongly favorable, somewhat favorable, neither favorable nor unfavorable, somewhat unfavorable, or strongly unfavorable opinion of each.
(Required.)
Strongly favorable
Somewhat favorable
Neither favorable nor unfavorable
Somewhat unfavorable
Strongly unfavorable
President Donald Trump
Strongly favorable
Somewhat favorable
Neither favorable nor unfavorable
Somewhat unfavorable
Strongly unfavorable
Governor Gavin Newsom
Strongly favorable
Somewhat favorable
Neither favorable nor unfavorable
Somewhat unfavorable
Strongly unfavorable
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15.
Next, we’d like to ask about a few current issues in the state of California. For each, please indicate if you would vote yes or no on a ballot measure on the issue . Please indicate if it's a strong yes or no or are you leaning yes or no?
(Required.)
Strongly Yes
Leaning yes
Un-decided
Leaning No
Strongly No
A measure that would create a fair compensation limit for CEOs, executives, administrators, and managers of hospitals and healthcare corporations
Strongly Yes
Leaning yes
Un-decided
Leaning No
Strongly No
A measure to levy a one-time 5% tax on the accumulated wealth of billionaires in the state to fund state-funded health care programs, such as Medi-Cal.
Strongly Yes
Leaning yes
Un-decided
Leaning No
Strongly No
A measure that require a two-thirds vote by the electorate to enact special local taxes enacted by local governments and successful citizen initiative campaigns.
Strongly Yes
Leaning yes
Un-decided
Leaning No
Strongly No
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16.
What is your marital status?
(Required.)
Single/divorced or separated/widowed
Married or living with a partner
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17.
Do you have any children under the age of 18 who live with you at least 50% of the time?
(Required.)
Yes
No
