SurveyMonkey Powered Online Survey

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:
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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.By proceeding, you certify that all answers provided in this application are truthful, accurate, and complete to the best of your knowledge. You also confirm that you have completed this application independently, without the assistance of AI tools, chatbots, or other external aids.

Please note: The client reserves the right to disqualify and turn away any participant without compensation if any information provided is found to be untruthful, inaccurate, or generated by AI.

Do you agree with the conditions above?

Yes

No

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

Name

Address

Apt # if applicable

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

6.Which of the following best describes your gender?(Required.)

Male

Female

Non-binary

Prefer to self-describe

7.Which of the following best describes your current employment status?(Required.)

8.What is your current occupation? (if not working putN/A)(Required.)

Job title:

Employer:

Industry:

10.When was the last time you participated in a market research study of any kind – such as a one-on-one interview, group discussion, opinion survey, or a product test in which you were asked to rate or discuss products, ideas, or advertising?(Required.)

11.On what topics have you participated in marketing research in the past? (If none put N/A)(Required.)

12.Take a moment to think through your television viewing over a typical week. On average, how many hours of television do you watch per week, Monday through Sunday?(Required.)

Not at all

1-2 hours a week

3-4 hours a week

5 or more hours a week

On TV (i.e. live or DVR through your cable/satellite/telco service)

Not at all

1-2 hours a week

3-4 hours a week

5 or more hours a week

Online (i.e. through an online streaming service like Netflix, Amazon Prime Video, Disney+, etc.)

Not at all

1-2 hours a week

3-4 hours a week

5 or more hours a week