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* 1. 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?

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* 2. Please fill in the following informaion

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* 3. In which County is your permanent address?

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* 4. With which gender do you identifyt?

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* 5. With which ethniciity do you mostly identify

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* 6. To which age group do you belong?

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* 7. What is your exact age?

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* 8. Which of the following best describes your current employment status?

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* 9. What is your current Job Title, Company Name and Industry?

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* 10. Do you or does anyone in your household work in any of the following industries?

  Yes No
Advertising, marketing, or market research
Journalism or the media
Hardware or software company
Computer/tablet/smartphone hardware or software
Technology or computer consulting
Manufacturing
Telecommunications
Education
Retail
Healthcare
Banking and Finance

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* 11. When did you last participate in a market research study of any kind?

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* 12. On what topics have you participated in marketing research in the past year?

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* 13. Which, if any, of the following devices do you personally own and use? Check all that apply

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