*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.Thanks again for your interest in the entertainment study! The group will take place online for 90 minutes on Tuesday, March 10th.

Please check off which times, if any, you'd be available, and fit the age requirements. If you qualify and we have a spot for you, we will be in touch!

Please keep in mind checking off times does NOT mean you are recruited for the project; you MUST be contacted by a recruiter.

18-34 years old (12pm PST/3pm EST)

35-49 years old (1:45pm PST / 4:45pm EST)

I am not available

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

Name *

Address *

Apt # if applicable

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

*4.What is your gender?(Required.)

Male

Female

Other (please specify)

*5.What age range do you belong to?(Required.)

18-24

25-34

35-40

41-49

50+

6.What is your exact age and date of birth?

Exact Age:

Date of Birth:

*7.What is your ethnicity?(Required.)

White/Caucasian

Black or African American

Hispanic or Latino

Asian or Asian American

Other (please specify)