Ube Screener Survey

Welcome to the screening survey! We are seeking people to take part in 3-hour interviews at the beginning of October, at our offices in San Jose, CA. Participants who complete the interviews will receive $600.00 via PayPal or an Amazon eGift card as a token of our appreciation.

To find out if you're eligible, please set aside 7 minutes to complete this survey.

Please Note:
-Incomplete/Inaccurate answers will disqualify you from participation and may result in your removal from our User Panel.

-The information you provide us is for our research purposes only and will never be sold, shared, or otherwise distributed.

-There are a limited number of appointments available. Participation cannot be promised, although your likelihood of participation is higher if you respond as soon as possible.

1.What is your first and last name?(Required.)

First Name

Last Name

2.What is your email address so that we may contact you if you are eligible for the study? (Required.)

3.Participation in this study will require the following:
-       Signature of a Non-Disclosure and Consent form
-       Participation in a 3 hour in-person interview with a researcher at our research lab in San Jose, CA
- Transportation will NOT be provided
-       The session will be recorded and used only for research purposes
-       At the end of the session, you will be sent $600 via your choice of PayPal or Amazon eGift card
Do you agree to these requirements?(Required.)

Yes

Ube Screener

Welcome!