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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.)
Male
Female
Non Binary
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4.
Which age group do you belong in?
(Required.)
Under 18
18-24
25-34
35-44
45-55
56+
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5.
What is your exact age?
(Required.)
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6.
Are you or is any member of your immediate family currently employed in any of the following types of business?
(Required.)
An advertising, marketing, or public relations firm (
Marketing research firm
A newspaper, magazine, book publisher, blog, or website
A company that manufactures or sells consumer electronics, games, or apps
A social media company, software design, or web applications company
Health and fitness industry
None of the above
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7.
With which ethnicity do you most identify? Check all that apply
(Required.)
American Indian or Alaska Native
Asian or Asian American
Black or African American
Hispanic or Latino
Middle Eastern or North African
Native Hawaiian or other Pacific Islander
White
Another race
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8.
Which of the following, if any, do you currently have and/or wear?
(Required.)
Have
Wear
Don't Have Or Wear
Prescription contacts
Have
Wear
Don't Have Or Wear
Prescription single vision eyeglasses (for nearsighted or farsighted eyesight)
Have
Wear
Don't Have Or Wear
Multifocal prescription eyeglasses (bifocal, trifocal, or progressive lenses)
Have
Wear
Don't Have Or Wear
Reading glasses/readers (prescription or non-prescription)
Have
Wear
Don't Have Or Wear
None of these
Have
Wear
Don't Have Or Wear
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9.
Which, if any, of the following items do you personally own and use?
(Required.)
Smartphone (like an iPhone, or Android)
Desktop computer or laptop
Tablet (like an iPad, Galaxy Tab, Kindle Fire, etc.)
Smart watch (like Apple, Samsung, Garmin, etc.)
Fitness band/tracker (Fitbit, Coros, Oura, etc.) Brand & Model:
Cycling/bike computer (Garmin Edge, etc.) Brand & Model:
Smart speaker (Amazon Echo, Apple HomePod, Google Nest, etc.)
Wireless Bluetooth headphones (like Air pods, Beats, Bose, etc.)
Smart display or smart home device (e.g., thermostat, doorbell, security camera) (Amazon Echo Show, Google Nest Hub, etc.)
Smart Glasses (like Meta Ray-Ban Stories, Snap Spectacles, etc.)
A virtual reality (VR) headset (like Oculus Quest/Quest 2, PlayStation VR, etc.)
Augmented Reality (AR) headset or glasses (AR headsets or glasses combines the real, physical world with computer-generated elements like Rokid Max AR, Magic Leap, Microsoft HoloLens 2, etc.) Brand & Model:
None of these
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10.
What is the latest operating system installed on your phone?
(Required.)
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11.
Are you willing and able to install the latest operating system on your phone if required?
(Required.)
Yes
No
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12.
Do you own and use a smartwatch?
(Required.)
Yes
No
