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:
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.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.

Also only respondents who live and log in from the United States will have access to the online platform. The platform does not allow any VPN's or people that log in from another country, even if visiting.

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

3.Please fill in the following(Required.)

Name (First and last)

Address

City

State

Zip Code

Phone

Email

4.Which area of the country is your permanent residence?(Required.)

Northeast (Maine, New Hampshire, Vermont, Massachusetts, Rhode Island, Connecticut, New York, New Jersey, and Pennsylvania)

Midwest OUTSIDE of Illinois (Ohio, Michigan, Indiana, Wisconsin, Minnesota, Iowa, Missouri, North Dakota, South Dakota, Nebraska, and Kansas)

Illinois

South (Delaware, Maryland, Virginia, West Virginia, Kentucky, North Carolina, South Carolina, Tennessee, Georgia, Florida, Alabama, Mississippi, Arkansas, Louisiana, Texas, and Oklahoma.)

West OUTSIDE of California (Montana, Idaho, Wyoming, Colorado, New Mexico, Arizona, Utah, Nevada, Oregon, Washington, Alaska, and Hawaii.)

California

5.With which gender do you identify?(Required.)

Male

Female

Non-binary

Other (please specify)

7.What is your exact age?(Required.)

8.With which ethnicity do you identify? Please check all that apply(Required.)

White

Black or African American

Hispanic or Latino

Asian or Asian American

Other (please specify)

9.Do you or does any member of your immediate family (SPOUSE, CHILD, OR PARENT) have any current or past employment history with any of the following industries? (Mark as MANY as apply.) [Current or past employment with these industries](Required.)

Marketing Research

Advertising, Marketing or Public Relations Firm

Media (i.e. TV, radio, entertainment industry, newspaper)

Telecommunications or Telephone Company

Social Media, Online or Internet Services – including digital marketing, social networking

A cable or satellite television provider

Publishing

None of the above

10.What are your hobbies or interests?

11.What is the highest level of education you have completed?(Required.)

Attended some high school

Graduated from high school/GED

Graduated from vocational/trade school or other 2-year program

Attended some college 3 –6

Graduated from college

Post-graduate college study

12.What is your employment status?(Required.)

13.Please provide your employment information. If not currently employed please indicate your previous employment details:(Required.)

Job Title

Company

Industry

14.Please indicate into which of these yearly income groups your household would fall. (Cumulative salaries of everybody in the household. If you are a full time student it would be the household of the parent (s))(Required.)

16.What was the last movie you saw in a theater?