SurveyMonkey Powered Online Survey

Question Title

* 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

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.

Question Title

* 2. Please fill in the following

Name (First and last)

Address

City

State

Zipcode

Phone

Question Title

* 3. Which area of the country is your permanent residence?

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

Question Title

* 4. Are you filling this out for you or your 16/17 year old? if it is for your teen, MAKE SURE THEY ARE WITH YOU and answer as if it were them.

I am filling this out for me

I am filling this out for my 16/17 year old.

Question Title

* 5. With which gender do you identify?

Male

Female

Non-binary

Other (please specify)

Question Title

* 6. To which age group do you belong?

Under 16

16-17

18-24

25-34

35-44

45 or over

Question Title

* 7. What is your exact age?

Question Title

* 8. With which ethnicity do you identify? Check all that apply

White

Black or African American

Hispanic or Latino

Asian or Asian American

Other (please specify)

Question Title

* 9. In which state do you live?

Question Title

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

	Yes	No
Advertising agency or public relations firm	Advertising agency or public relations firm Yes	Advertising agency or public relations firm No
Marketing research company	Marketing research company Yes	Marketing research company No
Electronics, computer hardware or software industries	Electronics, computer hardware or software industries Yes	Electronics, computer hardware or software industries No
Video game or video game system industry	Video game or video game system industry Yes	Video game or video game system industry No
Industry analyst firm	Industry analyst firm Yes	Industry analyst firm No
Content creator, streamer and/or influencer	Content creator, streamer and/or influencer Yes	Content creator, streamer and/or influencer No
Automotive industry	Automotive industry Yes	Automotive industry No
Broadcast industry or television station	Broadcast industry or television station Yes	Broadcast industry or television station No
Movie production or film studio	Movie production or film studio Yes	Movie production or film studio No
Tourism industry	Tourism industry Yes	Tourism industry No
Energy-supply, including power and gas companies	Energy-supply, including power and gas companies Yes	Energy-supply, including power and gas companies No
Education, including teachers and administration	Education, including teachers and administration Yes	Education, including teachers and administration No

Question Title

* 11. When was the last time you participated in a market research study of any kind – such as a one-on-one interview, group discussion, opinion survey, or a product test in which you were asked to rate or discuss products, ideas, or advertising?

Within the last 3 months

3-6 months ago

6-12 months ago

Over a year ago or never