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 InfoFinancial Incentive InfoAdler 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. CONTACT INFO Please provide the following: Name * Address * Apt # if applicable City/Town * State/Province * ZIP/Postal Code * Email Address * Phone Number * Question Title * 3. Do you or does anyone in your immediate family work (currently or in the past) for any of the following? A marketing or market research firm or department An advertising or public relations firm A marketing or marketing research consultancy Any kind of media company – a TV or radio station or newspaper or magazine An insurance company None of the above Question Title * 4. What is your gender? Male Female Trans Female/Trans Woman Trans Male/Trans Man Genderqueer, Gender Non-conforming, or Nonbinary Gender Question Title * 5. What is your age range? 18-24 25-44 45-55 56-60 61 + Question Title * 6. Which of the following best describes your current housing situation? I own my home/condo I rent a home/condo/apartment I live with family or friends and do not pay rent I live in student housing I live in a retirement or assisted living community Other (please specify) Question Title * 7. Where in the country do you live? Southern CA Northern CA West outside of CA Illinois Midwest outside of Illinois South East Northeast Question Title * 8. Have you ever participated in a market research study where you’ve been asked to discuss your opinions of products or services before? Yes No Question Title * 9. When was the last time, if ever, you participated in a market research discussion or a one-on-one interview about insurance products? I have never participated in a study about insurance Within the past three months Within the past three to six months More than six months ago Question Title * 10. Which of the following best describes your involvement in household decisions when choosing insurance or other financial products and services? I act as the primary decision maker I am heavily involved, shared decision maker I am somewhat involved, shared decision maker I am not involved Next
