Skip to content
*
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.
CONTACT INFO
Please provide the following:
(Required.)
Name
*
Address
*
Apt # if applicable
City/Town
*
State/Province
*
ZIP/Postal Code
*
Email Address
*
Phone Number
*
*
3.
What is your gender?
(Required.)
Male
Female
Non- binary/Other
*
4.
In what age range do you fall?
(Required.)
16-22
23-35
36-50
51+
*
5.
What is your exact age and Date of Birth?
(Required.)
Age:
DOB:
*
6.
Do you or any member of your family work, or have ever worked, in any of the following industries OR organizations.
(Required.)
Advertising agency or public relations firm
Marketing research company
Electronics, computer hardware or software industries
Video game or video game system industry
Industry analyst firm
Automotive industry
Broadcast industry or television station
Movie production or film studio
Tourism industry
Energy-supply, including power and gas companies
Education, including teachers and administration
None of the above
*
7.
Approximately when was the last time you participated in either an in-person focus group or virtual focus group?
(Required.)
Less than 3 months ago
More than three months ago/never
*
8.
If you participated in a focus group in the last 3 months, what was the topic of that discussion or interview? If none put N/A
(Required.)
*
9.
Approximately how many total hours a week, if any, do you spend playing games on your devices, such as mobile, tablet, PC, console, etc.?
PLEASE BE HONEST - WE NEED PEOPLE AT ALL LEVELS OF PLAY.
(Required.)
1-2 hours a week
3-5 hours a week
5-10 hours a week
11+ hours a week
I don’t play games on any of these devices
