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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.
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
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3.
Please fill in the following
(Required.)
First and last name
Address
City
Zip code
Phone
Email
*
4.
This is an in-home interview to talk about your large appliances. If selected, this in-home interview will be conducted on October 6th, 7th or 8th sometime between 10am and 8:30pm.
A Research Moderator and up to 3 colleagues will meet you in your home. This in-home interview would be video recorded and would last up to 2 hours. You would $275 as a thank you for your time. As part of the interview, you will be asked to show the team the areas in your home where you have your large appliances and how you use them.
Does this project sound like something you would be interested in participating in?
(Required.)
Yes
No
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5.
In addition, and to prepare you for our discussion, there will be a pre-interview homework assignment that can be completed online for which you will be compenasted an additional $75. .
This pre-interview assignment will take about 30 minutes to complete, and we ask that you fill it out the week before your in-home interview. The homework will consist of questions focused on your at-home routines and large appliances. In order to receive the incentive, you must complete the pre-interview assignment.
Would you be willing to complete this assignment?
(Required.)
Yes
No
*
6.
With which gender do you identify?
(Required.)
Male
Female
Non-binary
Other (please specify)
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7.
What is your exact age?
(Required.)
*
8.
With which ethnicity do you identify? 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 anyone in your household work in any of the following types of companies/industries?
(Required.)
yes
no
An Advertising Agency
yes
no
A marketing company, a market research company, or in a marketing department of a company
yes
no
A public relations company or promotions firm
yes
no
A company that manufactures, transports, or sells home appliances
yes
no
A company that manufactures, transports, or sells commercial appliances
yes
no
Builders, designers, architects, home contractors (i.e., trade professionals)
yes
no
A company that makes, transports, or sells packaged foods or beverages
yes
no
A company that makes or sells footwear or clothing
yes
no
Healthcare/Pharmaceuticals
yes
no
Insurance
yes
no
Education
yes
no
*
10.
Which, if any, of the following research topics have you participated in in the past six months? Check all that apply
(Required.)
Alcoholic beverages
Non-alcoholic beverages
Home electronics
Home appliances (small or large)
Laundry products
Cooking utensils or appliances
Financial services/credit cards
Cable services
Cars/vehicles
Clothing
Health/fitness/weight loss products
None of the above
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11.
Including yourself, how many people currently live in your household?
(Required.)
1
2
3
4
5
6
7
8 or more
12.
Who else lives at home with you at least part of the time? Check all that apply
Spouse/partner
Roommate(s)
Child(ren) under 18
Child(ren) 18 or older
Parent(s)
Grandparent(s)
Sibling(s) under 18
Sibling(s) over 18
Other extended family
Other (please specify)
None of the above
*
13.
Which of these best describes your employment status?
(Required.)
Employed full-time
Employed part-time
Homemaker/Stay-at-home parent
Student (unemployed)
Currently unemployed, not looking for job
Currently unemployed, looking for a job
Retired
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14.
What is your total annual household income before taxes?
(Required.)
Under $50,000
$50,000 - $74,999
$75,000 - $99,999
$100,000 - $149,999
$150,000 - $199,999
$200,000 - $249,999
$250,000 - $299,999.
$300,000 - $349,999
$350,000 - $399,999
$400,000 or more
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15.
What is the highest level of education that you have completed?
(Required.)
Some high school or less
High school graduate
Trade or technical school
Some college
College graduate
Attended or completed graduate school
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16.
What is your zip code?
(Required.)
90024
90025
90049
90064
90067
90210
90211
90212
90034
90035
90077
90019
90036
90048
90056
90066
90094
90401
90402
90403
90404
90405
90230
90232
90272
90290
90291
90292
90046
90069
90004
90005
90010
90020
90026
90027
90028
90029
90038
90039
90041
90043
90045
90047
90062
90065
90068
90254
90266
90293
90301
90302
90303
90304
90305
91316
91325
91335
91343
91344
91403,
91436
91601
91602
91604
91605
91606
91607
Other (please specify)
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17.
Which of the following best describes the neighborhood you live in?
(Required.)
Urban
Suburban
Rural
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18.
Which of the following describes your current living situation?
(Required.)
Own my home
Rent a home, apartment, or condo
Live with family and/or friends
Some other living arrangement