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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.
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2.
CONTACT INFO
Please provide the following:
(Required.)
Name
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Address
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Apt # if applicable
City/Town
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State/Province
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ZIP/Postal Code
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Email Address
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Phone Number
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3.
What is your gender?
(Required.)
Man
Woman
Non-binary
Another gender identity
Prefer not to say
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4.
Where in the country do you live?
(Required.)
Southern CA
Northern CA
West outside of CA
Illinois
Midwest outside of Illinois
Southeast
South
Southwest
East
New England
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5.
What age group do you belong in?
(Required.)
Under 18
18-24
25-34
35-44
45-54
55-64
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6.
What is your exact age?
(Required.)
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7.
We are interested in talking to people with a variety of backgrounds. Have you, or anyone in your household, worked (either currently or at some point) in any of the following types of companies or professions?
(Required.)
Marketing Research
Advertising, Marketing or Public Relations Firm
Media (i.e. TV, radio, entertainment industry, newspaper)
Retail
Telecommunications or Telephone Company
Hospitality / Food Service
Social Media, Online or Internet Services – including digital marketing, social networking
Higher Education
A cable or satellite television provider
Acting, dancing or voiceover
None of The Above
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8.
What is the highest level of education you have completed?
(Required.)
Some high school
High school graduate
Currently in college
1-3 years of college
College graduate
Some graduate school
Graduate school
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9.
For classification purposes, which of the following best describes your current employment status?
(Required.)
I am employed full-time
I am employed part-time
I am a homemaker
I am a full-time student
I am retired
I am not currently employed
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10.
What kind of business are you in?
(Required.)
Job Title:
Responsibility:
Name of the Company
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11.
Which of the following best describes your household income?
(Required.)
Under $30,000
$30,000 - $49,999
$50,000-$74,999
$75,000-$99,999
$100,000+
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12.
Which of the following best describes your racial or ethnic origin?
(Required.)
American Indian or Alaska Native
Asian or Asian American
Black or African American
Hispanic or Latino
Middle Eastern or North African
Native Hawaiian or other Pacific Islander
White
Another race
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13.
Which of the following online streaming services do you currently subscribe/have access to?
(Required.)
Amazon Prime Video
Apple TV+
Discovery+
Disney+
Max
Hulu
Netflix
Paramount+ (with or without Showtime)
Peacock
Other: Record
None
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14.
On average, how many hours of TV content do you watch per week? This can be on any device or platform (i.e., live, DVR, On Demand, streaming, etc.).
(Required.)
<1 Hour
1-4 Hours
5+ Hours
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15.
Are you the parent of a child between the ages of 8-17 that lives with you and your partner/spouse?
(Required.)
Yes
No
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16.
We are looking for kids ages 8 to 17 to participate in this research study to participate in this research study. Would you be interested in allowing your your child to participate?
(Required.)
Yes
No
