*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:
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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.Thanks again for your interest in our study on Social Issues in Illinois!

The 2 hour group will take place OFFSITE IN PERSON at a hotel in CHICAGO, IL on Tuesday, April 14th, Wednesday, April 15th or Thursday, April 16th.

You'll receive $175 cash at the end of the group.

Please check off if you're available to participate. Please keep in mind there are different qualifications for each group (besides gender) so please check off ALL group times you are available.

If you qualify and we have a spot for you in the group; we will be in touch.(Required.)

Tuesday, April 14th: 5pm-7pm (Women)

Tuesday, April 14th: 7pm-9pm. (Men)

Wednesday, April 15th: 5pm-7pm (Women)

Wednesday, April 15th: 7pm-9pm (Men)

Thursday, April 16th: 5pm-7pm (Women)

Thursday, April 16th: 7pm-9pm. (Men)

I am not available