*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.

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

*3.Please fill in the following(Required.)

Name (First and last)

Address

City

State

Zip Code

Phone

Email

*4.Which area of the country is your permanent residence?(Required.)

Northeast (Maine, New Hampshire, Vermont, Massachusetts, Rhode Island, Connecticut, New York, New Jersey, and Pennsylvania)

Midwest OUTSIDE of Illinois (Ohio, Michigan, Indiana, Wisconsin, Minnesota, Iowa, Missouri, North Dakota, South Dakota, Nebraska, and Kansas)

Illinois

South (Delaware, Maryland, Virginia, West Virginia, Kentucky, North Carolina, South Carolina, Tennessee, Georgia, Florida, Alabama, Mississippi, Arkansas, Louisiana, Texas, and Oklahoma.)

West OUTSIDE of California (Montana, Idaho, Wyoming, Colorado, New Mexico, Arizona, Utah, Nevada, Oregon, Washington, Alaska, and Hawaii.)

California

*5.With which gender do you identify?(Required.)

Male

Female

Non-binary

Other (please specify)

*6.To which age group do you belong?(Required.)

Under 18

18-24

25-34

35-42

43-49

50+

*7.What is your exact age?(Required.)

*8.With which ethnicity do you identify? Please check all that apply(Required.)

White

Black or African American

Hispanic or Latino

Asian or Asian American

Other (please specify)

*9.In the past 3 months, have you participated in any research about new television programs?(Required.)

Yes

No

*10.Do you or does any member of your immediate family (SPOUSE, CHILD, OR PARENT) have any current or past employment history with any of the following industries? (Mark as MANY as apply.) [Current or past employment with these industries](Required.)

Advertising

Market Research

Radio or television (including cable)

Entertainment industry

Press coverage of the media or entertainment industry

None of the above

*11.In a typical week, how often do you watch content on each of the following?(Required.)

Daily / Almost daily

A few times a week

Once a week

Less than once a week

Never

ABC

Daily / Almost daily

A few times a week

Once a week

Less than once a week

Never

CBS

Daily / Almost daily

A few times a week

Once a week

Less than once a week

Never

FOX

Daily / Almost daily

A few times a week

Once a week

Less than once a week

Never

Hulu

Daily / Almost daily

A few times a week

Once a week

Less than once a week

Never

NBC

Daily / Almost daily

A few times a week

Once a week

Less than once a week

Never

Amazon Prime Video

Daily / Almost daily

A few times a week

Once a week

Less than once a week

Never

Disney+

Daily / Almost daily

A few times a week

Once a week

Less than once a week

Never

*12.How much do you enjoy watching the following types of television shows? Please use a scale from 1 to 5, where 5 means you enjoy it very much and 1 means you do not enjoy it at all. You can use any number from 1 to 5. (Select one answer per row)(Required.)

1 – Not at all

2

3

4

5 – Very Much

Comedies such as The Big Bang Theory, Friends, It’s Always Sunny in Philadelphia, Abbott Elementary, Ted Lasso or others

1 – Not at all

2

3

4

5 – Very Much

Dramas such as Grey’s Anatomy, 9-1-1, This Is Us, The Handmaid’s Tale, Stranger Things or others

1 – Not at all

2

3

4

5 – Very Much

Reality such as Survivor, Beast Games, The Real Housewives, Secret Lives of Mormon Wives, Selling Sunset, Summer House, The Traitors, Below Deck, or others

1 – Not at all

2

3

4

5 – Very Much

Dating Reality such as Love Is Blind, Love Island, 90 Day Fiancé, Married At First Sight, Perfect Match, The Bachelor/Bachelorette, Love on the Spectrum, or others

1 – Not at all

2

3

4

5 – Very Much

*13.Please indicate into which of these yearly income groups your household would fall. (Cumulative salaries of everybody in the household. If you are a full time student it would be the household of the parent (s))(Required.)

Less than $25,000

$25,000 to $29,999

$30,000 to $39,999

$40,000 to $49,999

$50,000 to $74,999

$75,000 to $99,999

$100,000 to $149,999

$150,000 or more

*14.What is the highest level of education you have completed?(Required.)

Attended some high school

Graduated from high school/GED

Graduated from vocational/trade school or other 2-year program

Attended some college 3 –6

Graduated from college

Post-graduate college study

*15.What is your employment status?(Required.)

Employed full-time (or work 30 hours or more per week)

Employed part-time (or work less than 30 hours per week)

Retired

A homemaker

An unemployed student

Currently unemployed

Thank you so much for completing this survey and expressing your interest in this research opportunity.  We will review your answers and our recruitment team will contact you if you are a match for the project. 
Please note, you must be contacted and confirmed by a recruiter to participate; filling out this survey does not guarantee your participation.   Unfortunately, due to the volume of responses we receive, if you do not qualify or if the project is already full, you may not be contacted.