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25-146 Toys Parents
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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.)
PARENTS First and Last
Name
City/Town
State/Province
ZIP/Postal Code
Email Address
CELL
Phone Number
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3.
PARENT:
Which gender do you identify with?
(Required.)
Male
Female
Non-Binary
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4.
PARENT:
How would you describe your ethnicity?
(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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5.
PARENT:
Which age category do you fall into?
(Required.)
17 and under
18-26
27-30
31-35
36-40
41-45
46-50
51-54
55-65
66+
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6.
PARENT:
What is your exact age and date of birth?
(Required.)
Exact age
Date of birth
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7.
PARENT:
What is your marital status?
(Required.)
Single / unmarried
Married with children
Married without children
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8.
Are you the caregiver or parent of any children aged 9-12 in your household?
(Required.)
Yes
No
