*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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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. Lastly, you confirm that you live within the United States and are not suing a VPN to change your location in any way.

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.CONTACT INFO Please provide the following:(Required.)

Name *

Address *

Apt # if applicable

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

*4.Where in the country do you live?(Required.)

Southern CA

Northern CA

West outside of CA

Illinois

Midwest outside of Illinois

South

East

Northeast

5.What gender do you identify as?

Male

Female

Non-Binary

Other (please specify)

6.What age range do you fall into?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

7.What is your exact age?

8.What ethnicity do you consider yourself?

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

9.Which of the following best describes your current employment status?

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

10.Which of the following best describes your current household income?

Under $30,000

$30,000 - $49,999

$50,000-$74,999

$75,000-$99,999

$100,000+

11.We are interested in talking to people with a variety of backgrounds. Have you, or have any members of your family, worked (either currently or at some point) in any of the following types of companies?

Market Research

Advertising, Marketing or Public Relations Firm

Media or Entertainment (i.e. TV, radio, streaming service, newspaper)

None of the above

12.On average, how many hours of video content do you watch per week? Please think about all the ways you watch, including live TV, streaming, on-demand, DVR, etc.?

0-4

5-9

10-14

15-19

20+

13.Now please think about all of the content you watch through streaming. On average, how many hours per week do you spend streaming video content, on a network website, or a service such as Netflix, Amazon Prime Video, Hulu or YouTube?

I do not watch through streaming

1-4

5-9

10-14

15+