Brainsights Events Registration Questionnaire: Vancouver, 2019 Event Registration Questionnaire Please complete the following questions, to the best of your ability. Question Title * 1. First Name Question Title * 2. Last Name Question Title * 3. Email Address Question Title * 4. Date of Birth (MM/DD/YYYY) Question Title * 5. Gender Male Female Non-binary Transgender Would prefer to specify Question Title * 6. How would you describe the area in which you live? (select one) Downtown/Urban Centre (City) Suburban Rural Question Title * 7. Ethnicity African White/Caucasian Black Filipino Arab Latin, Central or South American Japanese Korean Chinese Vietnamese West Asian (Afghan, Iranian, etc.) East Asian (Cambodian, Malaysian, Indonesian, etc.) South Asian (East Indian, Pakistani, etc.) Indian West Indian (Caribbean Islander) Indigenous/First Nations Prefer not to answer Other (please specify) Question Title * 8. Birthplace (City, Country) Question Title * 9. If you were born outside of Canada, please indicate the year you moved here (YYYY). If you were born in Canada, please skip this question. Question Title * 10. Do you have children? Yes No Currently expecting my first child Question Title * 11. I have children in the following age ranges (select all that apply): No Children Currently Expecting Newborn - 4 years 5 - 7 years 8 - 11 years 12 - 16 years 17+ years Question Title * 12. Are you currently enrolled as a student? Yes No Question Title * 13. Which of the following best describes your current employment status? (select one) Employed full time Employed part time Contract employee Unemployed/Looking for work Disabled Full Time Student Homemaker/Stay At Home Parent Question Title * 14. What is your gross annual household income? (select one) Less than $20,000 $20,000 - $39,999 $40,000 - $59,999 $60,000 - $79,999 $80,000 - $99,999 $100,000+ Prefer not to answer Question Title * 15. How did you vote in the last federal election? Liberal Conservative NDP Green Other I'm eligible to vote, but didn't vote I'm ineligible to vote Question Title * 16. How do you intend to vote in this year's federal election? Liberal Conservative NDP Green I'm currently undecided I'm eligible, but intend not to vote I'm not eligible to vote Question Title * 17. Do you have a traditional cable subscription? (i.e. set-top box, PVR, etc. — not streaming tv via the internet) Yes No, I 'cut the cord' within the last 6 months No, I 'cut the cord' more than 6 months ago No, I've never had a traditional cable subscription Question Title * 18. How often do you watch content from the following sources? Daily A few times per week About once per week Every few weeks Less often Rarely or never I deliberately avoid consuming content from this source Traditional television box/PVR Traditional television box/PVR Daily Traditional television box/PVR A few times per week Traditional television box/PVR About once per week Traditional television box/PVR Every few weeks Traditional television box/PVR Less often Traditional television box/PVR Rarely or never Traditional television box/PVR I deliberately avoid consuming content from this source Netflix Netflix Daily Netflix A few times per week Netflix About once per week Netflix Every few weeks Netflix Less often Netflix Rarely or never Netflix I deliberately avoid consuming content from this source Amazon Prime Video Amazon Prime Video Daily Amazon Prime Video A few times per week Amazon Prime Video About once per week Amazon Prime Video Every few weeks Amazon Prime Video Less often Amazon Prime Video Rarely or never Amazon Prime Video I deliberately avoid consuming content from this source Crave TV Crave TV Daily Crave TV A few times per week Crave TV About once per week Crave TV Every few weeks Crave TV Less often Crave TV Rarely or never Crave TV I deliberately avoid consuming content from this source Kodi Kodi Daily Kodi A few times per week Kodi About once per week Kodi Every few weeks Kodi Less often Kodi Rarely or never Kodi I deliberately avoid consuming content from this source YouTube or Vimeo YouTube or Vimeo Daily YouTube or Vimeo A few times per week YouTube or Vimeo About once per week YouTube or Vimeo Every few weeks YouTube or Vimeo Less often YouTube or Vimeo Rarely or never YouTube or Vimeo I deliberately avoid consuming content from this source Any other streaming app (MLB TV, DAZN, CBC Gem, etc.) Any other streaming app (MLB TV, DAZN, CBC Gem, etc.) Daily Any other streaming app (MLB TV, DAZN, CBC Gem, etc.) A few times per week Any other streaming app (MLB TV, DAZN, CBC Gem, etc.) About once per week Any other streaming app (MLB TV, DAZN, CBC Gem, etc.) Every few weeks Any other streaming app (MLB TV, DAZN, CBC Gem, etc.) Less often Any other streaming app (MLB TV, DAZN, CBC Gem, etc.) Rarely or never Any other streaming app (MLB TV, DAZN, CBC Gem, etc.) I deliberately avoid consuming content from this source Question Title * 19. Which of the following streaming apps do you use, even if only occasionally? (select all that apply) Bell AltTV Amazon Prime Video BritBox CBC GEM CraveTV CTV DAZN Global Go Netflix Red Bull TV MLB TV Sportsnet TSN Go Kodi None of the above Other (please specify) Question Title * 20. How many hours of TV/online video content (not including social media) do you watch in a given week? Less than 5 hours 5 to 10 hours 11 to 20 hours More than 20 hours Submit Responses
