$225 USD Compensated Focus Group in NYC

Name

Company

LinkedIn (Required to be considered) - Please provide this in a URL

City/Town

Country

Email Address

Phone Number

Yes

Male

Female

Other (please specify)

Under 18

18-24

25-29

30-34

35-39

40-44

45-49

50-55

Older than 55

$0 - $25,000

$25,001 - $50,000

$50,001 - $75,000

$75,001 - $100,000

$100,000+

	Left Ear	Right Ear
Feeling of fullness in the ear	Feeling of fullness in the ear Left Ear	Feeling of fullness in the ear Right Ear
Ear irritation / discomfort	Ear irritation / discomfort Left Ear	Ear irritation / discomfort Right Ear
Ear itching	Ear itching Left Ear	Ear itching Right Ear
Earache, tingling or pain	Earache, tingling or pain Left Ear	Earache, tingling or pain Right Ear
Ringing or noises in the ear (tinnitus)	Ringing or noises in the ear (tinnitus) Left Ear	Ringing or noises in the ear (tinnitus) Right Ear
Decreased hearing	Decreased hearing Left Ear	Decreased hearing Right Ear
Impact on overall quality of life	Impact on overall quality of life Left Ear	Impact on overall quality of life Right Ear