SurveyMonkey Powered Online Survey

Hello,

We're looking for people to participate in an upcoming study that requires you to upload videos and/or respond to videos about 4 times during the week; you will be paid $150 for your time and contribution. If you're interested, please fill out the 5-minute pre-screening survey below. A Q-insights team member will contact you by phone to follow up within about a week if you seem like you may be a good fit. If not, we hope we will be able to use your opinion on the next project!

Question Title

* Are you or any members of your family or household currently employed in any of the following types of businesses or occupations?

A doctor’s office, hospital, or urgent care clinic

Advertising, public relations, or market research

A restaurant, cafeteria, or grocery store

An insurance company, insurance agency, or as an insurance broker

None of these

Question Title

* When was the last time you participated in any of the following types of market research studies?

	Within the past 3 months	More than 3 but less than 6 months ago	Over 6 months ago	Never
In-person study like a focus group	In-person study like a focus group Within the past 3 months	In-person study like a focus group More than 3 but less than 6 months ago	In-person study like a focus group Over 6 months ago	In-person study like a focus group Never
An online panel where I earn rewards	An online panel where I earn rewards Within the past 3 months	An online panel where I earn rewards More than 3 but less than 6 months ago	An online panel where I earn rewards Over 6 months ago	An online panel where I earn rewards Never
An web or online blogging study where I received $30 or more	An web or online blogging study where I received $30 or more Within the past 3 months	An web or online blogging study where I received $30 or more More than 3 but less than 6 months ago	An web or online blogging study where I received $30 or more Over 6 months ago	An web or online blogging study where I received $30 or more Never
A telephone study where I received $30 or more	A telephone study where I received $30 or more Within the past 3 months	A telephone study where I received $30 or more More than 3 but less than 6 months ago	A telephone study where I received $30 or more Over 6 months ago	A telephone study where I received $30 or more Never

Question Title

* Which of the following do you both own and use?

Which of the following do you own and use?

Digital camera with video capabilities

Digital video camcorder

Smartphone that records video

A computer with webcam that records video

None of these

Question Title

* How often have you used one or more of these devices to record videos and upload them to your computer?

Weekly

Monthly

A few times a year

Less than once a year

Question Title

* When it comes to making decisions about insurance (that is not employer-provided) in your household, what is your role? Would you say you…

Are solely responsible for the decision or decisions

Share in the final decision-making processes

Have a say in the decision-making processes but are not the final decision maker

Do not play a role in the decision-making process

Question Title

* What type or types of insurance do you have?

Auto

Health

Home

Life

None of these

Other (please specify)

Question Title

* What insurance company or companies do you use?

Allstate

Farmers

Geico

Nationwide

State Farm

Other (please specify)

Question Title

* How did you last buy an auto insurance policy?

Online/through a website

24/7 toll-free number

Local office or agent

Question Title

* How did you want to buy your next auto insurance policy?

Online/through a website

24/7 toll-free number

Local office or agent

Question Title

* Are you male or female?

Male

Female

Question Title

* We want to make sure we represent all types of people and ages in our project. Which of the following groups contains your age? Are you…

Under 25 years old

25-40

41-49

50-65

Over 65

Question Title

* Do you live with a spouse or partner?

Yes

Question Title

* Which of the following describes your total annual household income before taxes?

Under $40,000

$40,000-$69,999

$70,000-$89,999

$90,000-$124,999

$125,000-$200,000

Over $200,000

Question Title

* Do you have any children who are...?

	Yes	No
Under age 15 who live with you full- or part-time	Under age 15 who live with you full- or part-time Yes	Under age 15 who live with you full- or part-time No
Full time high school students ages 15-18	Full time high school students ages 15-18 Yes	Full time high school students ages 15-18 No
Adults, over age 18	Adults, over age 18 Yes	Adults, over age 18 No

Question Title

* Please provide your contact information so, if you may qualify, a team member can call you to follow up.

Name: *

State: *

Email:

Phone Number: *

Alt. Phone Number:

Question Title

* What time zone are you in?

Pacific

Mountain

Central

Eastern

Other (please specify)