Question Title * 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 InfoFinancial Incentive InfoAdler Weiner Privacy Policy 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. Question Title * 2. CONTACT INFO Please provide the following: Name * Address * Apt # if applicable City/Town * State/Province * ZIP/Postal Code * Email Address * Phone Number * Question Title * 3. Where in the country do you live? Southern CA Northern CA West outside of CA Illinois Midwest outside of Illinois South East Northeast Question Title * 4. Would you describe where you live as as urban, suburban, or rural? Urban Suburban Rural Question Title * 5. To begin, what is your age? 18-24 25 to 29 30 to 34 35 to 39 40 to 44 45 to 49 50 to 54 55 to 60 61+ Question Title * 6. What is your gender identity? Male Female Non-Binary/Other Question Title * 7. Have you or any other member of your household ever been employed by, or retired from, any of the following industries. . . ? An automobile dealer or leasing agency An automobile manufacturer or automotive supplier A marketing research firm An advertising or public relations agency A newspaper, magazine, radio, or television media An internet publishing firm None of the above Question Title * 8. Are you currently working…? Full-time Part-time Unemployed / Laid off Retired Homemaker Student Question Title * 9. What is your current occupation? Job Title: Employer: Industry: Question Title * 10. Do you currently own a vehicle? (This includes those both purchased & leased) Yes No Next
