SurveyMonkey Powered Online Survey

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* 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 Info
Financial Incentive Info
Adler 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.

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* 2. CONTACT INFO Please provide the following:

Name *

Address *

Apt # if applicable

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 3. Where in the country do you live?

Southern CA

Northern CA

West outside of CA

Illinois

Midwest outside of Illinois

South

East

Northeast

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* 4. Which gender do you most closely identify with?

Man

Woman

Non-binary

Prefer to self-describe

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* 5. Do you or any close family member work in the following fields?

An advertising agency or public relations firm

A market research company or the market research department of a company

A travel agency or the travel department of a corporation.

An airline or cruise line

A radio or television station, newspaper or magazine

A cable television company

An online or digital service that streams TV shows, movies or any kind of videos as entertainment

A restaurant or food service operation

In the field of acting, directing, producing movies, TV shows or theatre

An entertainment company or company that works with theme parks, toys, movies or television programs

In the field of education or psychology

In the field of architecture or interior design

None of the above

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* 6. What is your age?

under 25

25-29

30-34

35-39

40-44

45-49

50-54

55 +

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* 7. For classification purposes only, 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

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* 8. When was the last time you participated in an individual or group discussion for research purposes online or at any market research facility?

Never

Within the past six months

More than six months ago

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* 9. Which of these options best describes your race or ethnic background?

White or Caucasian

African American or Black

Asian or Asian American

Native, Native American, Indigenous, or Alaska Native

Native Hawaiian or Pacific Islander

Hispanic, Latino, Latina, Latine, or Latinx

Middle Eastern or Northern African

Other (please specify)

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* 10. Which of the following statements describe you best? Please answer on a scale of 1 to 5, where 1 means not at all and 5 means very much.

	1 not at all	2	3	4	5 very much
I like working in groups, sharing ideas	I like working in groups, sharing ideas 1 not at all	I like working in groups, sharing ideas 2	I like working in groups, sharing ideas 3	I like working in groups, sharing ideas 4	I like working in groups, sharing ideas 5 very much
I’m interested in TV and Movies	I’m interested in TV and Movies 1 not at all	I’m interested in TV and Movies 2	I’m interested in TV and Movies 3	I’m interested in TV and Movies 4	I’m interested in TV and Movies 5 very much
I feel comfortable sharing my opinions in a group setting	I feel comfortable sharing my opinions in a group setting 1 not at all	I feel comfortable sharing my opinions in a group setting 2	I feel comfortable sharing my opinions in a group setting 3	I feel comfortable sharing my opinions in a group setting 4	I feel comfortable sharing my opinions in a group setting 5 very much
I am an imaginative person	I am an imaginative person 1 not at all	I am an imaginative person 2	I am an imaginative person 3	I am an imaginative person 4	I am an imaginative person 5 very much
I like to be creative	I like to be creative 1 not at all	I like to be creative 2	I like to be creative 3	I like to be creative 4	I like to be creative 5 very much
I enjoy finding out new information, learning new things	I enjoy finding out new information, learning new things 1 not at all	I enjoy finding out new information, learning new things 2	I enjoy finding out new information, learning new things 3	I enjoy finding out new information, learning new things 4	I enjoy finding out new information, learning new things 5 very much
I tend to be quiet and prefer to keep to myself	I tend to be quiet and prefer to keep to myself 1 not at all	I tend to be quiet and prefer to keep to myself 2	I tend to be quiet and prefer to keep to myself 3	I tend to be quiet and prefer to keep to myself 4	I tend to be quiet and prefer to keep to myself 5 very much

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* 11. How do you receive television in your home?

Cable (Access to Comcast, Spectrum, etc.) or Telco (Verizon FiOS, Frontier, AT&T U-Verse, etc.)

Subscription Streaming Service with access to live cable TV channels (e.g. Sling TV, YouTube TV, DirecTV Stream, Hulu+Live TV, etc.)

Antenna (free “over the airwaves” access)

Satellite TV (Access to DirecTV, Dish)

Subscription Streaming On Demand (SVOD) providers (e.g., Netflix, Hulu, Amazon Prime, etc.)

Roku, Apple TV, Google Chrome Stick, Amazon Fire Stick, or some other streaming device

None of the above