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. Before we begin – please tell me how old you are. Under 20 20-24 25-34 35-44 45-54 55 or over Question Title * 4. Where in the country do you live? Southern CA Northern CA West outside of CA Illinois Midwest outside of Illinois Southeast South Southwest East New England Question Title * 5. What is your exact age? Question Title * 6. What is your gender identity? Male Female Non-binary Prefer to self-describe Question Title * 7. Other than yourself, who else lives in your household? I live alone Spouse or significant other My children Roommates My parents or my spouse/significant others parents Question Title * 8. What are the ages of the children living in your home? 0 to 4 years 5 to 8 years 9 to 12 years 13 to 17 years 18 years or older I do not have children living in the household Question Title * 9. Which of the following best describes your current employment status? Employed full-time Employed part-time Full-time homemaker Student Not employed / Looking for work Retired Question Title * 10. We are interested in speaking to people who work in various industries. What is your current occupation? Job Title: Company Name: Industry: Question Title * 11. Do you or anyone in your household currently work in any of the following industries? Advertising or public relations Market research company or department Books industry (e.g., publisher / author / editor, etc.) Power or utilities company Travel or Hospitality Banking or financial institutions Education, government or public sector Architecture or design firms None of the above Question Title * 12. When was the last time you went on a trip that required you to stay at a hotel or vacation rental? Within the last month Within the last 6 months Within the last year More than a year ago I have never done either of these activities Question Title * 13. How many trips for leisure/vacation and business travel have you gone on in the past 12 months that required you to stay at a hotel or vacation rental? Please include business and leisure trips. Vacation Rental: Hotel: Question Title * 14. How many trips for leisure/vacation and business travel have you gone on in the past 12 months that required you to stay at a vacation rental? Please include business and leisure trips. 0 1 2 3 4 5 or more Next
