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. Are you available to participate in an in-person paid research session to be conducted on Friday, April 25th 2025 from 8:00am to 6:00pm? Yes No Question Title * 3. Please provide the following: Name City/Town State/Province Email Address Phone Number Question Title * 4. What is your gender? Male Female Non-Binary Question Title * 5. Have you participated in any type of marketing or attitude research discussion groups in the past 6 months? Yes No Question Title * 6. Have you ever participated in any of the following types of research projects? Mystery Shopping Taste Test Mock Jury/Legal Study Political Focus Group None of the above Question Title * 7. Are you a US citizen? Yes No Question Title * 8. Have you ever been convicted of a felony? Yes No Question Title * 9. Are you currently registered to vote or do you have a current California driver's license? Yes No Question Title * 10. What county do you live in? Los Angeles Orange Other Question Title * 11. What is your city/town of residence? Question Title * 12. Have you, or has anyone in your immediate family (including in-laws) ever worked in any of the following industries or professions? Market research Media (journalism, radio, TV, magazine, blogs) Law (including court personnel or paralegal) Law Enforcement Clergy Human Resources Medical/Medical Research Restaurant Industry Freight Shipping Industry None of the above Question Title * 13. Have you received a jury summons to serve as a juror in the last 6 months? Yes No Question Title * 14. Are you or is any member of your immediate family currently involved in a lawsuit, either as a plaintiff or defendant? Yes No Question Title * 15. Into what age group do you fall? Under 18 18-24 25-34 35-44 45-54 55-64 65-74 75+ Question Title * 16. What is your exact age? Question Title * 17. Are you a student? Yes No Question Title * 18. If you are a student, are you full-time or part-time? I am not a student Full-time Part-time Question Title * 19. If you are a student, what are you currently studying? If not a student, please type "N/A" Question Title * 20. Please indicate your race White or Caucasian Hispanic or Latino Black or African American Asian or Asian American Another race Question Title * 21. What is your current employment status? Full Time Part Time Self Employed Retired Homemaker Unemployed Disabled Question Title * 22. Please complete the following (if not currently employed please put you last job): Job Title: Industry: Company: Question Title * 23. What is your marital status? Married Not Married (never married, divorced, separated, widowed) Question Title * 24. If married, what is your spouse's occupation (if not married put N/A)? Job Title: Industry: Company: Question Title * 25. How many years of school have you completed? Some High School or Less High School Graduate Some College, Community College, Tech./Trade School College Grad Post-Graduate work/Post-Graduate Degree Question Title * 26. Have you, or anyone in your immediate family (including in-laws), ever been in the following situations: Product Liability/Defect Filing/Lawsuit Workers Compensation Filling/Lawsuit Unemployment Benefits Filling/Lawsuit Workplace Harassment Filling/Lawsuit Age Discrimination Filing/Lawsuit Gender Discrimination Filing/Lawsuit Race Discrimination Filing/Lawsuit Disability Discrimination Filing/Lawsuit Whistleblower Retaliation Filing/Lawsuit Wrongful Termination Filing/Lawsuit None of the above Question Title * 27. Are you familiar with, or do you know in any way, either socially or professionally, any of the following people: Arin Norijanian James H. Demerjian Harold/Howie J. Wright Bob Hopkins Brian. Wright Billy Garris Brad Truitt Doug Thiel Lauren Smith David M. deRubertis Emily Burkhardt Vicente Michael R. Shebelskie Kat Ryzewska Michael A. Pearlson Brian Laucht Nathan Pearcy Brittany Gaines Marla Scales Jason Turner Brooke Bozant Lindsay Fuchs Tina Hufstetler David Nixon Justin Gleaves Ramon Rodriguez James Fletcher Jose Rangel Rhodora Jakosalem Rolando Ortega Art Lopez Santos Delcid Brenden McCarthy Jacob Benavides Ed Pineda Ruben Herrera Alan Mitchell James A. Lomas Anthony Luna Madison Thornton Melissa Cox Misty O’Donnell Juliann Marts Silvana Cufre Greg Mercer Ben Barker Matt Turrieta John Demry Phil Smith Derek Richie Monica Martinez Alvin Ouzts Jerry A. Parker Mark Valdez Jesse Marroquin Nachman Brautbar Kimberly M. Spitz Mares Young Tae Lee Nelson J. Flores Jungwon Kim Louis J. Volpicelli Ronald Zlotolow Phillip Levine Marius Saines Adam Karns Modupe Abimbola Aiyegbusi Alexis Nicole Wright Anthony Joseph Wright Virginia O’Briens Wendy Hughes James McCollum David McFarland Susan Fillichio Charles Oliver Tony Tedesco Jaime Canales JoAnn Wilkins Keith Wysocki Shelby Nicholson Rich DeSantis Jazmin Cuevas Erin Gattis Susan P. Bleecker Anthony Reading Rob Crandall Praveen Kambam Todd A. Smith Marjan Saba Tom Daly None of the above Question Title * 28. Do you have stock in, or know in any way, either socially or professionally, anyone who has ever worked at the following: Arcbest Ii, Inc. ABF Freight System, Inc. Cherokee Freight Lines Arcbest Enterprise Solutions, Inc. CPC Logistics Solutions Arcbest International, Inc. California Civil Rights Department California Department of Public Health Lifestance Health Cardiovasular Medical Group of Southern California Southern California Medical APLA Health Center University Vascular Associates Aiyegbusi & Braimah Medical Corporation Friends & Family Medical Clinic Arin James LLP Cravath, Swaine & Moore LLP Hunton Andrews Kurth LLP The deRubertis Law Firm, APC Robbins Geller Rudman & Dowd LLP None of the above Question Title * 29. Do you have any concerns about having your photo taken by digital camera or being videotaped for research purposes? Yes No Question Title * 30. Do you have any physical or psychological difficulties that would prevent you from viewing videos, reading and writing off a type-written questionnaire, walking from one room to another, or sitting in a research session continuously for 1-2 hours periods at a time without a break? Yes No Question Title * 31. Do you have any language difficulties that would prevent you from actively participating in a research session that involves a significant amount of reading, writing and discussion in English on a topic? Yes No Question Title * 32. Do you have any special diet or health needs, preferences, or requests related to your participation (e.g. vegetarian, diabetic, will not consume caffeine, salt etc)? Yes No Question Title * 33. Would it be difficult for you to stay off your cell phone and keep it turned off/silent for the entire session and only check it on breaks? Yes No Question Title * 34. If you have participated in any past research, do you agree to refrain from mentioning your participation during this research session? Yes No Question Title * 35. If you require glasses for reading, writing, or watching television, you are required to bring your glasses to the discussion session. Would you like to participate in the session? Yes No Question Title * 36. Are you able to walk down long hallways back and forth between different rooms? Yes No Question Title * 37. If this focus group moves online in the event of an emergency, would you be able to attend via zoom? Yes No Thank you so much for completing this survey. Our recruitment team will contact you if you are a match for the research. Done
