Question Title * 1. FOR IN PERSON RESEARCH:In order to gain admittance to the facility, you need to bring: A Photo ID Reading glasses if you need them Please make sure to self assess your health prior to the session and we ask that you cancel in advance if you are sick with Cold/Flu/Covid-19 symptoms. Frequently we do not allow cell phones, smart watches, cameras or any electronic/digital devices into the research. There is a possiblity you will be asked to leave your devices with our front desk team where they will be kept securely during the research. If qualified and based on these participation requirements, are you willing to participate in this in-person interview? Yes No 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. Which gender identity do you most identify with? Male Female Non-binary Other (please specify) Question Title * 4. What is your age? Under 18 18-24 25-34 35-44 45-54 55 or older Question Title * 5. What is your exact age? Question Title * 6. Which of the following best describes your racial or ethnic background? Hispanic or Latino (Spanish, Mexican, Latin America: Colombian, Brazilian, etc., Caribbean: Cuban, Puerto Rican, Dominican, etc.) White European (e.g. German, Irish, English, Italian) Middle Eastern or North African (e.g. Lebanese, Turkish, Egyptian) Black American or of African Descent (e.g. Jamaican, Haitian, Nigerian, Ethiopian, Somali) Asian (e.g. Chinese, Taiwanese, Korean, Japanese, Vietnamese, Indian, Indonesian, Filipino, Thai) Native Hawaiian or other Pacific islander (e.g. Samoan, Chamorro, Tongan, Fijian) Native American, Inuit, or Aleut (e.g. Navajo Nation, Nome Eskimo Community, Cherokee) Other (please specify) Question Title * 7. Are you or is any member of your household, (including immediate family, roommates, renters, etc.) currently employed in any of the following types of business? An advertising, marketing, or public relations firm Marketing research firm A newspaper, magazine, book publisher, blog, or website A company that manufactures or sells consumer electronics, games, or apps A website or company that offers or distributes video online An actor in commercials, TV or movies A social media company, software design, or web applications company A company that sells, distributes, or manufactures virtual reality (VR), augmented reality (AR), or mixed reality (MR) hardware or software None of the above Next
