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 Wednesday, August 7th and Thursday, August 8th, 2024 from 8:30am to 6:00pm? [MUST be available for the entire time period BOTH DAYS] 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? Orange Los Angeles Other Question Title * 11. What is your city/town of residence? Question Title * 12. Into what age group do you fall? Under 18 18-24 25-34 35-44 45-54 55-64 65-74 75+ Question Title * 13. What is your exact age? Question Title * 14. Are you a student? Yes No Question Title * 15. If you are a student, are you full-time or part-time? I am not a student Full-time Part-time Question Title * 16. If you are a student, what are you currently studying? If not a student, please type "N/A" Question Title * 17. Please indicate your race White or Caucasian Hispanic or Latino Black or African American Asian or Asian American Another race Question Title * 18. What is your current employment status? Full Time Part Time Self Employed Retired Homemaker Unemployed Disabled Question Title * 19. Please complete the following (if not currently employed please put you last job): Job Title: Industry: Company: Question Title * 20. What is your marital status? Married Not Married (never married, divorced, separated, widowed) Question Title * 21. If married, what is your spouse's occupation (if not married put N/A)? Job Title: Industry: Company: Question Title * 22. 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 Thank you so much for completing this survey. Our recruitment team will contact you if you are a match for the research. Done
