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This form is for residents of the United States only.

Matrix Research (www.matrix-r.com) maintains a comprehensive database of research participants from a variety of backgrounds from around the world.

Once you have registered as a participant, you will receive email updates with Matrix Research sponsored studies in your area. We will not send you information about studies not related to Matrix Research.

Whether you are testing a concept website, participating in a focus group, or shopping at your favorite electronics store during an ethnographic interview, you will find research participation to be a fascinating and rewarding experience.

To be considering for research studies in your area, please complete the following confidential information. The privacy of our members and the confidentiality of the personal information they provide are our top priority.

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* 1. Please complete the following demographic information. You will only be contacted by Matrix Research for possible research studies or to update your information.

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* 2. How did you first learn about Matrix Research?

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* 3. What is your gender?

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* 4. What is your year of birth?
Respondents must be at least age 18 to register.
Please enter year in four digits (example 1967)

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* 5. Do you certify that you are at least age 18 years old today?

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* 6. Which of the following types of paid research studies would you like to participate in?

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Focus Groups
In-home Research Interviews
In-Office or At-Work Research Interviews
In-Context Research Interviews (e.g. in a store, in a park)
On-line Research Questionnaires
Telephone Research Interviews

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* 7. Most of the research we do requires that respondents are videotaped during some parts of the research process. Videotaping is strictly for data collection and never released outside of the research team. Would you be willing to be videotaped during a research interview or focus group?

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* 8. What is your marital status?

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* 9. How many, if any, children do you have living at home? (Children will never be contacted for a research study without obtaining written permission from a parent or guardian.)

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* 10. Do you consider yourself to be...

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* 11. What level of education have you completed?

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* 12. What is your career?

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* 13. What is your current employment status?

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* 14. Do you or any of your immediate family work in any of the following areas?

  YES NO
Advertising
Media
Public Relations
Marketing
Market Research or Market Research Consulting

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* 15. What is your approximate annual household income?

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* 16. Would you characterize your household as being a one, two or more than two income household?

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* 17. Do you currently own or rent your home?

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* 18. Who is your home internet service provider?

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* 19. Feel free to tell us anything additional about yourself or your household.

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* 20. Do you own a Tablet Computer?

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* 21. If you own a Tablet Computer, what brand(s) do you own?

Thank you for registering to be considered for future research studies with Matrix Research. Look for future emails from us inviting you to participate in research studies in your area.

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