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 City/Town State/Province ZIP/Postal Code Email Address Phone Number Question Title * 3. Sometimes we are looking for people who work in certain industries. Do you or does anyone in your household work in any of the following types of companies/industries? Advertising/Public Relations Food/Beverage Manufacturing or Distributing Grocery/Food Retail Store or Wholesaler Financial Services Political Consulting/Campaigning Healthcare/Pharmaceuticals Insurance Marketing/Market Research Media/Entertainment Restaurant industry Sporting event industry None of the above Question Title * 4. Which, if any, of the following types of research projects have you participated in, in the past six months? Online research survey Telephone research survey Online research discussion/focus group/individual interview Product test (either in-home or at a mall) In-person focus group/individual interview Other (please specify) None of the above Next
