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 Email Address Phone Number Question Title * 3. What is your gender? Male Female Non-Binary/Other Question Title * 4. Are you a US Citizen with valid state ID? Yes No Question Title * 5. Are you a resident of Los Angeles County, CA? Yes No Question Title * 6. What is your age? under 18 18-24 25-44 45-64 65-75 over 75 Question Title * 7. Are you a full-time student? Yes No Question Title * 8. Are you a convicted felon? Yes No Question Title * 9. Are you or any member of your household currently under summons for jury duty? Yes No Question Title * 10. Can you read and write in the English language with proficiency? Yes No Question Title * 11. Have you participated in a focus group in the last 2 years? Yes No Next
