Video Games Focus Group

Thanks for your interest in this study!

We are looking for men and women to participate in a focus group about Video Games. The study will take place at a facility in downtown Chicago on Monday, October 27th. The discussion will last for two hours and participants will be compensated with a Visa gift card for at least $85. Free parking is provided at the facility.

If you are interested in participating, please fill out the survey below. A recruiter will contact you with some follow-up questions if it appears that we will be able to place you in a group.

Thanks!

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* 1. About You.

Name

Age

Daytime phone number

Email address

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* 2. What is your gender?

Male

Female

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* 3. How would you best describe your employment status? Please select all that apply

Employed full-time

Employed part-time

Student

Homemaker

Unemployed

Retired

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* 4. What was the last level of education that you completed?

Some high school

High school graduate

Some college

College graduate

Post graduate degree

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* 5. What is your marital status?

Married

Living with a partner

Single

Widowed

Divorced

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* 6. What is your ethnicity?

White

Black

Asian American

Latino / Hispanic

Other

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* 7. What is your household income?

Less than $20,000

$20,000 to $24,999

$25,000 to $49,999

$50,000 to $74,999

$75,000 to $99,999

$100,000+

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* 8. Do you currently own or have any game systems in your household?

Yes