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A national market research firm is conducting a Paid Focus Group on the topic of Technology Products.

This study is for Males and Females ages 16-75 years old.

Qualified participants will receive $125.00 for their participation in this 2-Hour Opinion Session held in Center City Philadelphia. Free Parking will be provided.

If interested, please respond to the brief set of questions, and we will contact you promptly if it appears that you may qualify.

 
 
Name
   
 
 
 
Email Address *
   
 
 
 
Best Phone Number(s) *
   
 
 
 
Gender *
 
Male
 
Female
 
 
 
Age *
   
 
 
 
What is your current work status?
 
Small business owner
 
Self employed
 
Work Fulltime for a Large Corporation
 
Work Fulltime for a Small Business
 
Employed part time
 
Student
 
Stay at home parent
 
Neither work nor attend school
 
Other
    
 
 
 
What best describes your ethnic background? *
 
White, or Caucasian
 
African-American
 
Asian or Pacific Islander
 
Native American
 
Hispanic
 
Hispanic mix (African American/Hispanic)
 
Other
 
 
 
Which best describes the highest level of education you have had a chance to complete?
 
Some high school
 
High school graduate
 
Some college / university
 
College / university graduate
 
Post graduate education
 
 
 
What is your marital status?
 
Single, not in a relationship
 
Single, in a relationship
 
Married
 
Living with significant other as married
 
Separated/Divorced
 
Widowed
 
 
 
Which, if any, of the following devices have you purchased in the past 8 months? (SELECT ALL THAT APPLY)
 
Computer
 
Wired/wireless internet modem
 
Wired/wireless internet router
 
GPS device
 
Digital camera
 
Home Gaming Console
 
Tablet
 
None of the above
 
 
 
Which, if any, of the following devices do you plan to purchase in the next 6 months? (SELECT ALL THAT APPLY)
 
Computer
 
Wired/wireless internet modem
 
Wired/wireless internet router
 
GPS device
 
Digital camera
 
Home Gaming Console
 
Tablet
 
None of the above

 
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