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Product Research
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1.
Contact Information
(Required.)
First Name
Last Name
City
State
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
Email
Phone Number
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2.
What gender do you identify as?
(Required.)
Female
Male
Prefer to self-identify:
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3.
What is your age?
(Required.)
Under 18
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45 or older
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4.
Do you or does anyone in your immediate household work in any of the following types of industries or businesses?
Select ALL that apply
(Required.)
Education
Banking / Finance / Insurance
Marketing or market research firm, department or consulting
Advertising or advertising agency
Influencer in drinks/beverages space
Medicine, healthcare or beauty aids manufacturer / distributor / retailer
Restaurant or coffee shop, including ownership
Any drive-through service, including ownership
Entertainment / Film / TV / Music / Gaming Industries
None of the above
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5.
When is the last time you participated in a market research study where you were asked to discuss your opinions of a product or service?
(Required.)
Within the last 3 months
3 months to a year ago
More than a year ago
Never
