Research Panel Enrollment Form Welcome! Thank you for your interest in joining our research panel.Please complete this form to help us determine which projects you may be eligible to participate in. All personally identifiable information will be kept strictly confidential — we do not sell or share your contact information with anyone. Question Title * 1. Full Name Question Title * 2. Email Question Title * 3. What is your gender? Male Female Non-binary Question Title * 4. What is your age? Question Title * 5. What racial or ethnic group(s) do you most identify with? (Please select all that apply.) White Indigenous or Native American Black or African American Hispanic or Latine Asian American and Pacific Islander Middle Eastern or North African Mixed Another race (please specify) Question Title * 6. What is the highest level of education you have completed? Less than High School High School diploma or equivalent Some college or technical/vocational training but no degree Associates degree Bachelors degree Graduate degree (Masters, PhD, etc.) Question Title * 7. Which political party do you tend to identify with? Republican Democratic Independent Other (please specify) Question Title * 8. What is your 5-digit zip code? Question Title * 9. Which of the following best describes your current employment status? Currently working for pay (such as salaries, wages, commissions, etc.) Unemployed, but looking to work for pay Unemployed, and NOT looking to work for pay Retired and NOT looking to work for pay Question Title * 10. Are you willing to receive text notifications from PI-Opinion about opportunities to participate in paid research studies? Yes No Next
