Wellness focus group casting -- application form

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Thanks for expressing interest in our study. This is to confirm eligibility for participation. We will contact you if you qualify.

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On behalf of a consumer goods company, a market research firm is looking to bring to life real insights about how people use wellness products. To do this, they will 'cast' real people based on their product usage, lifestyle, and wellness habits for filmed interviews. Sessions will last about two hours. Participants will receive between $1,000. Are you interested in taking part?

Yes

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Name? (First name, last initial is fine)

Age?

Gender?

Female

Male

Other

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Ethnicity?

White/Caucasian

Black/African-American

Hispanic/Latino

Asian/Pacific Islander

Native American

Middle Eastern/Arab/Persian

Multiracial

Other

Prefer not to say

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Where are you located? (City, state)

Occupation?

What is your estimated annual household income?

Less than $49,999

$50,000 to $74,999

$75,000 to $99,999

$100,000 to $249,999

$250,000 +

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Please describe your wellness routine in as much detail as possible (what exercises you do, products/supplements/medicines you take/therapies etc)

Do you use a GLP-1 medication? If so, how long have you been doing so, and what is your motivation for it (e.g. primarily weight loss, control of a pathology like diabetes, energy benefits, overall health)? It's ok if not!

Do you use any apps/software/wearables to help track fitness, bolster wellness, etc?

Are you comfortable speaking on camera?

Yes

Sort of

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What does your typical weekend look like? What do you do in your free time?

If you have a social media account that you're comfortable sharing, feel free to write it here. (If not, we'll likely request some photos of you in advance.)

What is your phone number? (You can choose not to provide it, but then PLEASE make sure to check your email *including the spam folder* so we can get in touch with you if you qualify.)

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