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Connecticut Connection-Hartford Research in Farmington, CT. We conduct marketing research throughout Connecticut and Western Massachusetts.

These questions help us select you for one of our focus group studies. Remember, everyone who attends our studies receives $100.00 or more as a thank you for coming.
To learn more about us, please go to our website: www.ctopinion.com, or go to our Facebook page: www.facebook.com/hartfordresearch

If you know of others who would like to attend a focus group, please forward these questions to them!

You can copy and paste this URL to them: https://goo.gl/forms/Fr3NAHT5IxnAcrmp1

Email address
Who referred you or how did you learn of us?
Your answer
Your first name:
Your answer
Your last name:
Your answer
Your year of birth: (Example: 1983)
Your answer
Please enter the years of birth (example: 2012) for the children who live in your household. (Only children younger than 18.)
Your answer
Your current job and occupation (You can also enter homemaker, retired, student, or not currently employed) :
Your answer
What company or organization do you currently work for? (If none, write none):
Your answer
Where do you get your health insurance?:
What is the name of your health insurance company? (if none, write none) :
Your answer
What is the total income of everyone in your household? :
What is the best phone number where we can call you ?
Your answer
What is your 5 digit zip code?
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We like a mix of people for our research projects. Are you :
Please select all of the times you might be able to attend a 1 or 2 hour research project during the week:
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