SLS PTO CHARITABLE SUPPORT FORM
Thank you for your willingness to join our database to be contacted for future consumer research studies and supporting SLS PTO. We greatly appreciated it. Diane - Dierckman Research, LLC
What is your first name?
What is your last name?
What year where you born?
What is your gender?
What is your preferred method to notify you of upcoming consumer research studies
What is the best email to notify you of upcoming consumer research studies?
What is the best phone number to notify you of upcoming consumer research studies?
What categories would be of interest to participate in consumer research?
Family Care (Detergents, paper products, etc)
In looking for a variety of people, which statement best describes you?
When I hear about something new, I would consider myself to be one of the first to try it.
I will only try something new if it is recommended to me by a friend.
I often wait until something is proven before I try it.
What is the zip code of your main residence?
I acknowledge that I am volunteering my time when participating in a research study. The St. Louis School PTO will receive a monetary donation to compensate my participation time.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service