Research Application Survey
Thank you for your interest in participating in the greater Atlanta area Retail Research! Please fill out this 5-10 minute survey to be considered for the research and the $150 incentive.

The research study will be 2 hours, both at your home and at a retail location near your home.

We will contact you shortly if you are chosen.

First Name *
Your answer
Last Name *
Your answer
Gender *
For classification purposes, would you describe yourself as having Hispanic, Latino or Spanish background? *
And, which of the following categories best describes your race or ethnic heritage? *
What is your current relationship status? *
What is your highest level of education? *
What year were you born? *
Your answer
Which of the following best describe your annual household income before taxes? *
Which of the following best describes your current employment status? *
Would you describe your home as a(n)? *
Do you rent or own your home? *
Are you or any members of your household employed in any of the following industries or types of companies? (Select ALL that apply) *
Which of the following statements best describes your skill level when it comes to home improvement/maintenance projects? *
Email *
Your answer
Phone number *
Your answer
Zip Code *
Your answer
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