Become a Research Study Participant
Please fill out the entire form. Some fields are not mandatory, but the more info you give us, the higher likelihood you will be called for a focus group.

Please take your time filling out the registration form below. Our recruiters will contact you as often as possible to see if you are available and the correct fit for the focus group. We love helping people make money and we hope to see you having fun in a focus group soon.

Registration
* Required Field
*First Name
*Last Name
*Email
*Cell Phone Number (10 digits phone)
*Cell Phone Carrier
Cell Phone Model
Home Phone (10 digits phone)
*Home Zip
Street Address
*Password (6 character minimum)
*Verify Password
*Birth Date (mm/dd/yyyy)
*Gender
 
*Which of the following
best describes you?
*Ethnicity
Other Ethnicity
*Marital Status
*Education
Household Income
Employment Status
Employer
Occupation Title
Occupation
If 'Other' selected for Occupation, enter info below
'Other' Occupation
Industry
If 'Other' selected for Industry, enter info below
'Other' Industry
What cars do you own?
Year
Make
Model
Body
Purchase Type               
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Computer / Tablet
Computer Model
Drink Alchohol
Smoke Tobacco
Party
On a scale of 0-5, please rate how closely you identify
yourself with the previously selected party: 0 being weak
and 5 being very strong – you can choose any number
in between.
Thinking in political terms, would you say that you are
Conservative, Moderate, or Liberal?
Do you have satellite   
or cable?
Housing
Pets
Children
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Play Sports
Sports you play:

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