ENTERTAINMENT RESEARCH STUDY
We like to keep our surveys short and sweet. You can rest assured that all of your information will be kept private and only used for our market research purposes.
Contact & Basic Info
First Name
Last Name
Email
Phone Number
Gender
Please select...
Female
Male
Transgender
Birthdate (mm/dd/yyyy)
Ethnicity
Please select...
African American or Black
American Indian or Alaska Native
Asian American
Caucasian or White
Hispanic, Latino or Spanish Origin
Native Hawaiian or Pacific Islander
Other
Location
City
State
Zip Code
Metro Area
Please select...
Atlanta-Sandy Springs-Roswell, GA
Austin-Round Rock, TX
Boston-Cambridge-Newton, MA-NH
Charlotte-Concord-Gastonia, NC-SC
Chicago-Naperville-Elgin, IL-IN-WI
Cincinnati, OH-KY-IN
Dallas-Fort Worth-Arlington, TX
Denver-Aurora-Lakewood, CO
Detroit-Warren-Dearborn, MI
Houston-The Woodlands-Sugar Land, TX
Los Angeles-Long Beach-Anaheim, CA
Miami-Fort Lauderdale-West Palm Beach, FL
Milwaukee-Waukesha-West Allis, WI
Minneapolis-St. Paul-Bloomington, MN-WI
Nashville-Davidson–Murfreesboro–Franklin, TN
New York-Newark-Jersey City, NY-NJ-PA
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD
Phoenix-Mesa-Scottsdale, AZ
Portland-Vancouver-Hillsboro, OR-WA
Sacramento–Roseville–Arden-Arcade, CA
San Antonio-New Braunfels, TX
San Diego-Carlsbad, CA
San Francisco–Oakland–Hayward, CA
San Jose-Sunnyvale-Santa Clara, CA
Seattle-Tacoma-Bellevue, WA
St. Louis, MO-IL
OTHER
Continued...
Household Income
Please select...
Under $25k
$25-49K
$50-74K
$75-99K
$100-149K
$150-199K
$200-499K
$500K or more
Employment Status
Please select...
Full-time
Part-time
Self-employed
Stay at Home Parent
Retired
Unemployed
What is your job title and occupation?
What is your age?
FOR THE FOLLOWING QUESTIONS PLEASE ANSWER 'TRUE' or 'FALSE'
Are willing to remove jewelry, hair coverings or clothing with the potential to alter the general shape of the head, neck & ears. Example: hooded sweatshirts, turtlenecks, etc
True
False
Who is your cell phone carrier provider?
T-mobile
At&t
Verizon
Sprint
Metro Pcs
Cricket
Boost
Other
You or someone in your household has NOT had lice in the last 3 months
True - no one has had lice in the last 3 months
False
You do not have any allergies to hair products, including hairspray or hair gel
True
False
Would you consider yourself to be detailed oriented?
True
False
You can take out your contact lenses and wear glasses instead
True
False
Do you have children under the age of 18 living in your household?
True
False
Do you currently have any of the following social media apps installed on your phone?
Facebook
Instagram
Snapchat
Twitter
Whatsapp
Netflix
None of the above
Please tell me about the best trip/vacation you’ve been on or describe your dream vacation.
Ready to subm
it?
Need assistance with this form?