How would you like to get paid for giving your opinion? The Bartlett Group constantly hosts focus groups to obtain feedback for our clients. These groups cover a variety of topics, and not only put cash in your pocket but they can also be a lot of fun. Many of our participants like being able to have their opinions and ideas heard as well as learn about changes happening in the market place.
To be included in our database, please complete the information below and press the submit button. All information submitted is kept in the strictest confidence and will not be sold to other organizations. We will contact you when we have a group that we feel you would be qualified to participant in.
Thank you.
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Date of Birth: |
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| Gender: |
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| Race: Select one... |
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Marital Status: Select one... |
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| Do you have children? |
Yes
No |
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| Household income: Select one... |
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| Employment Status: Select one... |
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| If self employed, name of business: |
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| If self employed, type of business: |
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| Do you rent or own your home? |
Rent
Own |
| What institution do you consider your primary financial institution? |
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| Are you registered to vote? |
Yes
No |
| If registered, what part are you registered with? |
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| Do you smoke cigarrettes? |
Yes
No |
| What brand do you smoke? |
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| What supermarket do you shop at most often? |
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| Other: |
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| Please list the cars your household owns: |
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| If you drink alcohol, which do you drink most often? |
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| What type of music do you listen to on the radio? |
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| Other: |
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| Do you have health insurance? |
Yes
No |
| Is yes, who is the carrier? |
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