Focus Group Registration


 

Alan Newman Research and Richmond Focus Group Center conduct hundreds of focus groups per year. A focus group is an informal, round-table discussion lead by a professional moderator. Most often, the discussion is in regard to a service, a particular product, or advertising. It was in focus groups that ideas like the automatic shut-off iron, bottled spaghetti sauce, and plastic shampoo bottles were conceived. We never sell or promote any products or services. In fact, we usually pay participants for sharing their views with us. Participants usually receive a cash payment as a token of our appreciation for helping with our research effort. Focus groups generally last about 2 hours and are a lot of fun. We have a database of about 10,000 people from which we select participants for our groups. If you would like to be included in our database so that your opinions can be heard in future sessions, please fill out and submit the form below. Your responses will be kept confidential and will only be used to select qualified participants for upcoming sessions.

Note: The following registration is for Virginia residents only.

* Indicates a required field.

*Status 

*Gender 

*First Name
   
*Last Name
 
*Address
   
*City
   
*County
   
*State
   
*Zip Code
   
*Home Phone
-
   
Work Phone
-
   
Cell Phone
-
   
*Email Address
   
*Date of Birth
(mm-dd-yyyy)
   
Marital Status
   
If other please specify
   
Level of Education
   
Ethnicity/Race
   
If other please specify
   
Employment Status
   
Occupation
   
Income Level
   
Do you?
 
   
Have health insurance
   
What type of insurance plan
   
What company provides your health coverage
   
Do you have any children under age 17 living in your home?
   
If so please list child's year of birth.
Some studies require participants to have children of a certain age, and sometimes we are interested in getting the opinions of children.
 
   
Year of birth   (yyyy)
   
Year of birth   (yyyy)
   
Year of birth   (yyyy)
   
Year of birth   (yyyy)
   
Play the lottery
   
Own a cellular phone
   
Who is your provider
   
If other please specify
   
Have cable or satellite TV
   
Have a computer at home
   
Have Internet access at home
   
Do you have investments, such as stocks,
bonds, mutual funds
   
Do you have any magazine or newspaper subscriptions
   
What company provides you with the following:
 
   
Electricity
   
Gas
   
Long Distance
   
Local Phone Service
   
What is your primary bank
   
Do you consider yourself a Democrat, Republican or Independent
   
Do you own or rent your home
   
What are your hobbies or special interests
 
How did you learn about ANR's
online focus group registration?
Family/Friend     Name
Organization      Name
Flyer
Richmond Times Dispatch
Web Search
Other     
   
 


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