Get Paid

Before a product or service becomes available to the public, the company offering it usually tests it extensively with potential consumers. These tests may take the form of individual interviews, in-depth discussion in small groups or actual product testing. These tests may last anywhere from 30 minutes to 2 hours or more, depending on the topic and the client’s needs.

For over 30 years, we have been inviting people to participate in these studies and get paid to do so. The amount paid for each study varies, depending on length, but a typical example would be a two-hour focus group (with 8-10 other people like yourself), which might pay $65 or more. You are paid the day you do the study. Thousands of people over the years have found these studies to be interesting and enjoyable.

If you would like to participate in such studies from time to time, please fill out the information below.

Please be assured that all your information will remain completely confidential. We do not rent, sell or give your name or other information to anyone. Simply fill in the information below, you will automatically be entered as a potential respondent for future studies. Thank you!

Please complete the following to participate in future market research studies.

First Name
Last Name
Email Address
Home Phone
Work Phone (Optional)
Cell Phone (Optional))
Address
City
County
State
Zip Code
Date of Birth (month/day/year)
Occupation
Industry

Marital Status

MarriedSingleDivorcedSeparatedWidowed

Ethnic Background

CaucasianAfrican AmericanHispanicAsianOther

Specify other ethnic background

Education

Some high schoolHigh school gradTrade schoolSome CollegeCollege gradPost grad

Household taxes before taxes

Under $25,000$25,000 - $50,000$50,000 - $75,000$75,000 - $100,000$100,000+

Home

OwnRentLive with parentsOther

Specify other below

Gender

MaleFemale

Height/Weight

Your height (in inches)
Your weight (in pounds)

List gender and birth date of all children under 18 years old living in your household

Gender

Birth Date

Vehicle you drive

Year
Make (manufacturer)
Model

Please check below up to five stations you listen to in a typical day; then check one that is your favorite. You may do the same for your spouse if he/she also wishes to be in the database.

Music Stations

You

Spouse

Listen To
Maximum 5
Favorite
Choose 1
 
Listen To
Maximum 5
Favorite
Choose 1
88.7 CIMX89.9 CBC90.5 WKAR92.3 WMXD93.1 WDRQ93.9 CIDR94.7 WCSX95.5 WKQI96.3 WDVD97.9 WJLB98.7 WVMV99.5 WYCD100.3 WNIC101.1 WRIF101.5 WRVF102.7 WHTD102.9 WWWW104.3 WOMC105.1 WMGC105.9 WDMK106.7 WDTW107.5 WGPR1200 WCHB580 CKWW1340 WEXL1440 WMKMSatelliteOther
88.7 CIMX89.9 CBC90.5 WKAR92.3 WMXD93.1 WDRQ93.9 CIDR94.7 WCSX95.5 WKQI96.3 WDVD97.9 WJLB98.7 WVMV99.5 WYCD100.3 WNIC101.1 WRIF101.5 WRVF102.7 WHTD102.9 WWWW104.3 WOMC105.1 WMGC105.9 WDMK106.7 WDTW107.5 WGPR1200 WCHB580 CKWW1340 WEXL1440 WMKMSatelliteOther
  • 88.7 CIMX
  • 89.9 CBC
  • 90.5 WKAR
  • 92.3 WMXD
  • 93.1 WDRQ
  • 93.9 CIDR
  • 94.7 WCSX
  • 95.5 WKQI
  • 96.3 WDVD
  • 97.9 WJLB
  • 98.7 WVMV
  • 99.5 WYCD
  • 100.3 WNIC
  • 101.1 WRIF
  • 101.5 WRVF
  • 102.7 WHTD
  • 102.9 WWWW
  • 104.3 WOMC
  • 105.1 WMGC
  • 105.9 WDMK
  • 106.7 WDTW
  • 107.5 WGPR
  • 1200 WCHB
  • 580 CKWW
  • 1340 WEXL
  • 1440 WMKM
  • Satellite
  • Other (please specify)
88.7 CIMX89.9 CBC90.5 WKAR92.3 WMXD93.1 WDRQ93.9 CIDR94.7 WCSX95.5 WKQI96.3 WDVD97.9 WJLB98.7 WVMV99.5 WYCD100.3 WNIC101.1 WRIF101.5 WRVF102.7 WHTD102.9 WWWW104.3 WOMC105.1 WMGC105.9 WDMK106.7 WDTW107.5 WGPR1200 WCHB580 CKWW1340 WEXL1440 WMKMSatelliteOther
88.7 CIMX89.9 CBC90.5 WKAR92.3 WMXD93.1 WDRQ93.9 CIDR94.7 WCSX95.5 WKQI96.3 WDVD97.9 WJLB98.7 WVMV99.5 WYCD100.3 WNIC101.1 WRIF101.5 WRVF102.7 WHTD102.9 WWWW104.3 WOMC105.1 WMGC105.9 WDMK106.7 WDTW107.5 WGPR1200 WCHB580 CKWW1340 WEXL1440 WMKMSatelliteOther

Please check below up to five stations you listen to in a typical day; then check one that is your favorite. You may do the same for your spouse if he/she also wishes to be in the database.

Talk Stations

You

Spouse

Listen To
Maximum 5
Favorite
Choose 1
 
Listen To
Maximum 5
Favorite
Choose 1
89.1 WEMU91.7 WUOM97.1 WXYT101.9 WDET103.5 WMUZ760 WJR800 CKLW950 WWJ1270 WXYT1310 WDTW1400 WDTKSatelliteOther
89.1 WEMU91.7 WUOM97.1 WXYT101.9 WDET103.5 WMUZ760 WJR800 CKLW950 WWJ1270 WXYT1310 WDTW1400 WDTKSatelliteOther
  • 89.1 WEMU
  • 91.7 WUOM
  • 97.1 WXYT
  • 101.9 WDET
  • 103.5 WMUZ
  • 760 WJR
  • 800 CKLW
  • 950 WWJ
  • 1270 WXYT
  • 1310 WDTW
  • 1400 WDTK
  • Satellite
  • Other (please specify)
89.1 WEMU91.7 WUOM97.1 WXYT101.9 WDET103.5 WMUZ760 WJR800 CKLW950 WWJ1270 WXYT1310 WDTW1400 WDTKSatelliteOther
89.1 WEMU91.7 WUOM97.1 WXYT101.9 WDET103.5 WMUZ760 WJR800 CKLW950 WWJ1270 WXYT1310 WDTW1400 WDTKSatelliteOther

Generally speaking, what is your voting party affiliation?

DemocraticRepublicanLibertarianIndependent (no affiliation)Other

Please specify

From time to time, we have projects for which we need to find people with specific medical conditions. Please tell us if anyone in your household has any medical conditions such as allergies, diabetes, MS, high blood pressure, and others.

Type of condition

Family relation

Fill out the following information only if your spouse would also like to participate:

Spouse's Name
Spouse's birthdate
Spouse's Occupation
Industry
Spouse's height (feet, inches)
Spouse's weight (pounds)

Spouse's Vehicle

Year
Make (manufacturer)
Model

Education

Some high schoolHigh school gradTrade schoolSome collegeCollege gradPost grad

Spouse's Ethnic Background

CaucasianAfrican AmericanHispanicAsianOther

Specify other ethnic background

Generally speaking, what is your spouse's voting party affiliation?

DemocraticRepublicanLibertarianIndependent (no affiliation)Other

Please specify

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