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Respondents who provide more information are more likely to be selected for a study and get paid!

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Demographic Information

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Experience Information

Your Technology Use

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Which of the following websites do you visit frequently?

 
 
 
 
Which of the following retailers do you shop at frequently?

 
 
 

Referral Information

We appreciate your time and look forward to working with you in the future.

My signature below affirms that I have agreed to participate in a one-on-one session administered by User Insight, and that all answers I have given to screening questions are the truth to the best of my knowledge. I understand that the research project I am participating in today is confidential, and agree that what I observe will be held in strictest confidence. I am aware that the one on one session will be audio and video taped, and/or observed for marketing research purposes only, not for commercial use. I am also aware that the session will last 1 ½ to 2 hours.
I Agree with the disclaimer