Become a Panelist

Become a Panelist


Thank you for your interest in participating in one of our confidential market research studies.

As part of our ongoing work, we conduct market research to learn about, evaluate, and improve current and new products. We talk directly to consumers to get their input.

  • We do not sell anything
  • We collect opinions and compensate those who participate in this effort
  • We do not sell the names or information in our database to anyone (your infomation is kept completely confidential)

If this sounds like something you would like to be involved in, please take the time to fill out the form below. Please be careful to answer all questions - - leaving anything unanswered could leave out essential data used in choosing participants for specific projects. You will be asked to enter your personal and then your household information.

Once you submit this form you will be added to our database and we will keep you posted on upcoming research opportunities.

AT THIS TIME, WE ARE ONLY ACCEPTING PARTICIPANTS WITHIN DRIVING DISTANCE OF OUR ANN ARBOR, MICHIGAN FACILITY. 

required field = Required
First Name: required field
Last Name: required field
Home Phone
May we call you at work?
If yes, what is the phone number?
Do you have a cell phone?
If so and you would allow us to call you on it, please enter the number:
Email Address: required field
Address: required field
City: required field
State: required field
Zip Code: required field
County:
Date of Birth: M/D/YY required field
Race: required field
Gender: required field
Marital Status:
Highest Level of Education Complete:
How many hours per week do you work?
What is your occupation?
Party Affiliation
Do you suffer from:
Hold the ctrl key down to select/unselect multiple responses
Next, a few questions about your household
What is your total income?
What Pets do you own?
Hold the ctrl key down to select/unselect multiple responses
Do you live in a:
Do you:
Type of area you live in:
Do you regularly shop at/have a membership to a club warehouse store?
How many children under the age of 18 live in your household?

Child 1: Name:
 Date of Birth: M/D/YY
 Gender
Child 2: Name:
 Date of Birth: M/D/YY
 Gender:
Child 3: Name:
 Date of Birth: M/D/YY
 Gender:
Child 4: Name:
 Date of Birth: M/D/YY
 Gender:
Child 5: Name:
 Date of Birth: M/D/YY
 Gender:
Child 6: Name:
 Date of Birth: M/D/YY
 Gender:
 

 

 

 
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