Probe Market Research

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PARTICIPANT REGISTRATION
Wanted: Your feedback, opinions and ideas!

How would you like to get paid for telling us what you think about a new TV commercial, beauty product, or soda bottle design? Probe Market Research constantly hosts focus groups to get feedback for clients’ new advertising campaigns, products or services.

Focus groups pay between $50 and $400. In some cases, you may not even need to leave your home! Interviews are conducted in groups, by phone, or online—depending on the amount of time assigned to that particular study.

Focus groups not only put cash in your pocket on-the spot… they’re also a lot of fun! Many of our attendees say it’s exciting to get a sneak peek of a product launch or advertising campaign. For many, getting their voices heard and their ideas to count is a payoff alone.


REGISTER TODAY !

Just take a few moments to fill out the form below. As soon as we see a study that matches your interests, we’ll contact you. All the information you give to us will be strictly confidential. We never share or sell our information.


Your demographic information is kept in strict confidentiality

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General Information
First Name *
Last Name *
Sex * Male Female
Marital Status * Single Married Divorced Widowed Unknown/Refused
Address1 *
Address2
City *
State *
ZIP *
County
Home Phone Number *
Starting with the area code, digits only please - no hyphens or periods, and no "1" preceding the area code. The same applies to Work Phone, Fax and Cell Phone.
Work Phone Number - ext:
FAX Number
Cell Phone Number
Personal E-mail Address *
Race
Date of Birth (mm/dd/yyyy) * / /
Sexual Orientation

Party Affiliation
Employment and Education
Primary Employment Status *
If employed:
Employer
Industry
Position
Number of Employees
Number of Employees Reporting Directly to You
Do you Travel for Business? Yes No
If yes, Domestic International Both
Education *
Travel Information
Do you own a car? * Yes No
If Yes,
Make
Model 
Year
Do you own a second car? Yes No
If Yes,
Make
Model 
Year
Do you travel for pleasure? Yes No
If yes, Domestic International Both
Are you a member of a Frequent Flyer Club? Yes No
Are you a member of a Hotel Rewards Club? Yes No
Children
Gender:
 Birthdate:
mm/dd/yyyy
Gender:
 Birthdate:
mm/dd/yyyy
Gender:
 Birthdate:
mm/dd/yyyy
Gender:
 Birthdate:
mm/dd/yyyy
Gender:
 Birthdate:
mm/dd/yyyy
Gender:
 Birthdate:
mm/dd/yyyy
Housing Information
Do you own or rent your home? Own  Rent
What type of place do you live in?
Financial Information
Household Income
Which Credit Cards do you have?

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Technology
Do you own a computer? Yes No
If yes, check all that apply:


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Communications
Are you online? * Yes   No
If yes, Provider?
If online, primary type of connection?
Local phone service provider?
Long Distance phone provider?
Do you own a cell phone? Yes   No
If yes, service provider?
Lifestyle
Do you have a pet?

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Do you smoke? Yes
Cigarettes
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Health and Medical
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