BNResearch - Sign up to Participate in a Portland, Oregon Focus Group

Focus groups are a very important part of market research. Your participation in a focus group helps companies gather important information on consumer opinions. Our focus groups range from general discussions to product and taste testing to mock juries. Participants always find them fun and interesting and the best part is the generous incentive you will receive.

The information below helps us better understand who you are as a consumer. Please fill out the form and you will be added to our database.

Thank you for your interest!

This is voluntary; your information is strictly confidential. You can ask to be removed at any time.

Name:
Address:
City:
Zip:
Day Phone:
Evening Phone:
Home Email Address:
Work Email Address:
Age:

Gender: Male Female

Marital Status:
Married
Widowed
Separated/Divorced
Single, never been married

Do you have any pets? Yes No

What kind of pet(s)do you have?

Education:
Some high school - did not graduate
Graduated from high school
Attended college but did not graduate
Graduated from college or university
Completed some postgraduate studies
Received a postgraduate degree

Employment:
Employed full-time (30+ hours a week)
Employed part-time (less than 30 hours a week)
Stay at home parent
Student
Retired
Unemployed

What is your occupation? Please include your title and the industry in which you work.

How long ago did you last participate in a market research group discussion or interview?
Less than 6 months ago
6 months ago or longer
Never

What were the subjects of the group discussion(s) and/or in-depth interview(s) in which you have participated?

Please tell me which ethnic group or race you consider yourself to be a part of:
African American
Caucasian
Native American
Asian
Hispanic
Other

What is your total annual household income before taxes:
Under $30,000
$31,000 - $50,000
$51,000 - $70,000
$71,000 - $90,000
$91,000 - $100,000
$101,000 +