Participate

Like getting money for your opinions?  Register to participate in our market research studies using the form below.

Before you participate please make sure to take a moment you check out our introduction to market research and respondent tools.

For almost all studies we offer, we use a prescreening process. Registration simply puts you in our system to receive emails or other notifications about studies you MAY qualify for. We ask respondents to indicate their interest by responding to either their email notification or via the survey link or the survey link they are provided. After filling out information for each specific study, participants must speak with someone from our office staff to receive a confirmed research appointment.

Also important, our system contacts participants based on the initial information provided to it. If contact, professional, identifying or other information should change please resubmit the form so we can send you the studies you are most likely to qualify for.

First Name:
Last Name:
Address:
City:
State:
Zip:
County:
Email Address:
Work Telephone:
Home Telephone:
Cell Telephone:
Fax:
1. Have you done any research with Metro Research Services in the past:
Yes              No
2. What research companies have you done projects with?
3. How did you hear about us?


May we contact you via email?
Yes             No
4. What two or three radio stations do you listen to most often? (Press the <ctrl> key while clicking to make multiple selections)

5. What is your date of birth?
6. Marital status


Spouse/Partner date of birth?

7. Do you subscribe to Cable?
Yes             No

If yes, who is your provider

8. Do you own any of the following?
I own a Cell Phone
Yes               No

If yes, who is your Cell phone provider?


I own a DVD (player)
Yes               No

I own a DVR (recorder) such as TIVO
Yes               No
9. Who is your local telephone provider?

10. Who is your long distance telephone provider?

11. Do you have access to a computer?


Do you have access to the internet


If you have internet access at home, what type of connection is it?


If you have internet access at home, who is your Internet Access provider at Home?


If you have internet access at work, what type of connection is it?


If you have internet access at work, who is your Internet Access provider at Work?

12. Current employment status
Full time
Part time
Homemaker
Retired
Unemployed
Student
Other
13. If you are currently employed, what is your occupation?


What industry do you work in?
14. What is your job title?


If you are currently employed as a teacher, What grade(s) and subject(s) do you teach?


What school do you teach at?


What district/county/school corp. is that?
15. What company do you work for?
16. If you are currently employed, how many employees work at your location?

17. If you are currently employed, about how often do you travel for business?

18. If you are married, what is your spouses current employment status?
    Full time
    Part time
    Homemaker
    Retired
    Unemployed
    Student
    Other
19. If your spouse is currently employed, what is his/her occupation?


What industry does your spouse work for?

20. If your spouse is currently employed, how many employees work at his/her location?

21. If your spouse is currently employed, about how often does he/she travel for business?

22. What type of home do you currently live in?

23. Do you have children living at home?
Yes             No
24. What is the gender and date of birth of each child.

CHILD 1:
Female         Male
Birthdate

CHILD 2:
Female         Male
Birthdate

CHILD 3:
Female         Male
Birthdate

CHILD 4:
Female         Male
Birthdate

CHILD 5:
Female         Male
Birthdate

CHILD 6:
Female         Male
Birthdate

25. What is the year, make and model of the 2 most used vehicles in your household?
Car 1
Vehicle Year

Vehicle Make

Vehicle Model

Car 2
Vehicle Year

Vehicle Make

Vehicle Model

26. Which banks handle your personal banking? (Press the <ctrl> key while clicking to make multiple selections)

27. What type of medical insurance do you have? (Press the <ctrl> key while clicking to make multiple selections)
28. What grocery store do you shop at most often? (Press the <ctrl> key while clicking to make multiple selections)
29. Which of the following best describes your race?
30. What is your gender?
31. What is the last year of school you completed?
32. What is your political party affiliation?
33. What is your total annual household income?
34. Do you smoke?
35. If you are qualified to participate in market research at Metro Research Services, what is your location preference?
Alexandria groups only
Fairfax groups only
No Preference
36. What pets do you have?
Dog(s)
Cat(s)
Bird(s)
Fish
37. Which of the following medical conditions do you currently suffer from?
(Press the <ctrl> key while clicking to make multiple selections)

I have read fully and accept the terms and conditions of the following agreement outlined in the text box below.



Please enter "Yes" in the box below to AGREE to the terms and submit your information.