Your name:
Your email:
Your company name:
A phone number where we can reach you:
Company address, city state and zip:
Next, tell us about your project…
Topic of project:
Primary type of project:
Focus Groups
Mini Groups
One-With-One Interviews
Ethnographies/Shop-alongs
Mock Jury
Taste Test
Home Use Test
Perception Analyzer Test
Onsite Interviewing
If the project type is two-fold (i.e., a Taste Test followed by Focus Groups) please indicate the second type of project below:
There is no secondary type
Focus Groups
Mini Groups
One-With-One Interviews
Ethnographies/Shop-alongs
Mock Jury
Taste Test
Home Use Test
Perception Analyzer Test
Onsite Interviewing
Number of groups/interviews:
Length of each group/interview:
Hours
Minutes
Number to show per group:
Room configuration preference:
Standard
Living Room
Boardroom
Youth Setting
Bar Setting
Taste Test
Courtroom
One-with-one interview
Classroom
Usability lab
Other special configuration
If “other,” please describe so we can best meet your needs:
Do you have dates or a date range in mind?:
Yes
No
If “yes,” what are those dates?
Would you like us to place a hold on our calendar for those dates?
Yes
No
What times were you thinking for the groups/interviews?
Project specifications (age of participants, gender, education, anything else specific to your project or screener. The more we know, the more specific your bid will be). It you have a spec sheet already done, feel free to copy and paste it here:
Suggested incentive:
Finally, tell us about your onsite needs…
How many clients are expected in the back room?
Any special client food requests?
Anything else we should know about the clients?
What did you have in mind for respondent food?
Tell us about your technological needs. Please check all that apply.
Stationary VHS recording
Stationary DVD recording
Audio CD recording
Video with operator
FocusVision video conferencing
FocusVision video streaming
Interclipper Vic CD
Computer Rental for group room or back room
TV and VCR for group room
TV and DVD player for group room
Any other special technological needs?
Anything else we should know?