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Become a Respondent



Looking for a great way to voice your opinion and get paid for it? Become a paid survey participant! At INGATHER RESEARCH, we are always looking for new people to join in this fun and exciting process!

Typically, a 2 hour focus group pays about $75-$100, but market research survey participants can earn anywhere from $40 to $200 or more – for 30 minutes to 4+ hours of discussion with others about the products and services you use every day!

Here is your chance to get involved! Simply fill out the form below and press the “Submit” button at the bottom of the page. Your information will be sent to the INGATHER RESEARCH database of marketing research survey participants, where you will be called or emailed if we have a study that matches your demographics or interests.

In accordance with our Privacy Policy, we never sell or share your personal information. It is used solely for marketing research purposes and you will not be contacted by anyone other than INGATHER RESEARCH as a result of your submitting your information on this website.

Still have questions? Contact us at 303-988-6808 by phone or by email: info@ingatherresearch.com.

Start getting paid for your opinions by filling out the form below!

Please fill out the form below. Questions marked with an asterisk (*) are required.

Please tell us how you learned about Ingather Research by clicking on the appropriate response*:

If you selected Flyer, TV, Radio, Newspaper, or Database Event please type in the topic/name of ad/event:

Personal Information

First Name*:

Last Name*:

Home Phone*:

() -

Birth Date*:

 Day: Year:

Email Address*:

Home Address*:

City*:

State:

Colorado only

Zip Code*:

County:

Work Phone:

() -

Cell Phone:

() -

Fax:

() -

Gender*:

 Female Male

Race:

Marital Status:

Annual Household Income:

Employment Status:
(If retired, unemployed, or disabled, what was your previous occupation/industry?)

Occupation/Industry:

Job Title:
(Check all that apply. Hold down the <ctrl> key while clicking to make multiple selections.)

Is this a home based business?

 Yes No

Are you self employed?

 Yes No

Education level:

Are you bilingual?

 Yes No

What languages do you speak?
(Check all that apply. Hold down the <ctrl> key while clicking to make multiple selections.)

Housing Type:

  Own Rent

Political party affiliation:

Who did you vote for president in 2008?

What is your religious affiliation?

Do you drink alcohol beverages?:

 Yes No

Does your household purchase and eat organic foods?

 Yes No

Home Entertainment

Internet connection:

Internet provider:

Do you social network?

 Yes No

At home do you have:
(Check all that apply. Hold down the <ctrl> key while clicking to make multiple selections.)

What types of music do you listen to on the radio?
(Select up to two. Hold down the <ctrl> key while clicking to make multiple selections.)

What is your primary source of news?

What pets do you have?
(Check all that apply. Hold down the <ctrl> key while clicking to make multiple selections.)

Medical

Any health issues?
(Check all that apply. Hold down the <ctrl> key while clicking to make multiple selections.)

Do you smoke?

Your Primary Vehicle

Type:

Make:

Year:

Purchased:

Children

Do you have children under the age of 18 living at home?

 Yes No

1st Child

Gender: Female Male

Birth Date:

Month: Day: Year:

2nd Child

Gender: Female Male

Birth Date:

Month: Day: Year:

3rd Child

Gender: Female Male

Birth Date:

Month: Day: Year:

4th Child

Gender: Female Male

Birth Date:

Month: Day: Year:

5th Child

Gender: Female Male

Birth Date:

Month: Day: Year:

6th Child

Gender: Female Male

Birth Date:

Month: Day: Year:

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