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Elliott Benson
Elliott Benson Research Firm
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Qualitative Services
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facility
nationwide
sacramento
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Menu
bid request
participate
our services
Qualitative Services
Quantitative Services
Nationwide Recruiting & Field Management
about us
Our Team
Join Our Team
facility
nationwide
sacramento
Demographics
Employers
Directions & Parking
Sacramento Dining
Sacramento Hotels
Form Test Page
Respondent Type
New Participant for Consumer Research
Update Information - Currently in Database
New Participant for Business Professional Research
First Name
*
Last Name
*
Street Address
*
City
*
State
*
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
*
County
Home Phone
Work Phone
Mobile Phone
*
Opt-in for Text Messaging
Yes
No
We do not participate in subscription texting. Typically you will only receive a text if you are currently scheduled for a study.
Email
*
Sex
*
Male
Female
Other
Birth Date
*
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
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26
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28
29
30
31
YYYY
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
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1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
DEMOGRAPHIC INFORMATION
First Language
American Sign Language
Arabic
Cantonese
English
French
German
Greek
Gujarati
Hindi
Italian
Japanese
Korean
Mandarin
Persian
Polish
Portuguese
Russian
Spanish
Tagalog
Tamil
Urdu
Vietnamese
Secondary Language
American Sign Language
Arabic
Cantonese
English
French
German
Greek
Gujarati
Hindi
Italian
Japanese
Korean
Mandarin
Persian
Polish
Portuguese
Russian
Spanish
Tagalog
Tamil
Urdu
Vietnamese
Civil Status
Married
Cohabitating
Divorced
Single
Widowed
Level of Education
Less than High School
High School Graduate, GED
Some College, ome College, AA (two years)AA (two years)
Degree of Associates
Graduated from the University (Bachelors)
Post-Graduate School of Degree (Masters, Doctorate
Ethnic Origin
Asian
White
Hispanic
American Indian / Alaska Native
Native Hawaiian / Pacific Islander
Black / African American
Another Race
Political Party
Democratic
Republican
Independent
Not Registered
Other
Household Income
Less than $ 20,000
$ 20,000 - $ 30,000
$ 30,000 - $ 50,000
$ 50,000 - $ 75,000
$ 75,000 - $ 100,000
$ 100,000 - $ 150,000
$ 150,000 - $ 200,000
$200,000 - $250,000
$250,000 - $300,000
Over $300,000
EMPLOYMENT INFORMATION
Employment Status:
Full Time
Part Time
Self-Employed
Business Owner
Homemaker
Retired
Disabled
Student
Volunteer/ Intern (Unpaid)
Unemployed
Professional Level/Position:
Executive Level
Mid to Upper Level Management
Manager Level
Administrative
Professional Trade - Accountant, Lawyer, etc...
Construction Trade - Electrician, Plumber etc...
White Collar - Other
Blue Collar - Other
Type of Industry
Accounting
Administrative
Advertising
Aerospace
Agriculture and Farming
Air Transportation
Apparel and Accessories
Architecture
Art
Automotive
Banking
Beauty and Cosmetics
Biotechnology
Business Services
Chemical
Child Care
Commercial Airlines
Communications
Computer Arts
Computers
Construction
Consulting
Consumer Products
Consumer Services
Customer Support
Dance/Performance Arts
Digital Media (video games, etc)
Data Management
Dental and Orthodontics
Education
Electrical
Electronics
Employment and Staffing
Energy
Engineering
Entertainment
Entertainment and Recreation
Environmental (Services, etc)
Events and Planning
Extermination
Fabricator
Facilities Management
Fashion
Financial Services
Fishing and Hunting
Food and Beverage
Forestry and Logging
Furniture
Film/Motion Picture and Video
Government- County
Government- Federal
Government- City
Government- State
Grocery
Healthcare / Medical
Higher Education
History
Hospitality
Human Resources
Information Technology
Insurance
Interior Design
Journalism and Media
Land Development
Landscaping
Language
Law Enforcement
Legal
Legal Services
Lending
Lobbyist
Logistics
Mail or Shipping Services
Maintenance and Repair
Management
Manufacturing
Marketing
Medical Devices and Supplies
Military
Mining
Mortuary
Museums/Libraries
Music
Non-Profit
Nutrition
Oil and Gas (not Utilities)
Personal Services
Pharmaceutical
Printing
Property Management
Public Administration
Public Relations
Publishing
Real Estate
Recycling
Religion
Retail
Sales
Security and Safety
Social Media
Social Services or Counseling/Community Services
Sports/Fitness
Studio Arts
Technology
Telecommunications
Transportation
Travel
Utilities and Power
Veterinary
Video Games
Warehousing and Storage
Waste Management
Web Services
Wholesale
Writing/Editing
Other
Number of Employees (all locations):
1-50
51-100
101-500
501-999
1000-4999
5000+
Job Title:
Employer:
Do you travel for work?
Yes
No
HOME INFORMATION
Please include information for all children under the age of 18 living in your home.
Your Residence Status
Homeowner
Rent
Live with Other
Type of area
Urban
Suburban
Rural
Child #1 Sex
Male
Female
Child #1 Birthdate
MM
1
2
3
4
5
6
7
8
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10
11
12
DD
1
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30
31
YYYY
2025
2024
2023
2022
2021
2020
2019
2018
2017
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2015
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2012
2011
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2009
2008
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1932
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1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Child #2 Sex
Male
Female
Child #2 Birthdate
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
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30
31
YYYY
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
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2002
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1990
1989
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1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Child #3 Sex
Male
Female
Child #3 Birthdate
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
7
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11
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13
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17
18
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20
21
22
23
24
25
26
27
28
29
30
31
YYYY
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
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1959
1958
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1955
1954
1953
1952
1951
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1949
1948
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1946
1945
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1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Child #4 Sex
Male
Female
Child #4 Birthdate
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
LIFE INFORMATION:
Do You Use or Smoke Tobacco
Yes
No
Previously
Type(s) of Vehicles You Own:
Hybrid
All Electric
Sedan
Truck
Boat
Recreational Vehicle (RV)
Street Motorcycle
Off-Road Motorcycle
All Terrain Vehicle (ATV)
Sport Utility Vehicle
Riding Lawnmower
Farm Tractor
Semi-Tractor or Freight Transport
Watercraft
Other
You May Select Multiple Answers by using Ctrl+Click (PC) or Ctrl+tap mouse button, or the trackpad on (MAC)
Favorite Music
Top 40
Contemporary Easy Listening
Alternative
Country Music
Classic / Hard Rock
Hip Hop / Rap
Jazz
Classical
Religious
You May Select Multiple Answers by using Ctrl+Click (PC) or Ctrl+tap mouse button, or the trackpad on (MAC)
Green Lifestyle
Bicycle / Walking / Public Transport
Buy Organic Food
Buy / Wear Organic Clothing
Ride Share /Uber / Lyft
Use Electric / Hybrid Vehicle
Volunteer for Environmental Causes
Donate to Environmental Charities
Recycle / Reuse
Use Natural Cleaning Products
Use Natural Beauty Procucts
You May Select Multiple Answers by using Ctrl+Click (PC) or Ctrl+tap mouse button, or the trackpad on (MAC)
Online Activities
Write Blogs
Read Blogs
Upload Photos
Stream Music/Spotify/Amazon/Pandora
Stream TV/Movies Apple/Netflix/Amazon/Hulu/Sling
Play Online Games
Social Networks
Sell Products
Buy Products
You May Select Multiple Answers by using Ctrl+Click (PC) or Ctrl+tap mouse button, or the trackpad on (MAC)
Technology You Own and Use
Smart Phone
Desktop Computer
Apple Mac Book
Laptop Computer (PC)
Tablet
Apple iPad
Apple TV
Smart TV
Amazon Fire TV Stick
Chromecast
Roku
Facebook Portal
Facebook Portal Mini
Facebook TV
Oculus Quest 1 VR Gaming
Oculus Quest 2 VR Gaming
Oculus Rift
Smart Thermostat
Smart Speaker: Alexa, Google Home, Siri, etc.
Smart Home Devices
Solar Technology
Video Doorbell
Video Game Console
Voice Enabled Device
Webcam
WiFi (Not Hotspot)
Wifi Hotspot
You May Select Multiple Answers by using Ctrl+Click (PC) or Ctrl+tap mouse button, or the trackpad on (MAC)
Health Status
Arthritis
Asthma or COPD
Autism
Cancer (Current/Survivor)
Diabetes (Type 1)
Diabetes (Type 2)
High Blood Pressure
High Cholesterol
HIV/AIDS
Obesity
Seasonal Allergies
Special Dietary Needs
Urinary Continence
Vision Impaired (Not counting glasses/contacts)
Depression or Anxiety
Mental Illness: bipolar, PTSD, schizophrenia, etc.
Other
You May Select Multiple Answers by using Ctrl+Click (PC) or Ctrl+tap mouse button, or the trackpad on (MAC)
Approach on New Technology
Find out how other people like first
One of the first to discover and try
Relatively quickly, try right away
Wait until tried and true
You May Select Multiple Answers by using Ctrl+Click (PC) or Ctrl+tap mouse button, or the trackpad on (MAC)
Organizations
Business/Chamber of Commerce/Professional Societies
Philanthropic or Civic Organization
Political Organization
Religious Organization
Parent Teacher Association/Youth Sports Group
Organization of Community Volunteers
Prevention/Cure of Illness
Environmental Group
You May Select Multiple Answers by using Ctrl+Click (PC) or Ctrl+tap mouse button, or the trackpad on (MAC)
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