March 2018 Questionnaire

Initial Screening

Thank you for your interest in our upcoming focus group in Mountain View on Tuesday, March 20th – Thursday, March 22nd.

Session times are available beginning at 10:00 AM through 5:00 PM.

Each session will last up to 1 hour, and participants will receive $100!

Completing the questionnaire does not guarantee participation, you must take part in a follow-up phone call with a VGM representative in order to be confirmed for participation.

Please answer these questions so we know how to contact you and when you are available.

You can view our privacy policy here: http://www.vgm.co/privacy-policy/

We will contact you if your answers match our client's qualifying specifications.

1. What is your name? *This question is required.

First name
Last name
Suffix (Jr., Sr., III, etc.)

2. What is your birthday?
Please enter it in MM/DD/YYYY format. *This question is required.

Age

3. What is your gender? *This question is required.