This form is NOT FOR PAID PARTICIPATION IN OUR STUDIES. Clients only please.
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
Format: (000) 000-0000.
Company
*
Markets
*
NATIONWIDE
Paramus (Metro New York)
Marlton (Metro Philadelphia)
Atlanta
Dallas
Los Angeles
Denver
San Francisco
Houston
Ft. Lauderdale
Phoenix
San Diego
Chicago
Tampa
Other
Type of Study
*
Online IDIs
Online Groups
In-person IDIs
In-person Groups
Phone Interviews
Online Bulletin Board
Online Survey
In-home Use Test
Taste Test
Project Specifications:
*
Proposed Dates
Will you be providing a list to recruit from?
No
Yes, a BLINDED list and we cannot identify the client
Yes, the list is UNBLINDED and we can identify the client
Have you worked with PRC Global Market Research in the past?
*
YES, existing current client
YES, existing client, but it's been a while
NO, I was referred from an existing client
NO, I found you on Greenbook
NO, I found you on Quirk's
NO, I found you via internet search
OTHER
Please verify that you are human
*
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