June 9th
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Email *
First Name *
Last Name *
Age *
Phone Number *
Gender *
What is your sexual orientation? *
Ethnicity *
What CITY do you live in *
What COUNTY do you live in *
What STATE do you live in (ex- CA, NY, TX etc.) *
What is your Zip Code
What region do you live in? *
What area do you live in? *
Highest Level of Education *
Employment Status *
What is your current occupation? (please list previous if unemployed, homemaker or retired) *
What industry do you work in? (please list previous if unemployed, homemaker or retired) *
Annual *Household* income (Everyone working adult in your home combined) *
Marital Status *
Do you own or rent you home? *
What type of home do you live in? *
If you have children, how old are they? *
Required
Please note - If you have more than one child in this age range - Please fill that out for each separate child.
Do you have any of the following age/gender children? *
When is your child's birthday? (ex. 11/16/2010) *
What is the year of your vehicle? *
What is the Make of your vehicle? (Ford, Chevrolet, BMW, etc.) *
What is the Model of your vehicle? (Escape, Tahoe, X3, etc.) *
Currently, how is your child typically attending school? *
How do you connect to the internet? Check all that apply. *
Required
Which of the following TV services do you have in your house? Check all that apply. *
Required
Which of the following is your TV service provider? *
Required
Does your household have a free registered Zoom account that your child can use for the purpose of this online focus group and/or would you be willing to register for a free Zoom account? *
Is the internet speed/bandwidth at your house strong enough to support your child participating in a 2-hour focus group without any streaming issues? *
Do you own or have access to a laptop or desktop with working web camera and microphone? Note that iPad’s, Chromebooks or other tablets are NOT permitted for this study. *
Will your child have access to this laptop or desktop for at least 6-months? *
These groups will also require your child to watch videos on a desktop or laptop. Is the internet speed/bandwidth at your house strong enough to stream video without any issues? *
Are you willing to be on camera with your child to help set them up for their focus group? *
How comfortable would your child be talking to a group of other kids their age online (using Zoom) about a brand new television show ?   *
Which of the following activities would you say your child does often? *
Required
Which of the following channels does your child like to watch? *
Required
For the next set of questions, please tell me how much your child like to do the following things; Please be sure to have your child present to answer the remaining questions. We will be screening them on the phone and want to ensure the most accurate answers to avoid disqualification.
Play online games or Use apps on mobile/tablet *
Do arts & crafts (i.e. painting, drawing, etc.) *
Watch TV *
Watch videos on YouTube or some other video website *
Read books or magazines for fun *
Play video games *
Play sports/exercise *
Play with action figures or plush toys *
Listen to music *
Use social media sites like TikTok, Instagram, Snapchat, etc.   *
Use a laptop or desktop computer *
Wear the latest fashion and styles *
Role play with masks, costumes and/or weapons *
Listen to podcasts and/or audio books! *
Give me an example of a topic you would talk about with your friends?  Anything at all. Please be detailed. *
For the  next few questions, please tell me how much you like to keep up-to-date on and talk about the following with your friends?
Things you wear/how you dress—clothing, fashion & style (clothing, accessories, sneakers/shoes, etc.) *
Technology and electronics products—by that we mean things like smartphones, tablets, e-readers, music players, etc. *
Music—songs, artists/bands/groups, videos *
Popular entertainment—TV shows, streaming video, movies, TV stars, movie stars, podcasts *
Video games and gaming consoles/Online games or apps that you can play with a computer or tablet or smartphone *
Current Events – news (local and/or global), trends, etc. *
How much do you like each of the following TV Channels?
Nickelodeon *
Disney Channel *
Nicktoons *
Cartoon Network *
Disney XD *
Teen Nick *
Netflix *
Disney+ *
Hulu *
Amazon Prime *
Paramount + *
HBO Max *
Peacock *
AppleTV+ *
How much do you like watching competition shows or game shows *
How much do you like shows about real people and their lives *
How much do you like cartoons *
How much do you like Music shows? *
How much do you like Live action shows with real actors, not cartoons *
How much do you like shows about animals *
How much do you like Anime *
How much do you like Scary Shows and/or Movies *
Of the following channels I will now read to you, please tell me about how many days per week you watch each channel
Cartoon Network *
Disney XD *
Teen Nick *
Disney Channel *
Nicktoons *
Netflix *
Hulu *
Amazon Prime *
Nickelodeon *
Disney+ *
Paramount + *
HBO Max *
Peacock *
AppleTV+ *
I am now going to read you a list of TV shows that you may or may not watch.  For each one, please tell me how you feel about each show
Danger Force *
Side Hustle *
The Loud House *
Big Nate *
SpongeBob SquarePants *
Kamp Koral: SpongeBob’s Under Years *
Rugrats *
Star Trek: Prodigy *
Victorious *
iCarly *
Avatar: The Last Airbender *
The Patrick Star Show *
Young Dylan *
That Girl Lay Lay *
Bunk'd *
Amazing World of Gumball *
Teen Titans Go! *
Boss Baby: Back in Business *
Amphibia *
Monsters at Work *
We Baby Bears *
Elliott From Earth *
Raising Dion *
Secrets of Sulphur Springs *
The Highschool Musical *
The Highschool Musical *
Warped! *
The Cuphead Show *
The Proud Family: Louder and Prouder *
These interviews will also require children with strong verbal and vocabulary skills who are able to be descriptive and to express themselves easily in words and language.  Do you feel as if (NAME OF CHILD) is capable of participating in this type of a group?
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If your child qualifies and is interested in joining a monthly panel does s/he/they have your permission to attend?  S/he/they will be invited to attend a group discussion with other kids around his/her/their age via Zoom, and if chosen to join the panel, will be asked to return approximately once a month for the next 6 months.  
Clear selection
Are you or is any member of your household currently employed by, previously employed by, or retired from any of the following types of companies *
Required
You must have a working Desktop or Laptop computer with high-speed internet, webcam and audio capability to participate in this study. Do you have access to all of these things to participate in this study? *
Payment for participation will be paid by email with a Visa Gift Card (Unless otherwise stated) Payment can take up to 3-4 weeks to receive. Are you ok with this? *
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