Join our Database at Dallas By Definition

Join our database. It's free, and it's how we invite you to focus groups.

Please take 2-5 minutes to fill out our respondent form. It allows us know more about you so we can contact you for the right groups.

We do NOT sell your information. You will only be contacted if we think you are a great candidate for a focus group or research study.

Enter your contact information:

Mr. Mrs. Ms. Dr.

First Name

Last Name

Home Phone

Mobile Phone

Email Address

Tell us about yourself:

Month you were born *

Day *

Year *

Education

Ethnicity

Relationship Status

Do you speak Spanish?

Religious Affiliation

Registered Voter

Political Party

We use your demographic information to help match you to research studies.

Tell us about your current employment:

Employment Status

Company Name:

Job Title:

Number of Employees (Local):

Number of Employees (Worldwide):

What is your household income (before taxes):

Tell us about your vehicles:

Do you have a vehicle?

Tell us about your vehicles (up to four):

First Vehicle:

Make: Model: Year: How did you acquire your vehicle?

Second Vehicle:

Make: Model: Year: How did you acquire your vehicle?

Third Vehicle:

Make: Model: Year: How did you acquire your vehicle?

Fourth Vehicle:

Make: Model: Year: How did you acquire your vehicle?

What type of car insurance do you carry:

Do you own any recreational vehicles?

Tell us more about your household:

Home Address: * Apartment or Suite: City: * State: * Postal Code: *

What is your current residence situation? Residence Type:

Do you currently have any pets in the household?

Do you have children living in the household?

Child 1: First Name

Month

Day

Year

Gender

Child 2: First Name

Month

Day

Year

Gender

Child 3: First Name

Month

Day

Year

Gender

Child 4: First Name

Month

Day

Year

Gender

Child 5: First Name

Month

Day

Year

Gender

Child 6: First Name

Month

Day

Year

Gender

Some quick questions about the products and services you use:

What company provides your local telephone service?

What company provides your long distance telephone service?

Who is your cell phone service provider?

Is your phone a Smartphone?

Who makes your smartphone?

Do you bank with any of the following institutions?

Do you have credit cards affiliated with any of the following companies?

Which kind of razor product do you use most often?

Razors

Do you use any Tobacco products?

Which radio stations do you listen to regularly?

Does anyone in your household travel by air in a typical year?

Medical Questions

Is anyone in the household affected by the following conditions? Select all that apply.

Do you take medications?

What names and brands of medication do you take?

Do you use any corrective lenses?

Have you had any kind of vision correction surgery, such as Lasik?