QW(SCH) PBC

There was an error on your page. Please correct any required fields and submit again. Go to the first error

Fieldwork Chicago is looking for Women 25-64 years old to participate in a paid market research study on Friday, Febraruy 1st. Qualified individuals will be asked to participate in a focus group session at our Schaumburg office.

If you pre-qualify based on your answers to the questions below one of our recruiters will contact you. Qualified individuals will be paid an incentive of $75 after attending a 2 hour session. If you are interested in participating please answer the following questions.

Please keep in mind that we are looking for a variety of people. We are accepting all responses, therefore it is important that you answer honestly.

1. First Name *This question is required.

2. Last Name *This question is required.

3. Primary Phone Number *This question is required.

Do not add any additional characters such as - or (). This field is numerical only.

4. Secondary Phone Number

Do not add any additional characters such as - or (). This field is numerical only.

5. Email Address *This question is required.

6. What is your current age? *This question is required.

7. Gender *This question is required.

Male
Female

8. Which of the following age ranges are you in? *This question is required.

9. What is your marital status? *This question is required.

10. Do you currently have any children under the age of 18 living in your household? *This question is required.