.

Market Research Interview Registration
 

Welcome to TAi Denver.  Please answer the following questions in order to submit your name to TAi for potential use in upcoming surveys.  Although we don't require you to answer all the questions below, the more information you provide, the better your chances of  participating in an upcoming survey.

Once you register, we will try to match you up with the first appropriate project.  You will be paid an honorarium of $35 or more depending on the subject and length of the project.  Most research projects are conducted at our office in Denver. 

You must be able to get to our downtown Denver office in order to participate in these projects.  You will need to bring photo ID with you when asked to participate in an interview.

You must be 18 or older.  It's not that we don't like kids. We do. In fact, we were kids once. But federal law limits who we can collect information on. Thanks.
 Please fill out the online form below, or print the form and mail it to:
 
TAi-Denver, Inc.
Republic Plaza
370 17th Street, Suite 3170
Denver, CO  80202
 

NOTE: This information is for market research purposes only. You will not be solicited for any sales purpose whatsoever and your name, address or phone number will not be made available to any sales or telemarketing company.  If you are concerned about your privacy, you may see our security statement.

(Items with an asterisk (*) are required for registration.)
 
First Name *
 
Last Name *
 
Street Address
 
City
 
State
 
Zip Code
 
County
 
Home Phone
(including area code, please) *
 
Work Phone
 
Cell Phone
 
E-mail Address *
     (enter "NA" if you don't have e-mail)
 
Date of Birth *   
   (Sorry, but you must be over 18) 
 
Gender  * 
 
Type of Residence
 
Annual Household Income (before taxes)  *
 
Highest Level of Education Completed: *
 
Marital Status  * 
 
Ethnicity: *
 
Employment Status: *
 
How are you registered to vote?
 
Occupation:
 
Industry:
 
Spouse's Occupation:
 
Spouse's Industry:
 
How many employees are in your company:
 
Do you own your own business? Yes   No
 
Are you self employed? Yes   No
 
Do you have a home based office? Yes   No
 
Do you travel out of town for work? Yes   No
 
How many children under the age of 18 are in your household? *
 
Please give information about the children in your household  Gender        Birth Date
    First Child     
    Second Child     
    Third Child     
    Fourth Child     
    Fifth Child     
    Sixth Child     
 
Which languages other than English, do you speak fluently?        Select all that apply.
Please scroll down to view additional selections.  Hold the Control <Ctrl> key while clicking to select multiple languages. To remove a language, hit <Ctrl> while clicking again.		  
 
What type of music do you listen to regularly?  
     Select all that apply.
Please scroll down to view additional selections.  Hold the Control <Ctrl> key while clicking to select multiple languages. To remove a language, hit <Ctrl> while clicking again.
 
Do you suffer from any of the following medical conditions?
 
     Select all that apply.
Please scroll down to view additional selections.  Hold the Control <Ctrl> key while clicking to select multiple languages. To remove a language, hit <Ctrl> while clicking again.
 
Which of the following alcoholic beverages do you consume?  
     Select all that apply.
Please scroll down to view additional selections.  Hold the Control <Ctrl> key while clicking to select multiple languages. To remove a language, hit <Ctrl> while clicking again.
 
What type of beer do you drink?  
     Select all that apply.
Please scroll down to view additional selections.  Hold the Control <Ctrl> key while clicking to select multiple languages. To remove a language, hit <Ctrl> while clicking again.
 
Who is your cell phone provider/carrier?
 
Which of the following Lottery games do you play?  
     Select all that apply.
Please scroll down to view additional selections.  Hold the Control <Ctrl> key while clicking to select multiple languages. To remove a language, hit <Ctrl> while clicking again.
 
Which of the following pets do you own?  
     Select all that apply.
Please scroll down to view additional selections.  Hold the Control <Ctrl> key while clicking to select multiple languages. To remove a language, hit <Ctrl> while clicking again.
 
Do you have cable television? Yes   No
 
Do you have satellite television? Yes   No
 
Do you smoke cigarettes? Yes   No
 
Do you smoke cigars? Yes   No
 
Do you eat organic foods/drinks? Yes   No
 
Do you own your home? Yes   No
 
Please tell us about the main vehicle you drive:
Year:
Make:
Purchased New or Used:
What type of vehicle is it?
 
Please tell us about the secondary vehical you drive:
Year:
Make:
Purchased New or Used:
What type of vehicle is it?
 
How did you hear about TAi-Denver?  
     Select all that apply.
Please scroll down to view additional selections.  Hold the Control <Ctrl> key while clicking to select multiple languages. To remove a language, hit <Ctrl> while clicking again.
 
 

As a potential participant for a market research interview, you are asked to read and understand the following procedures and responsibilities:

1)  When TAi reviews your file for participation in a market research panel, a telephone interviewer will call you with a preliminary set of questions.  You agree that you will answer the questions thoughtfully, completely, and honestly.  If you are not sure of an answer or cannot fully remember specific details about your habits or purchases, you will inform the interviewer.  In other words, you will not just give the answer you think will lead to your participation.

2)  If you are invited to participate at the conclusion of the telephone interview, you agree that you will accept only if you are certain you can fulfill your commitment (barring unforeseen emergencies).

3)  On the day of the panel, you agree to arrive 15 minutes early to help ensure the prompt commencement of the session.  Upon arrival, an interviewer will ask you to complete another set of questions to confirm your original responses.

4)  If a product, diary, or other task was assigned as part of the panel, you agree you will remember to bring it to the session.

5)  The subject matter of the panel is often withheld from public discussion and, if indicated during the session, you agree to abide by rules of confidentiality requested by the panel's moderator.

6)  In exchange for your participation and fulfillment of your responsibilities, you will be paid a cash incentive, the amount of which will be indicated during the original telephone interview (amounts vary).

7)  If, however, the responses you provide the day of the panel are not consistent with your original responses from the telephone interview, no cash incentive will be due you.

I have read and agree to the rules and agree to the procedures and responsibilities.
Yes   No

 

You will receive emails from CO-Respondents@taicompanies.com notifying you of upcoming projects. Please take a moment and put this email and domain (taicompanies.com) in your contact list.