Participate in Research Participant Sign-Up Form Please fill out the following fields, when finished click submit. Name* First Last Gender*MaleFemaleOtherRace*AsianAmerican Indian or Alaskan NativeBlack or African AmericanCaucasianNative Hawaiian or other Pacific IslanderAddress* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary Phone NumberIs this a mobile phone?*YesNoSecondary Phone NumberIs this a mobile phone?YesNoWould you like Market Decisions Research to contact you via text to alert you about focus groups and other research opportunities? Yes No Email* Age Range*Under 1818-2425-3435-4445-5455-6465 or AboveEducation*Grade School or LessSome High SchoolHigh School or GEDSome CollegeAssociate DegreeBachelor's DegreeGraduate or Professional DegreeIncome*Under $20,000$20,000 - $30,000$30,000 - $40,000$40,000 - $50,000$50,000 - $75,000$75,000 - $100,000$100,000 - $150,000$150,000 or moreOccupation / Title*Own Home or Rent?*OwnRentAre you registered to vote in Maine?*YesNoWhat is your political affiliation?*DemocratRepublicanIndependentGreenMarital Status*SingleMarriedDivorcedWidowedSeparatedLiving with PartnerNever Been MarriedDo you have children and if so, age of childrenHow did you find out about participating?*Search EngineGoogleFacebookInstagramCraigslistReferred by someone