Focus Groups, Discussion Groups, Telephone Groups--Research Options

Please fill in the form below with as much information as possible so we can quickly turn around a no-obligation quote for you:

Please provide as much information as you can in order for us to give you an accurate quote.

1. Number of groups desired:

2. Location for the group(s): [if certain countries/cities are desired]

3. Respondent characteristics: [e.g. Interventional Cardiologists who use coated stents, nurses who work full time in the neonatal intensive care unit, teen-agers who use instant messaging at home at least four times a week, children under twelve who have seen both of the Harry Potter movies to date, seniors who do not have long term care insurance, etc.]

4. Which of the following best describes any respondent information you might be able to supply to help in our recruiting efforts:

We have a complete, substantial list of targeted respondents with names, telephone numbers and emails.

We have a complete, substantial list of targeted respondents with names and telephone numbers.

We have a complete, substantial list of targeted respondents with names and addresses.

We have a small list of the targeted respondents with contact information but this will have to be supplemented.

We have no in house list of these respondents.

5. What is the timing for the groups, e.g. they have to be completed by: // (mm/dd/yy

6. Your contact information:

Name:
Company/organization:

Telephone:

Email address:

7. Additional information that will help us give you a more complete proposal.