Become a Research Participant

By providing the requested information on the form below, Research & Polling can determine whether you are eligible for particular studies, based on our clients' requirements. You are under no obligation to participate if selected for one of these research projects. Furthermore, the information you provide is confidential (see Privacy Policy below).

Join our research panel to be considered for Focus Groups, Mock Trials and Internet Surveys

First Step! Fill out the form below. You will receive a confirmation email to complete the process.

Once the registration process is completed, you will be able to log in and view or edit your information at any time.

Join today by filling out the form below

or

Sign in above if you have already registered

Contact Information

First Name*

Middle Initial

Last Name*

Address*

City*

State*

Zip*

County (NM residents only)*

Provide your email to qualify for more research projects. This is also your account username.

Confirm Email

Primary Phone*

Primary Phone Type*

Secondary Phone

Secondary Phone Type

Work Phone

Extension

Contact Permission

Check this box to give Research and Polling, Inc. permission to contact you via email or phone to determine your eligibility and interest in participating in our future research projects

Demographics

Ethnicity*

Gender*

MaleFemale

Years in New Mexico*

Do you own or rent your residence?*

OwnRent

Month of Birth*

Year of Birth*

Level of Education*

Voter Registration*

Marital Status*

Employer

Occupation

Health Plan*

Other Health Plan*

Household

# of People in Household*

# of Children Under 18 in Household*

Household Income*

Language Spoken at Home Other than English*

Phone Service at Current Residence

Acceptance

Research & Polling, Inc. values and respects your privacy. The information provided by you is kept strictly confidential and is used by Research & Polling, Inc. only for legitimate research purposes. We do not sell or distribute your personal information to any other company. View Privacy Policy

Accept the Privacy Policy*

I Read and Accept Privacy Policy Above

How You Heard About Research & Polling*

Other*

Referrer's Name*

Spam Check*

7 MINUS 5 EQUALS Please fill in the answer above using a number (for example, 5 instead of the word "five").

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