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Use this convenient form to REQUEST A BID from ONE OR MORE of our sponsors. (A complete list of sponsor facilities and their city locations can be found on the sponsors page.)

Simply fill in the specifications of your focus group and/or one-on-one (IDI) assignment and click the SUBMIT button to forward them directly to the desired locations. The individual facilities will respond to your request.


CLIENT INFORMATION
Your Name
Company Name
Your City and State
Telephone   Example: (000) 000-0000
Email

PROJECT DESCRIPTION
Please write in your project specs below, or attach a written description or screening questionnaire below. Please provide as much detail as possible about the assignment.

ATTACH DESCRIPTION OR SCREENING QUESTIONNAIRE
Using the Browse button, please select the file you wish to attach.
(Note: File must have a 3-character extension and cannot exceed 1 meg in size.)

FIRST CITY
CITY CHOICE
FIRST SESSION
MonthDayYear
LAST SESSION
MonthDayYear
GROUPS IDIs
Number Number
Duration Duration
Min. Respondents

SECOND CITY
CITY CHOICE
FIRST SESSION
MonthDayYear
LAST SESSION
MonthDayYear
GROUPS IDIs
Number Number
Duration Duration
Min. Respondents

THIRD CITY
CITY CHOICE
FIRST SESSION
MonthDayYear
LAST SESSION
MonthDayYear
GROUPS IDIs
Number Number
Duration Duration
Min. Respondents

FOURTH CITY
CITY CHOICE
FIRST SESSION
MonthDayYear
LAST SESSION
MonthDayYear
GROUPS IDIs
Number Number
Duration Duration
Min. Respondents

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