International Advisory Panel

Complete this Form to Join the
International Advisory Panel

We randomly award 10 cash prizes ranging from $5 to $100 to participants who complete each survey!

Signup below to participate in our surveys!


Please be assured that your responses are strictly confidential and that no information about you will be revealed to anyone. The information you provide will only be used in calculating statistics about the panel as a whole.

Background QuestionsAlien Background

PLEASE NOTE: You must configure your email program and/or spam filter to make sure that you will be able to receive surveys from the Advisory Panel.

Your settings should allow any message from ___________@advisorypanel.com to be received. Please do this before you complete this form.

Please answer all of the following questions

1. Your sex:
Male   Female
2. Your age:
12 or less   13 to 19    20 to 29
30 to 39 40 to 49 50 or more
3. Where do you live?
Your city:
Your state or province:
Your country:
Your zip code:
4. Are you married?
Yes   No
5. Do you have any children living at home? (Check all that apply)
None Aged 12 or less
Aged 13 to 19    Over 19
6. How much education have you completed?
Elementary School    High School
College Graduate or Professional School
7. Your employment status:
Employed full-time
Employed part-time
Student
Homemaker
Retired
Self-employed
Disabled
Not employed
8. Your employer:
Government, including military
School or university
Large corporation
Medium to small corporation
Owner/Manger of a small business
Self-employed
Not for profit
Entrepreneur
Other:
9. What is your occupation or profession?
(Examples: Manager, engineer, teacher, lawyer, nurse, etc.)
10. Your total household income for one year:
Under $25,000
$25,000 to $50,000
$50,000 to $75,000
Over $75,000
11. Your ethnic heritage
African-American
Asian
Hispanic or Latino
Caucasian
Other
12. How did you learn about us? 
13. Your first name: 
14. Your last name: 
15. Your email address (for notifying you about new surveys ONLY. We do not share this information!):
 

Click Here:

This page created and maintained by Impulse Research Corp.
Page updated 1/8/2008