Project Cantaloupe (Insurance)
watchLAB
welcomes you to the
pre-qualifying
online survey for Project Cantaloupe (Insurance)!
Topic:
Insurance
Genders:
All
Ages:
18+
Sessions Available:
Tuesday, April 28th through Friday, May 1st
Length:
45-minutes
Type of study:
Remote Interview via Zoom
Location:
Remote
Incentive:
$100
(
Payment would be mailed to you as a check. We estimate that checks would be mailed out about 4 to 5 weeks after the last interviews for this study have been completed.)
Before you get started -- some stuff you should know:
After you fill out the survey, we will review your responses. If you appear to be a possible match to our client's research criteria we will call you
to verify your responses and ask you some additional questions to determine if you fully qualify. Please note that simply filling out the survey does not automatically qualify you for the study. Also, due to a potential high volume of responses, we may only be able to respond to those who appear to be a possible match.
The world has Swiss Banks. We have our Online Community. Both are highly confidential and secure -- only with us, you don't have to worry about retina scans and fingerprints. Any information you share with
watchLAB
will never be given to any clients or third parties without your explicit permission as part of a paid market research study.
Ready to start the survey?
Thank you for your interest in this paid study! If your responses align with our client's research criteria we will contact you f
or scheduling &
to ask a few more qualifying questions.
Contact & Basic Info
First Name
Last Name
Mobile Phone
Email
Gender
Please select...
Female
Male
Trans female/Trans woman
Trans male/Trans man
Non-binary/Genderqueer/Gender non-conforming
City
State
2 characters left.
Zip Code
5 characters left.
Metro Area
Please select...
Atlanta-Sandy Springs-Roswell, GA
Austin-Round Rock, TX
Boston-Cambridge-Newton, MA-NH
Charlotte-Concord-Gastonia, NC-SC
Chicago-Naperville-Elgin, IL-IN-WI
Cincinnati, OH-KY-IN
Dallas-Fort Worth-Arlington, TX
Denver-Aurora-Lakewood, CO
Detroit-Warren-Dearborn, MI
Houston-The Woodlands-Sugar Land, TX
Los Angeles-Long Beach-Anaheim, CA
Miami-Fort Lauderdale-West Palm Beach, FL
Milwaukee-Waukesha-West Allis, WI
Minneapolis-St. Paul-Bloomington, MN-WI
Nashville-Davidson–Murfreesboro–Franklin, TN
New York-Newark-Jersey City, NY-NJ-PA
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD
Phoenix-Mesa-Scottsdale, AZ
Portland-Vancouver-Hillsboro, OR-WA
Sacramento–Roseville–Arden-Arcade, CA
San Antonio-New Braunfels, TX
San Diego-Carlsbad, CA
San Francisco–Oakland–Hayward, CA
San Jose-Sunnyvale-Santa Clara, CA
Seattle-Tacoma-Bellevue, WA
St. Louis, MO-IL
OTHER
Birthdate (mm/dd/yyyy)
Age
Ethnicity
Please select...
African American or Black
American Indian or Alaska Native
Asian American
Caucasian or White
Hispanic, Latino or Spanish Origin
Native Hawaiian or Pacific Islander
Other
What is your...
Highest level of education attained
Please select...
Some High School
High School Graduate
Some College
AA, 2-year
Trade Degree
BA or 4-year Degree
Some Post Graduate
Post Graduate Degree
Employment Status
Please select...
Working Full time
Working Part Time
Stay at home parent
Full Time student
Part Time student
Retired
Unemployed/Seeking work
In which industry are you employed?
Please select...
Agriculture & Forestry
Arts, Entertainment & Recreation
Business/Professional Services
Construction
Consumer Services
Education
Finance & Insurance
Government
Health Care
Lodging
Management of Companies & Enterprises
Manufacturing
Media
Membership Organizations
Non-classifiable establishments
Nonprofit Institutions
Oil & Gas or Mining
Public Utilities
Private Households
Real Estate
Religious Organizations
Rental & Leasing
Restaurants, Bars & Food Services
Retail
Transportation Services
Wholesale
What are the occupation/industry(s) of the adults in your household?
Marital Status
Please select...
Single, never married
Living with a partner
Married
Divorced
Separated
Widowed
None of the above
Household Income
Please select...
Under $25k
$25-45K
$45-60k
$60k-75k
$75-100k
$100k+
Please tell us...
Do you have health insurance?
Please select...
Yes
No
Who is your health insurance provider?
Please select...
Aetna
Premera Blue Shield
Cigna Health
Humana
Kaiser
Regence Blue Cross Blue shield of Oregon
United Healthcare
Other
Other, please specify:
W
ho in your household is responsible for managing and making health care decisions for the household?
Please select...
a. Self
b. Spouse or other person
c. Co-manage by self and spouse / partner
d. Share responsibility equally with another
e. Other
Have
you used Regence.com or in the Regence app?
Please select...
Yes
No
Don't know
Do you have access to a computer to complete this research study?
Please select...
Yes
No
Don't know
Have you ever used Zoom for a conference call?
Please select...
Yes
No, but I'm willing to try
No, I don't feel comfortable
Contact Information