To register on line for one of our focus groups, please fill out the following form:

First Name:
Last Name:
Address:
City:
State:
Zip Code:
Home Phone:
Email:
Date of Birth:
Ethnic Background:
Highest level of education completed:
Your occupation:
Annual Household Income:
Marital Status:
Do any children 18 or under
reside in your household?
If Yes,
Child 1   DOB  
Child 2   DOB  
Child 3   DOB  
Child 4   DOB  
Child 5   DOB  
Family Vehicles:
Vehicle 1:   Year/Make/Model
Vehicle 2:   Year/Make/Model
Are you:  (check all that apply)Homeowner
Registered Voter
Computer Owner
Pets:  (check all that apply)Dog
Cat
Other
Are you a smoker?
If yes, which brand?
Do you drink (check all that apply)Beer
Wine
Liquor/ Mixed Drinks
Do you have:  (check all that apply)Allergies
Asthma
Diabetes
Migraines
High Blood Pressure
High Cholesterol
Do you wear Contact Lenses?
Your favorite Radio Station:  
 Add me to your email list

Search Our Site:


New England Focus Group
· Our guiding principle at New England Focus Group is EXCELLENCE.  From recruiting to project management, we will see to it that all your needs be accomplished to perfection.

· We pledge to go "above and beyond" to guarantee a successful investment to our clients.

· No research project is too small, large, or challenging for us to handle.  Our motto is the "CAN DO" company and we will meet all challenges with endless energy and determination.

· You will get 110% from us! Eyes and ears consistently poised to the minutest detail. That's what we offer. Complete availability, too! We are always a click or phone call away. Call us anytime, day or evening. We will be there for you.