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About the Cafe Membership Registration

By registering with SurveyCafe you will be joining a group of people who are committed to providing their honest opinions to help influence new products and services. Based on the information you provide on this page, you will be selected to participate in surveys ranging from 10 to 30 minutes in length. You will learn how your responses compare to other panel members who participate in our studies and for each study you complete, you will earn real incentives, not just points or a chance to win something.

What you need to know about us before you register

Your participation will be absolutely confidential and your name, address, phone number and email address will not, for any reason, ever be sold, shared or otherwise compromised. We also promise never to try and sell you anything.

What we need to know about you to have you participate

Before you participate, we need to have enough information about you so we can select you for studies and mail the incentives you earn to you. We will store your information in our secure internal database. Again, all the information you provide us will be used ONLY for the purposes of participating in our online studies. Once you complete the information on this page, we will contact you by email to confirm our receipt of it.

What is your primary e-mail address?
 
Do you rent or own your home?
 
rent
 
own
Which type of home do you live in?
 
apartment
 
condominium
 
multi-family home
 
single-family home
How many trips (over 100 miles away) have you made in the last year that were in the U.S. and that you or your employer paid for? Indicate the number of round trips for each of the following types of transportation.
 
car trips
 
train trips
 
domestic air trips within the US
 
domestic air trips within another non-US country
 
international air trips
In what year were you born?
 
Use the 19**format, for example, 1968
What is your gender?
 
female
 
male
How many people age 18 or older live in your household?
 
1
 
2
 
3
 
4
 
5 or more
How many people under the age of 18 live in your household?
 
0
 
1
 
2
 
3
 
4 or more
How did you find out about SurveyCafe?
 
I was recruited to take a survey at SurveyCafe.com
 
I was referred by someone else who was recruited to take a survey at SurveyCafe.com
 
I found SurveyCafe.com through a survey referral site
 
I was referred by someone else who found SurveyCafe.com through a survey referral site
 
Other, please specify
Enter your name and mailing address.
first name
last name
street
city
state or province
zip/postal code
 
country
 
 

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