Research Study Participation Form
To apply for participation in this usability study, please answer ALL questions below and click Submit. Candidates who meet the study criteria will be contacted. Thank you for applying!
Session dates:
Session length:
Payment amount:
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March 26 - April 2, 2008
30 minutes
$40 Amazon.com gift certificate
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This is a nationwide U.S. study. Please indicate your time zone:
1. Please indicate the times you would be available. You will need access to a high-speed Internet
connection and the ability to talk freely on the telephone during this time.
All times are Eastern time zone.
WEDNESDAY, March 26
All day, flexible
Early morning, flexible (8:00 - 10:00 am)
Late morning, flexible (10:00 am - 12:00 pm)
Early afternoon, flexible (12:00 - 2:00 pm)
Mid-afternoon, flexible (2:00 - 4:00 pm)
Late afternoon, flexible (4:00 - 6:00 pm)
Early evening, flexible (6:00 - 8:00 pm)
Late evening, flexible (8:00 - 10:00 pm)
THURSDAY, March 27
All day, flexible
Early morning, flexible (8:00 - 10:00 am)
Late morning, flexible (10:00 am - 12:00 pm)
Early afternoon, flexible (12:00 - 2:00 pm)
Mid-afternoon, flexible (2:00 - 4:00 pm)
Late afternoon, flexible (4:00 - 6:00 pm)
Early evening, flexible (6:00 - 8:00 pm)
Late evening, flexible (8:00 - 10:00 pm)
FRIDAY, March 28
All day, flexible
Early morning, flexible (8:00 - 10:00 am)
Late morning, flexible (10:00 am - 12:00 pm)
Early afternoon, flexible (12:00 - 2:00 pm)
Mid-afternoon, flexible (2:00 - 4:00 pm)
Late afternoon, flexible (4:00 - 6:00 pm)
Early evening, flexible (6:00 - 8:00 pm)
Late evening, flexible (8:00 - 10:00 pm)
SATURDAY, March 29
All day, flexible
Early morning, flexible (8:00 - 10:00 am)
Late morning, flexible (10:00 am - 12:00 pm)
Early afternoon, flexible (12:00 - 2:00 pm)
Mid-afternoon, flexible (2:00 - 4:00 pm)
Late afternoon, flexible (4:00 - 6:00 pm)
Early evening, flexible (6:00 - 8:00 pm)
Late evening, flexible (8:00 - 10:00 pm)
SUNDAY, March 30
All day, flexible
Early morning, flexible (8:00 - 10:00 am)
Late morning, flexible (10:00 am - 12:00 pm)
Early afternoon, flexible (12:00 - 2:00 pm)
Mid-afternoon, flexible (2:00 - 4:00 pm)
Late afternoon, flexible (4:00 - 6:00 pm)
Early evening, flexible (6:00 - 8:00 pm)
Late evening, flexible (8:00 - 10:00 pm)
MONDAY, March 31
All day, flexible
Early morning, flexible (8:00 - 10:00 am)
Late morning, flexible (10:00 am - 12:00 pm)
Early afternoon, flexible (12:00 - 2:00 pm)
Mid-afternoon, flexible (2:00 - 4:00 pm)
Late afternoon, flexible (4:00 - 6:00 pm)
Early evening, flexible (6:00 - 8:00 pm)
Late evening, flexible (8:00 - 10:00 pm)
TUESDAY, April 1
All day, flexible
Early morning, flexible (8:00 - 10:00 am)
Late morning, flexible (10:00 am - 12:00 pm)
Early afternoon, flexible (12:00 - 2:00 pm)
Mid-afternoon, flexible (2:00 - 4:00 pm)
Late afternoon, flexible (4:00 - 6:00 pm)
Early evening, flexible (6:00 - 8:00 pm)
Late evening, flexible (8:00 - 10:00 pm)
WEDNESDAY, April 2
All day, flexible
Early morning, flexible (8:00 - 10:00 am)
Late morning, flexible (10:00 am - 12:00 pm)
Early afternoon, flexible (12:00 - 2:00 pm)
Mid-afternoon, flexible (2:00 - 4:00 pm)
Late afternoon, flexible (4:00 - 6:00 pm)
Early evening, flexible (6:00 - 8:00 pm)
Late evening, flexible (8:00 - 10:00 pm)
2. What is your full name?
3. What are your city and state?
4. What is your email address? (We will use this email address only for purposes of contacting
you about this study and will not give it out to anyone.)
5. Please list a phone number where you can be reached during business hours (M-F 9:00 am - 5:00 pm Eastern time).
Please add an alternate number (such as a cell) we can use if we need to reach you immediately.
(We only use this information to contact you about this study and will not provide it to anyone else.)
Daytime phone number:
Home
Work
Cell
Alternate phone number:
Home
Work
Cell
6. The 30-minute, individual research study will be conducted using an online conferencing tool called WebEx.
WebEx requires that you use a high-speed Internet connection (cable or DSL) and a telephone.
You must have access to both high-speed Internet and a telephone at the same time.
Do you have simultaneous access to a telephone and a high speed internet connection?
Yes
No
7. Have you previously participated in a focus group or usability study,
or are you scheduled to participate in one in the future?
Yes
No
If yes, please list the purpose and date of all studies you have participated in.
8. How did you hear about this study?
9. Which operating system is installed on your computer? (Check all that apply.)
Windows (please specify version):
Macintosh (please specify version):
Linux (please specify version):
I don't know
Other (please specify, including version):
10. What browsers do you use? (Check all that apply.)
Internet Explorer (please specify version):
Firefox (please specify version):
Opera (please specify version):
Other (please specify, including version):
NOTE: You can find your browser version by opening your browser, opening the Help menu at the top,
and clicking on About.
11. How often do you use the Internet to conduct a financial transaction?
Every day
At least twice per week
At least once per week
At least once per month
Less than once a month
12. What kinds of financial transactions do you conduct online? (Check all that apply.)
Shopping
Banking
Stock
Other (please specify):
13. How much money have you spent on online shopping within the past year?
None
Less than $100 (US dollars)
$101 - $999
More than $1,000
14. What is your gender?
Male
Female
15. What is your age range?
Under 18
18-40
Over 40
16. What is your approximate annual household income?
Under $50,000
$50,000 - $100,000
$100,000 - $250,000
Over $250,000
Prefer not to answer
17. Sessions will be recorded. Before you submit your application, please review Tec-Ed's understanding consent form.
Then select a response to this statement: "I have reviewed Tec-Ed's recording release and will
consent to it if I am selected for this study."
Yes
No
Thanks for answering these questions. If your background fits our study requirements, you will receive an email with a session time. We will need you to confirm that session time within 24 hours by email.
Please click the Submit button to apply to the study.