Bernett Research

Register here to earn up to $175 per day from Bernett!

Bernett Research needs YOU to participate in our Mock Courtroom and Focus Groups. We will be willing to pay you up to $175 per day, just for your opinion. To learn more about Mock Courtrooms and Focus Groups, please click here

Some of the questions below are marked as required, while some questions can be refused. However, please be aware that refusing any information will decrease the likelihood of being included in any particular focus group. Thanks again and if you have any questions, feel free to contact us at register@bernett.com.

FOCUS GROUP REGISTRATION
Fields marked with an asterisk (*) are required.

 

*First Name

*Last Name

*Address

*City

*State (Massachusetts, New Hampshire, and Rhode Island only)

*Zip

*County

*Home Phone

Cell Phone

 

 

 

*Gender

*Date of Birth

*Education

*Income

*Ethnicity

*Marital Status

*Employment Status

*Email

Hobbies
(Select up to 5. Hold down the <Ctrl> key to make multiple selections.)

Medical Conditions
(Select up to 5. Hold down the <Ctrl> key to make multiple selections.)

Children Living in your household

Child 1

Gender

Birthdate
 



Child 2

Gender

Birthdate
 



Child 3

Gender

Birthdate
 



Child 4

Gender

Birthdate