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Submitted URL: https://second.sisfocusgroups.com/ga/click/2-24503659-650-1852-3613-2379-f26f474685-rce67d750a
Effective URL: https://www.surveymonkey.com/r/ZT6W9R3
Submission: On November 28 via api from US — Scanned from DE
Effective URL: https://www.surveymonkey.com/r/ZT6W9R3
Submission: On November 28 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
Name: surveyForm — POST
<form name="surveyForm" action="" method="post" enctype="multipart/form-data" novalidate="" data-survey-page-form="">
<div class="questions clearfix">
<div class="question-row clearfix
">
<div data-question-type="demographic_us" data-rq-question-type="contact" class="question-container
">
<div id="question-field-103138649" data-qnumber="1" data-qdispnumber="1" data-question-id="103138649" class=" question-demographic question-demographic-us qn question us question-required">
<h3 class="screenreader-only">Question Title</h3>
<div class="text-input-group question-fieldset question-legend">
<h4 id="question-title-103138649" class=" question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 1<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> Contact Information</span>
</h4>
<div class="question-body clearfix notranslate ">
<div class="text-input-container clearfix">
<label for="103138649_791279556" class="question-body-font-theme answer-label question-demographic-label user-generated " style="width:20%;"> Full Name </label><input id="103138649_791279556" name="103138649_791279556" type="text"
class="text medium" size="30" aria-required="true" data-sm-open-single="" maxlength="20000">
</div>
<div class="text-input-container clearfix">
<label for="103138649_791279557" class="question-body-font-theme answer-label question-demographic-label user-generated " style="width:20%;"> Company </label><input id="103138649_791279557" name="103138649_791279557" type="text"
class="text medium" size="30" aria-required="true" data-sm-open-single="" maxlength="20000">
</div>
<div class="text-input-container clearfix">
<label for="103138649_791279560" class="question-body-font-theme answer-label question-demographic-label user-generated " style="width:20%;"> City/Town </label><input id="103138649_791279560" name="103138649_791279560" type="text"
class="text medium" size="15" aria-required="true" data-sm-open-single="" maxlength="20000">
</div>
<div class="text-input-container clearfix">
<label for="103138649_791279561" class="question-body-font-theme answer-label question-demographic-label user-generated " style="width:20%;"> State/Province </label><select id="103138649_791279561" class="select"
name="103138649_791279561">
<option value="">-- select state --</option>
<option value="AL">AL Alabama</option>
<option value="AK">AK Alaska</option>
<option value="AS">AS American Samoa</option>
<option value="AZ">AZ Arizona</option>
<option value="AR">AR Arkansas</option>
<option value="CA">CA California</option>
<option value="CO">CO Colorado</option>
<option value="CT">CT Connecticut</option>
<option value="DE">DE Delaware</option>
<option value="DC">DC District of Columbia</option>
<option value="FM">FM Federated States of Micronesia</option>
<option value="FL">FL Florida</option>
<option value="GA">GA Georgia</option>
<option value="GU">GU Guam</option>
<option value="HI">HI Hawaii</option>
<option value="ID">ID Idaho</option>
<option value="IL">IL Illinois</option>
<option value="IN">IN Indiana</option>
<option value="IA">IA Iowa</option>
<option value="KS">KS Kansas</option>
<option value="KY">KY Kentucky</option>
<option value="LA">LA Louisiana</option>
<option value="ME">ME Maine</option>
<option value="MH">MH Marshall Islands</option>
<option value="MD">MD Maryland</option>
<option value="MA">MA Massachusetts</option>
<option value="MI">MI Michigan</option>
<option value="MN">MN Minnesota</option>
<option value="MS">MS Mississippi</option>
<option value="MO">MO Missouri</option>
<option value="MT">MT Montana</option>
<option value="NE">NE Nebraska</option>
<option value="NV">NV Nevada</option>
<option value="NH">NH New Hampshire</option>
<option value="NJ">NJ New Jersey</option>
<option value="NM">NM New Mexico</option>
<option value="NY">NY New York</option>
<option value="NC">NC North Carolina</option>
<option value="ND">ND North Dakota</option>
<option value="MP">MP Northern Mariana Islands</option>
<option value="OH">OH Ohio</option>
<option value="OK">OK Oklahoma</option>
<option value="OR">OR Oregon</option>
<option value="PW">PW Palau</option>
<option value="PA">PA Pennsylvania</option>
<option value="PR">PR Puerto Rico</option>
<option value="RI">RI Rhode Island</option>
<option value="SC">SC South Carolina</option>
<option value="SD">SD South Dakota</option>
<option value="TN">TN Tennessee</option>
<option value="TX">TX Texas</option>
<option value="UT">UT Utah</option>
<option value="VT">VT Vermont</option>
<option value="VI">VI Virgin Islands</option>
<option value="VA">VA Virginia</option>
<option value="WA">WA Washington</option>
<option value="WV">WV West Virginia</option>
<option value="WI">WI Wisconsin</option>
<option value="WY">WY Wyoming</option>
</select>
</div>
<div class="text-input-container clearfix">
<label for="103138649_791279562" class="question-body-font-theme answer-label question-demographic-label user-generated " style="width:20%;"> LinkedIn or other social Media LINK (For verification purposes only): </label><input
id="103138649_791279562" name="103138649_791279562" type="text" class="text medium" size="15" aria-required="true" data-sm-open-single="" maxlength="20000">
</div>
<div class="text-input-container clearfix">
<label for="103138649_791279563" class="question-body-font-theme answer-label question-demographic-label user-generated " style="width:20%;"> Country </label><input id="103138649_791279563" name="103138649_791279563" type="text"
class="text medium" size="15" aria-required="true" data-sm-open-single="" maxlength="20000">
</div>
<div class="text-input-container clearfix">
<label for="103138649_791279564" class="question-body-font-theme answer-label question-demographic-label user-generated " style="width:20%;"> Email Address </label><input id="103138649_791279564" name="103138649_791279564"
type="email" class="text medium" size="30" aria-required="true" data-sm-open-single="" maxlength="20000">
</div>
<div class="text-input-container clearfix">
<label for="103138649_791279565" class="question-body-font-theme answer-label question-demographic-label user-generated " style="width:20%;"> Phone Number </label><input id="103138649_791279565" name="103138649_791279565" type="tel"
class="text medium" size="30" aria-required="true" data-sm-open-single="" maxlength="20000">
</div>
</div>
</div>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="single_choice_vertical" data-rq-question-type="single_choice_vertical" class="question-container
">
<div id="question-field-103117280" data-qnumber="2" data-qdispnumber="2" data-question-id="103117280" class=" question-single-choice-radio qn question vertical question-required">
<h3 class="screenreader-only">Question Title</h3>
<fieldset class=" question-fieldset" data-radio-button-group="">
<legend class="question-legend">
<h4 id="question-title-103117280" class="
question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 2<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> Are you: </span>
</h4>
</legend>
<div class="question-body clearfix notranslate ">
<div class="">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-103117280">
<input id="103117280_791128754" aria-labelledby="103117280_791128754_label" name="103117280" type="radio" role="radio" class="radio-button-input " value="791128754" aria-checked="false">
<label data-sm-radio-button-label="" id="103117280_791128754_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="103117280_791128754">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Under 25 </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-103117280">
<input id="103117280_791128755" aria-labelledby="103117280_791128755_label" name="103117280" type="radio" role="radio" class="radio-button-input " value="791128755" aria-checked="false">
<label data-sm-radio-button-label="" id="103117280_791128755_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="103117280_791128755">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> 25 to 34 </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-103117280">
<input id="103117280_791128756" aria-labelledby="103117280_791128756_label" name="103117280" type="radio" role="radio" class="radio-button-input " value="791128756" aria-checked="false">
<label data-sm-radio-button-label="" id="103117280_791128756_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="103117280_791128756">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> 35 to 44 </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-103117280">
<input id="103117280_791128757" aria-labelledby="103117280_791128757_label" name="103117280" type="radio" role="radio" class="radio-button-input " value="791128757" aria-checked="false">
<label data-sm-radio-button-label="" id="103117280_791128757_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="103117280_791128757">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> 45 to 54 </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-103117280">
<input id="103117280_791128758" aria-labelledby="103117280_791128758_label" name="103117280" type="radio" role="radio" class="radio-button-input " value="791128758" aria-checked="false">
<label data-sm-radio-button-label="" id="103117280_791128758_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="103117280_791128758">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> 55 to 64 </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-103117280">
<input id="103117280_791128759" aria-labelledby="103117280_791128759_label" name="103117280" type="radio" role="radio" class="radio-button-input " value="791128759" aria-checked="false">
<label data-sm-radio-button-label="" id="103117280_791128759_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="103117280_791128759">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Older than 65 </span>
</label>
</div>
</div>
</div>
</div>
</fieldset>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="single_choice_vertical" data-rq-question-type="single_choice_vertical" class="question-container
">
<div id="question-field-103117281" data-qnumber="3" data-qdispnumber="3" data-question-id="103117281" class=" question-single-choice-radio qn question vertical question-required">
<h3 class="screenreader-only">Question Title</h3>
<fieldset class=" question-fieldset" data-radio-button-group="">
<legend class="question-legend">
<h4 id="question-title-103117281" class="
question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 3<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> What gender do you identify yourself with?</span>
</h4>
</legend>
<div class="question-body clearfix notranslate ">
<div class="">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-103117281">
<input id="103117281_791128760" aria-labelledby="103117281_791128760_label" name="103117281" type="radio" role="radio" class="radio-button-input " value="791128760" aria-checked="false">
<label data-sm-radio-button-label="" id="103117281_791128760_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="103117281_791128760">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Male </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-103117281">
<input id="103117281_791128761" aria-labelledby="103117281_791128761_label" name="103117281" type="radio" role="radio" class="radio-button-input " value="791128761" aria-checked="false">
<label data-sm-radio-button-label="" id="103117281_791128761_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="103117281_791128761">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Female </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-103117281">
<input id="103117281_791128762" aria-labelledby="103117281_791128762_label" name="103117281" type="radio" role="radio" class="radio-button-input " value="791128762" aria-checked="false">
<label data-sm-radio-button-label="" id="103117281_791128762_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="103117281_791128762">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Non-binary </span>
</label>
</div>
</div>
</div>
</div>
</fieldset>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="single_choice_vertical" data-rq-question-type="single_choice_vertical" class="question-container
">
<div id="question-field-103117282" data-qnumber="4" data-qdispnumber="4" data-question-id="103117282" class=" question-single-choice-radio qn question vertical question-required" style="width:px;
">
<h3 class="screenreader-only">Question Title</h3>
<fieldset class=" question-fieldset" data-radio-button-group="">
<legend class="question-legend">
<h4 id="question-title-103117282" class="
question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 4<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> Which category best reflects your race or ethnicity?</span>
</h4>
</legend>
<div class="question-body clearfix notranslate ">
<div class="">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-103117282">
<input id="103117282_791128763" aria-labelledby="103117282_791128763_label" name="103117282" type="radio" role="radio" class="radio-button-input " value="791128763" aria-checked="false">
<label data-sm-radio-button-label="" id="103117282_791128763_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="103117282_791128763">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> African American or Black </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-103117282">
<input id="103117282_791128764" aria-labelledby="103117282_791128764_label" name="103117282" type="radio" role="radio" class="radio-button-input " value="791128764" aria-checked="false">
<label data-sm-radio-button-label="" id="103117282_791128764_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="103117282_791128764">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> White or Caucasian </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-103117282">
<input id="103117282_791128765" aria-labelledby="103117282_791128765_label" name="103117282" type="radio" role="radio" class="radio-button-input " value="791128765" aria-checked="false">
<label data-sm-radio-button-label="" id="103117282_791128765_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="103117282_791128765">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Hispanic or Latino </span>
</label>
</div>
</div>
</div>
<div class="other-answer-container other-answer-option-container">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-103117282">
<input id="103117282_791363052" aria-labelledby="103117282_791363052_label" name="103117282" type="radio" role="radio" class="radio-button-input " value="791363052" aria-checked="false" data-other-answer="">
<label data-sm-radio-button-label="" id="103117282_791363052_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="103117282_791363052">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Other (please specify): </span>
</label>
</div>
<input id="103117282_other" name="103117282_other" type="text" class="text other-answer-text" maxlength="20000" size="50" aria-label="Other (please specify):" data-other-text="">
</div>
</div>
</fieldset>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="single_choice_vertical" data-rq-question-type="single_choice_vertical" class="question-container
">
<div id="question-field-103117283" data-qnumber="5" data-qdispnumber="5" data-question-id="103117283" class=" question-single-choice-radio qn question vertical question-required">
<h3 class="screenreader-only">Question Title</h3>
<fieldset class=" question-fieldset" data-radio-button-group="">
<legend class="question-legend">
<h4 id="question-title-103117283" class="
question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 5<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> Do you work in marketing research?</span>
</h4>
</legend>
<div class="question-body clearfix notranslate ">
<div class="">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-103117283">
<input id="103117283_791128767" aria-labelledby="103117283_791128767_label" name="103117283" type="radio" role="radio" class="radio-button-input " value="791128767" aria-checked="false">
<label data-sm-radio-button-label="" id="103117283_791128767_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="103117283_791128767">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Yes </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-103117283">
<input id="103117283_791128768" aria-labelledby="103117283_791128768_label" name="103117283" type="radio" role="radio" class="radio-button-input " value="791128768" aria-checked="false">
<label data-sm-radio-button-label="" id="103117283_791128768_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="103117283_791128768">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> No/not sure </span>
</label>
</div>
</div>
</div>
</div>
</fieldset>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="single_choice_vertical" data-rq-question-type="single_choice_vertical" class="question-container
">
<div id="question-field-103117284" data-qnumber="6" data-qdispnumber="6" data-question-id="103117284" class=" question-single-choice-radio qn question vertical question-required">
<h3 class="screenreader-only">Question Title</h3>
<fieldset class=" question-fieldset" data-radio-button-group="">
<legend class="question-legend">
<h4 id="question-title-103117284" class="
question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 6<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> Do you live in the state of Maine?</span>
</h4>
</legend>
<div class="question-body clearfix notranslate ">
<div class="">
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-103117284">
<input id="103117284_791128769" aria-labelledby="103117284_791128769_label" name="103117284" type="radio" role="radio" class="radio-button-input " value="791128769" aria-checked="false">
<label data-sm-radio-button-label="" id="103117284_791128769_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="103117284_791128769">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> Yes </span>
</label>
</div>
</div>
<div class="answer-option-cell">
<div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-103117284">
<input id="103117284_791128770" aria-labelledby="103117284_791128770_label" name="103117284" type="radio" role="radio" class="radio-button-input " value="791128770" aria-checked="false">
<label data-sm-radio-button-label="" id="103117284_791128770_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="103117284_791128770">
<span class="radio-button-display ">
</span>
<span class="radio-button-label-text question-body-font-theme user-generated "> No </span>
</label>
</div>
</div>
</div>
</div>
</fieldset>
</div>
</div>
</div>
</div>
<div class="survey-submit-actions center-text clearfix">
<button type="submit" data-submit-page-button="" class="btn small next-button survey-page-button user-generated notranslate"> Next </button>
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TRAVELLING INSIGHTS QUESTION TITLE * 1. CONTACT INFORMATION Full Name Company City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming LinkedIn or other social Media LINK (For verification purposes only): Country Email Address Phone Number QUESTION TITLE * 2. ARE YOU: Under 25 25 to 34 35 to 44 45 to 54 55 to 64 Older than 65 QUESTION TITLE * 3. WHAT GENDER DO YOU IDENTIFY YOURSELF WITH? Male Female Non-binary QUESTION TITLE * 4. WHICH CATEGORY BEST REFLECTS YOUR RACE OR ETHNICITY? African American or Black White or Caucasian Hispanic or Latino Other (please specify): QUESTION TITLE * 5. DO YOU WORK IN MARKETING RESEARCH? Yes No/not sure QUESTION TITLE * 6. DO YOU LIVE IN THE STATE OF MAINE? Yes No Next Powered by See how easy it is to create a survey. Privacy & Cookie Notice Javascript is required for this site to function, please enable.