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Feedback & CX
Research Participant Screener
Qualify participants for a specific study — demographics, usage habits, availability, and recording consent in one pass.
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What this form looks like
Preview · not interactiveResearch Participant Screener
Qualify participants for a specific study — demographics, usage habits, availability, and recording consent in one pass.
About you
Your name*
Email address*
Session invites and your incentive go here.
Phone number
Optional — only used for last-minute session reminders.
Date of birth*
Pick a date📅
You must be 18 or older to take part in this study.
Country of residence*
Select…▾
What do you do for work?
e.g. operations manager, freelance designer, student
Your fit for this study
How often do you use a product like ours?*
Select…▾
Which devices do you regularly use it on?*
Select…▾
Have you taken part in one of our research studies before?*
Yes
No
When could you join a 45-minute remote session?*
Select…▾
How would you like to receive your thank-you incentive?*
Digital gift card
PayPal
Donate it to charity on my behalf
Recording consent*
Recording consent
Submit