NextLight Research Opportunity Please enable JavaScript in your browser to complete this form.Contact InformationName *Phone *Email *Postal Code *City *Which of the following is your preferred gender recognition: *Select OptionFemaleMalePrefer to self-identifyPrefer not to answerPrefer to self-identify *For this study, we need to include the opinions of people of different ages. What is your age? *Select Option19 and younger20-2525-2930-3940-4950-5960-6970-7980 or olderWhich of these best describes your employment status? *Select OptionEmployed full-time (more than 35 hours per week)Employed part-time (less than 35 hours per week)Not currently employedFull-time parent (stay at home) with full-time spouseStudentRetiredWhich of the following best represents your household income? *Select OptionUnder $50,000$50,000 - $59,999$60,000 - $69,999$70,000 - $79,999$80,000 - $89,999$90,000 - $99,999$100,000 or moreWe’re looking for a variety of different people to participate. Which of the following best describes your ethnicity? *Select OptionWhite/CaucasianBlack/African-AmericanHispanic/LatinoAsian; Pacific IslanderNorth African/Middle EasternNative AmericanOtherWhich of the following statements best describes your level of responsibility for the household’s internet and TV services? *Select OptionI make most or all of the household internet and TV service decisionsI equally share the responsibility with another household memberAnother household member does all or most of the household internet and TV service decisionsWhich of the following internet providers have you heard of or are familiar with (select all that apply)? *XfinityCenturyLinkNextLightVerizon Home InternetEarthlinkWho is your current internet provider? *Select OptionXfinityCenturyLinkNextLightVerizon Home InternetEarthlinkOtherDo you have TV through your Internet Service Provider? *Select OptionYesNoAre you interested in learning more about TV options offered by your ISP? *Select OptionYesNoMaybeAre you open to other paid research opportunities with NextLight? *Select OptionYesNoBelow are the potential days/times for the focus groups. Please check ALL of the options for which you are available. *Nov. 15: 9-10amNov. 15: 11am-12pmNov. 16: 2-3pmNov. 16: 4-5pmI am not available during any of these time slots.Submit