Focus Group and Field Management Solutions
- Home
- Our services
- Our Facility
- Get Paid For Opinions
- Location
- Zip Codes/Demographics
- About us
- Contact us

Get Paid For Your Opinions

For a Company to sell its product or service, it must know what is important to the everyday people who use it. Smart companies ask you, their customers, what matters to them.

We help them to understand the opinions that matter: yours. In order to make this happen, every day companies pay people like you to participate in paid surveys, focus groups, round table discussions, product testing, etc, in order to gain your feedback. More and more, these kinds of studies are taking place to give people the chance to tell companies what they want. Those who participate not only get paid for their opinions, they also represent thousands of people like themselves.

When we pay you for your opinions, your feedback is vital to important research on how companies can improve their products, services, advertising, and overall performance.

Typically, these discussions pay from $50 to $150 for one to two hours, depending on the topic, qualifications, etc. When you sign up, your information goes into our secure system. When we begin a new paid survey or focus group, we contact you via telephone or email to request your participation. Then, you will go through a very brief screening process over the phone or online in order to find out if you are one of the consumers our client is looking for. After qualifying, you will be given a location, date and time for the survey or focus group. All you have to do is show up!

Please be aware that because we contact people via phone or email, you should provide us with both if you want the best chance of being contacted. Also, while most of this information is not required, the more information you give us the greater your chances of being contacted are.

We recommend you read our Frequently Asked Questions and our Privacy Statement before filling out this form. Then, fill it out so you get notified asap of the next paid research project or paid survey that you may be eligible to participate in!

Basic Info

*First Name *Last Name
Male Female
Street Address Home Phone ( ) -
Address 2 Work Phone ( ) - xt
City Cell Phone ( ) -
*State/Province Fax ( ) -
*Zip/Postal Code *Email

Demographic Info

Primary Ethnicity

Secondary Ethnicity
Religion Sexual Orientation
Education Household Income
Occupation Industry
Company Name Are you a business owner? Yes No
Do you work Investments (not including home)
Do you own or rent your home? Are you a registered voter? Yes No
Political Affiliation Conservative/Liberal
Are you in a Union? Yes No          

Consumer Info

How many hours per week do you spend...
On the internet Watching Television
Listening to the radio    
Do you or anyone in your household...  
Own pets? Have Cable/Satellite TV?
Buy Diet/Health Foods Yes No Drink Wine Yes No
Drink Beer Yes No Drink Liquor Yes No
    Smoke Yes No
What brands of beer? What kinds of cigarettes?
Brand 1

Brand 1

Brand 2  
Brand 2


Brand 3




How may times per week do you eat... How many times per year do you travel...
Fast Food For business
At a restaurant For pleasure
What four radio stations do you listen to most often? What four magazines do you read most often?
List your four favorite hobbies or pastimes: List four organizations you or your family belong to:

Family Info

Marital Status:    
Spouse/Partner name: Spouse/Partner birthdate:
Spouse/Partner occupation: Spouse/Parnter industry:
Spouse/Parter phone: ( ) - Spouse/Partner sex: Male Female

Child 1


Child 2

Birthdate: Birthdate:
Sex: Male Female Sex: Male Female

Child 3


Child 4

Birthdate: Birthdate:
Sex: Male Female Sex: Male Female

Medical Info

Please list medical conditions of yourself or members of your household:


Family Member


Family Member

Please list any medications you are currently taking:

Other Info

Are you a vegetarian or vegan? Yes No Do you have food allergies? Yes No
Please describe any other dietary restrictions:

Please tell us about your automobile(s):


Car 1


Car 2

Year Year
Make Make
Model Model
Do you own a boat? Yes No Do you own an RV? Yes No
For home repair do you: For auto repair do you:
Who is the primary decision maker in your household for:    
Groceries Electronics
Cars Major Appliances
What company or companies do you use for:    
Auto Insurance Cell Phone Service
Cable/Satellite Internet Service
Mortgage Banking
One last question. Please tell us how you found us. *  

Cypher Research
2365 Haggerty Road
Suite 300
Canton, MI 48188
Phone: 734-397-3400