Supplier Survey

Thank you for your interest in partnering with Eleven Market Research. Please provide answers to the below questions so that we can send you appropriate bids and manage expectations.

Primary Contact

Secondary Contact Name

Methodologies/Services Offered*

Online PanelPhone/CATIProgrammingQualitative/IDI RecruitmentCross Tabs / AnalyticsOther (SPECIFY BELOW)

Do you have your own panel or aggregate?

Have our own panelAggregate

Which of the following methods are used to invite panelists to participate in surveys?*

EmailDashboardSocial MediaMobile appsOther (Specify Below)

Do you have the ability to recontact panelists, if we provide a list of IDs for follow-up or other studies?

YesNo

In which geographic areas do you have panel coverage?(Select All that Apply)*

USCanadaUKIndiaBaltic States (Estonia, Latvia Lithuania)Benelux (Belgium, Luxembourg, Netherlands)Northern Europe (Denmark, Finland, Greenland, Iceland, Norway, Sweden)Western Europe (Austria, France, Germany, Switzerland)Eastern Europe (Belarus, Bulgaria, Czech Republic, Hungary, Moldova, Poland, Romania, Slovakia, Ukraine)RussiaSouthern Europe (Albania, Bosnia, Croatia, Kosovo, Serbia, Slovenia)Southern Europe (Cyprus, Greece, Italy, Portugal, Spain, Turkey)Central Asia (Tajikistan, Uzbekistan, Kazakhstan, Turkmenistan, Kyrgyzstan)ChinaEast Asia (South Korea, Japan, Hong Kong, Taiwan)Southeast Asia (Brunei, Cambodia, Indonesia, Laos, Malaysia, Myanmar, Philippines, Singapore, Thailand, Vietnam)Australia, New ZealandMiddle EastSouth AfricaLatin AmericaSouth AmericaOther (SPECIFY BELOW)

Which segments do you serve? Select all that apply.

ConsumerB2BHealthcareOther Segments (Specify below)

Which specialty audience(s) do you have? Select All that Apply.

College studentsExecutivesGamersHigh school studentsHispanic originHomeownersITNursesParentsPatientsPet OwnersPhysiciansProfessorsPROS (such as painters, plumbers, electricians, contractors)Spanish speakersTeachersOther Specialty Audiences (specify below):