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 Thank you for choosing Maryland Marketing Source, Inc. for your qualitative research needs! We want to do everything in our power to make sure your research project is a complete success.
We will provide you with a respondent summary spreadsheet upon your arrival to our facility. To ensure that everything else will be ready for you prior to your arrival, please take a moment to fill out the below form and tell us how else we may be of service. | *CONTACT'S NAME: | | *CONTACT'S PHONE NUMBER: | | COMPANY: | | MODERATOR'S NAME: | *TIME FIRST PERSON IS EXPECTED AT MD MARKETING SOURCE:
: AM PM. | | RESPONDENT CHECK IN | | We always ask our participants to sign in when they arrive. | Please tell us if our hostesses should expect to process any of the following additional tasks: | | | (PLEASE CHECK ALL THAT APPLY) | | Re-screener | Confidentiality forms | | Homework | Other - Please describe:
| | | | FOOD
(PLEASE CHECK ALL THAT APPLY) | | Respondent food? | Deli tray for dinner time group/Cookies for later group | | | Other | | | Please describe additional respondent food needs: | | | | | Client Food? | Order from menus | | | Other | | | Please describe additional respondent food needs: | | | | | Number of clients, including Moderator: | | | Moderator should be served at | AM PM. | | Clients should be served at | AM PM. | | AUDIO/VISUAL NEEDS: | | Audio Recording: | Cassette Tape | | | CD | | | | | Videorecording: | | | Please choose type of videotaping: | ½ inch/VHS | | | DVD | | | Stationary | | | With operator | | THE FOLLOWING WILL BE IN YOUR ROOM: | Flip charts, easel and markers
Push pins
Display ledger for boards
Pads | High speed, wireless Internet Access
Sticky pads
Sharpened pencils and/or pens
Paper clips | PLEASE LIST ANY ADDITIONAL SUPPLIES YOU MAY NEED*
(*PLEASE NOTE: ADDITIONAL CHARGES MAY APPLY.)
| | DVD/VCR (number: ) | TV monitor (number: ) | | Computer(s) (number: ) | | Other (please specify) (number: ) | | | Other (please specify) (number: ) | | | FINAL DELIVERABLES: | Audiotapes, videotapes or DVD’s (when appropriate), screeners, sign-in sheets and other materials should be:
Given to moderator
Given to Client, named:
Sent to the following address:
| If sending, provide Fed Ex account number:
Will you have any transportation needs? If so, please describe:
| | ADDITIONAL INSTRUCTIONS FOR THE GROUPS: | | | | Thank you for informing us of your needs. Please feel free to call us at 410-922-6600 if you have any questions or require any further assistance. We look forward to working with you! |
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