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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:

Re-screener
Confidentiality forms
(PLEASE CHECK ALL THAT APPLY)
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:

 

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!