Sign Up, Get Paid For Your Opinion

Thank you for visiting our web site, and we hope you will take the time to sign up to be part of our database

AccuData Market Research seeks out your opinion on products and services at the request of our clients. By filling out our sign up form you and your family can become part of our database. We use this database to help us find people who meet some of the qualifications to participate in a study. This means you are more likely to be asked to participate and we phone you less often.

Your opinions are very important to us. If you would like more information about market research and AccuData please read our FAQ’s.

Your personal information is kept strictly in house. We do not supply telemarketers, clients or advertisers with any of your personal information.

(*) Required Fields

State (*)

     exp: 800-831-7744

MaleFemale                 exp: mm/dd/yy


         Marital Status (*)

Do you own pets?YesNo          Do You smoke?YesNo

Do you own your own home?YesNo          Do you have children living at home?(*)YesNo

What are their names, sex and birth dates?

1. MaleFemale

2. MaleFemale

3. MaleFemale

4. MaleFemale


Do you have friends who might be interested?

In which of the following ranges does your total household income fall? (*)

Thank you for taking the time to complete this form.