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Honor Roll™ Signup

Study Hall Research maintains a comprehensive database of participants for a variety of backgrounds from around the world. To be considered for research studies in your area, please complete the following confidential information. The privacy of our members and the confidentiality of the personal information they provide are our top priority. Please register using the form below.

*Questions marked with an asterisk () are required.**

First Name*
Last Name*
Address*
City*
State*
Zip*
Do you own or rent your primary residence?
Phone numbers:
Cell
Work
Home (land line)
Email address*
Date of Birth*
Gender*
Marital Status*
Please list children under age 18 living in your household:
Child 1	Date of Birth	Gender
Child 2	Date of Birth	Gender
Child 3	Date of Birth	Gender
Child 4	Date of Birth	Gender
Child 5	Date of Birth	Gender
Child 6	Date of Birth	Gender
Ethnicity*
Were you born outside of the United States?
What languages do you speak? (Select all that apply. Hold down the <Ctrl> key to make multiple selections)
Which best describes the highest level of education you completed?*
Employment status
If employed, your Job Title
What industry do you work in?
Total household income*
What type of pet(s) do you have? (Select all that apply. Hold down the <Ctrl> key to make multiple selections)
What is your political affiliation?
What type of computer do you use? (Select all that apply. Hold down the <Ctrl> key to make multiple selections)
What type of internet connection do you have at home?
How often do you use the internet?
Do you make purchases online?
Do you use the internet at least 4 hours per week?
What type of mobile or wireless device do you own or use? (Select all that apply. Hold down the <Ctrl> key to make multiple selections)
What kinds of travel have you ever done? (Select all that apply. Hold down the <Ctrl> key to make multiple selections)
Which of the following credit cards do you carry? (Select all that apply. Hold down the <Ctrl> key to make multiple selections)
In a typical week, how often do you visit a restaurant?
Which type(s) of restaurants do you frequent? (Select all that apply. Hold down the <Ctrl> key to make multiple selections)
Do you consume alcoholic beverages?
Do you have health insurance?
Do you have a chronic medical condition?
Do you use any tobacco products?
Do you wear glasses or contact lenses?