Request for Proposal (RFP)

Thank you for your interest in our focus group facility. Please complete the fields below to send us your RFP. When you are finished, click "Submit." (* optional field)

We also invite you to contact by phone at (202) 667-6557 or e-mail at info@pollingcompany.com to request a proposal.

Name:  
Company:  
Title:*  
   
Address 1:  
Address 2:*  
City:  
State, Zip:  
,
   
Phone:  
Fax:  
Email:  
   
Preferred method for initial contact:*
   
Phone Email
     

Project Specifications

Project Title/Topic:  
Date(s):  
Time(s):  
No. of Groups/Interviews:  
Group/Interview Lengths:  
No. of Clients Attending:  
Facility Needs   Audio taping
Videotaping (stationary)
Videotaping (operational)
Meals for participants
Moderation
Transcription
Report analysis
Other needs:

Recruitment

No. Recruited per Group:  
No. Seated per Group:  
Screening Specifications:  
Proposed Incentive:  
     

List of Potential Participants

Will a list be provided?   Yes ...No
How many records are on the list?
 

If yes, what information is on the list (name/work or home phone number/email/postal address)?

 
Do all individuals on the list qualify?   Yes No
     

Other Information

Any other needs or information about your project that you would like to share:  
How did you hear about the polling company™, inc.?  
   
Submit RFP >  

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