Becoming a panelist is easy! Just follow these 3 steps...

1. Complete the form below and click Apply Now.
2. Check your email. You will receive an email with a link to click to confirm your application.
3. Please await approval. You will be contacted with the next steps regarding our Panels.

Is this an adult or child (under the age of 18) application?

If under the age of 18, please enter your parent's full name (first and last name)

User ID (your phone number, minimum 7 digits, can include area code, numbers only - no dashes, periods or spaces). This will be used as your User ID to login

Child applications need 8 digits by adding an additional number to the end of your phone number.
Select a different number for each child (ie. Child 1: 12345671, Child 2: 12345672)

PIN (will be used to login, minimum 4 digits)

Retype PIN

Cell Phone Number (Optional)

If your Primary Phone Number is the same as your Cell Phone Number, please ensure you enter the Cell Phone Number.

Primary Phone Number

Email Address (This is used to verify the application form. If under the age of 18, you may enter your parent's email address)

First Name

Last Name

What is your gender?

Are you currently Pregnant?

Please Specify (Optional)

Date of Birth (month/day/year)

Address

City

State

Zip Code

Do you have any of the following FOOD allergies: (Please choose all that apply) You must select at least one checkbox.

Please list any other food allergies you may have:

Do you have any of the following dietary restrictions: You must select at least one checkbox.

Please list any other dietary restrictions you may have:

What is your highest level of education?

What is your total annual household income (before taxes)?

What is your employment status?

Which of the following best describes your ethnic background?

Are you, yourself, employed at any of the following companies or in any of the following fields?

Please indicate which of the following statements best describes your family dining:

Please indicate which of the following descriptors best describes your involvement in your household grocery shopping?

Please indicate which of the following descriptors best describes your involvement in cooking dinner:

How often do you eat...

Please indicate the highest level of spicy heat that you prefer:

What type of household pets do you have? You must select at least one checkbox.

Please list any other pets you have:

How did you hear about us?

Please provide the full name of the person who referred you: