Join Our Medical Professional Database

Fieldwork, Inc. is one of the nationís premier marketing research companies dedicated to providing the highest quality research to our clients. Medical research is one of the fastest growing and most important segments of our business. In order to provide our clients with the information they need to improve their products and services, we need your help. Please read the information below and then register to participate in our studies. We trust you will find the experience both productive and rewarding.

FOCUS GROUPS, On-Line, or In-Depth Interviews:
A Focus Group is a round-table discussion on products and services that you use. Market research professionals moderate these discussions and they usually last between 1-2 hours. When you are done, you are paid cash for your time and opinions!

In addition, Fieldwork conducts paid, on-line (Internet) and in-depth telephone interviews that you can complete from the convenience of your home or office. Our research is used to help improve the products and services provided by the medical community.

IS MY INFORMATION SECURE?
YES! Fieldwork adheres to the Market Research Association (MRA) code of ethics on data collection. That means your information is kept completely confidential. We do not sell or give your information to any third party. For more information about MRA standards, please visit the MRA website.

HOW DO I REGISTER?
You can register in our database by filling out the form below. When we have a study that you might qualify for, we will call, send you an email, or fax an invitation to participate. Your voluntary participation in Market research with Fieldwork constitutes an Independent Contractor relationship, not an Employment relationship.


First Name:

*

Last Name:

*

Office Phone:

*

Cell Phone:

*

Fax Number:

Whatís your email address (for invitaitions and confirmations only)

Office Address:

*

City:

*

State:

*

Zip:

*

Country:

Date of Birth: (for identification)

  *

Year residency finished:

Is your practice Primarily Office based or Hospital based?

Do you have a Solo or Group Practice?

Primary Specialty:

*

Are you Board Certified?

Sub-Specialty:

Are you Board Certified?

 

 

 

 

THANK YOU!