CQS Research Inc.

2500 West Loop South, Ste. 300
Houston, Tx. 77027

Bid Requests

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Company Name Contact Name

Address City State Zip

Phone Number Fax E-mail

Date to hold Alternative Date Study Name or Job #

Specs

IDI's Diad(s) Triad(s) Mini Groups(s) Focus Group(s)
Time to be held: Start Time End Time
Duration of Each IDI or Group
Consumers	Professional Medical
Type	Title Specialty
Specifications Recruit for (min) to (max) to show
Past participation: 6 months 1yr Never Other
For Consumer Groups
Gender: Male Female Mixed	Age: (min) to (max)
For Consumer: Racial Composition Standard Houston Other, specify here:
Household Income (min) to (max)
Incentive
Incentive Proposed (If more than one please separate each by a colon, in the order of the IDI's or groups in the study)	Would you like us to recommend an incentive? Yes No
Recruiting Specifications for Professional, Medical or added Consumer specs

Focus Room Set Up

Standard set-up conference style Theatre Style Classroom Style Livingroom Style Other
Other Specifications:

Audio Visual Requirements

1/2" Static Video 1/2" with operator 3/4" with operator Other

1/2" VCR Playback 3/4" VCR Playback Super VHS Beta Other

Video Teleconferencing (FVN)

Monitor: 19" 25" 27" Boombox Other

Computer Specify Computer Required

Translator &AMP; Translation Equipment
For Hispanic Or Other Language Groups

Translator Equipment (microphone & headset) Translator (3 Hour Minimum) Corded Headset to listen to respondents Transmitter with up to 10 cordless headsets for listening to translator
Other Specification:

CATERING NEEDS

To view the Client's Partial Menu, click here.
Number of estimated viewing clients:
Client:	Veggie Tray Fruit Tray Cheese & Cracker Tray Mesquite Grilled Dinner Fajita Dinner Barbeque Plates Italian Dinner Chinese Buffet Dessert
Other:
Respondent:	Sandwhich Tray
Other:
Product Purchase:
Bids are valid up to 30 days from the request. Bids are reviewed after the final screener and instructions are received. Changes in specifications, or quantities may effect the cost of recruiting, facility rental, and equipment rental. We reserve the right to refuse a study, even if the facility was placed on hold.