Qualitative Request for Proposal - Blue Book

Qualitative Request for Proposal

* - Indicates Required Field

Contact Information

*	Requested By
*	Company:
	Date Of Request:
*	Bid Due By - Date :
*	Bid Due By - Time (10:35 AM):
	Contact via:
*	Phone #:
	Cell Phone #:
	Fax #:
*	Email:
*	Address:
*	City:
*	State:
*	Zip:
	Send Proposal via:

Study Information

*	Subject/Study Name:
	Study/Bid Number:
*	Purpose of Study: (Limit - 250 Characters)
	Type of Groups	If other:
	Respondent Source:	Facility Database RDD Phone Respondent Email Addresses Client List with Phone #'s Only Client List with Names and Phone #'s How much Sample is available? Other (Specify):

*	Number of Markets:
	List Markets Needed:
	Number of Groups per Market	Other:
*	How Many "Shows" per Group:
*	Length of Each Group:
	Time(s) of Group(s):

	Recruiting Dates (02/06/2012)	Begin:	End:
	Interviewing Dates (02/06/2012)	Begin:	End:
	Type of Facility:

	Additional Facility Requirements:	None Transcription Kitchen Home Economist Fixed/Stationary Video Operator Video Video Streaming Video Conferencing Computer w/ Internet Access Viewing Room Client Room Other:
	Will clients be attending:
	# of Clients Viewing:

Seating capacity:

Min:

Max:

Qualifications

	Gender:
	Age:
	Ethnicity:
	Income:
	Category Specifics:
	Indicate Key Demographics Not Already Specified
	Indicate Special Equipment, Supplies or Amenities:
	Indicate Specific Community Requirements
	Other Notes Relevent to Bid:

Please check all or some of the contacts below to receive your RFP To review additional information on that contact click on the company name to see the listing details.