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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

We protect your documents and personal data by following strict security and privacy standards.
To find their sample, Nielsen selects a county, then specific towns within that county, then specific homes within the designated area. They reach out and ask each of the chosen homes to participate in the program.
Nielsen sends mail to homes with invitations to complete short surveys on your media and consumer habits or to join our panels. Mail from Nielsen may include a survey that can be completed online, filled out and returned via mail, or done over the phone.
Homes for TV and audio ratings are scientifically selected, so you can't volunteer to become a Nielsen Family. Can I talk about being a Nielsen Family? No. Once you begin participating, you can't share that you're part of the Nielsen ratings.
How did I become a Nielsen research participant? By random sampling. We cannot ask every household to participate in the study, so we carefully select households in your area to represent the entire television audience. To be statistically valid, it is very important that families are randomly selected.
To find their sample, Nielsen selects a county, then specific towns within that county, then specific homes within the designated area. They reach out and ask each of the chosen homes to participate in the program.
It is very important that you complete the Television Diary as well as the Consumer Survey. You received the TV Diary to represent thousands of people in your local area since we cannot ask everyone about their television viewing.
Will Nielsen try to sell me anything, or sell my name and address to marketers? Absolutely not. The information from your home is held strictly confidential—we will not use it to advertise, promote or sell goods and services directly to you, and we do not allow our clients to sell directly to you.
Those selected can never be substituted with another household, so when a consumer refuses to do the survey, the research firm has lost that representation of those with the similar habits. This is why it is so important for you to complete this survey.
To find their sample, Nielsen selects a county, then specific towns within that county, then specific homes within the designated area. They reach out and ask each of the chosen homes to participate in the program.