Apply to be a member of the Progressive Consumer Panel for a chance to respond to product and user surveys, possibility to participate in focus groups and opportunity to win free Progressive® kitchen gadgets, cooking tools and accessories!

First Name

Last Name

Address

City

State

Zip

Email

Phone

Date of Birth (MM/DD/YYYY)

Gender

Male Female

Would you be willing to receive and respond to surveys by email?
Yes No

What categories would you be interested in testing? Please check all that apply.
Kitchen Gadgets and Tools
Food Prep
Barbeque
Bakeware and/or Accessories
Cookware and/or Accessories
Storage and Organization
Salt, Pepper and Spices
Other

How often do you cook

1-3 days per week4-7 days per weekI don’t cook

Do you have children under the age of 18 living in your home?
Yes No

Please check which best describes your employment situation.

Work outside the home part time.Work outside the home full time.Work in home office part time.Work in home office full time.I don’t work.

How would you best describe where you live?

Please check if you agree to our terms and conditions.