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To those who want to contact us

Please fill out the form below to send a research request to us.

After entering your information, click Confirm to review your input.
Click Submit when ready to submit the request.
Fields marked with an asterisk (*) must be filled out.

To those who want to contact us

*Describe research details you request.

Research method

Respondent qualifications

Number of completes required

(e.g. 1,000 completes)

Research coverage

(e.g. Tokyo,Kanto,area Tokyo & 3 prefectures of Kanto)

Length of the interview

(e.g. About XX minutes, About XX questions)

Please provide your contact information

*Name (Mr./Ms./Dr.)

(e.g. Taro Yamada)

*E-mail address


*Enter your e-mail address again to confirm


Company Name

(e.g. Adams Communications Co., Ltd.)


(e.g. Sales Department/Manager)


(e.g.6-20-4, Minamioi, Shinagawa-ku, Tokyo, 140-0013, Japan)

Telephone number

(e.g. +81-3-3768-7501)

After you confirm the contents, please click the check box below.