Microsoft Usability: Gamer enrollment Form

All Products | Support | Search | microsoft.com Home

Volunteer for a 2-3 hour study and you could get a chance to play one of the latest games or gaming devices under development here at Microsoft. All individuals scheduled for a study will be given a free gift for participating! Registration is limited to one enrollment per person.
Who are you?
First Name * Last Name * Street Address City Country State/Province Zip/Postal Code E-mail Address * If English is not your first language, please select your native language. All participants require picture identification at the time of the study. First and last names on this form need to match your picture identification. How did you find out about this site? *	Daytime Phone * - - Evening Phone * - - International Phone (Required if outside U.S./Canada) Date of birth: * Note: If your age is 16 years or younger, a printed consent form will need to be printed and mailed to Microsoft within 30 days before your information will be activated. This form will be made available at the end of this on-line enrollment process. Gender * Male Female How many children under the age of 18 reside in your household? Current job title or position: * Check this box if the question above does not apply. Name of your organization or employer: Your organization's product or industry: * required field
What types of games do you play?
General Game Categories	Flight Games
Action Games ex: Tomb Raider, Grand Theft Auto	Flight/Space Combat ex: Crimson Skies, Rogue Squadron, Ace Combat
Adventure Games ex: Myst, Monkey Island, Star Fox Adventures	Flight Simulations ex: Flight Simulator, Combat Flight Simulator, Fly!
Arcade Classics ex: Pac Man, Frogger, Donkey Kong	Driving Games
Card, Board & Casino ex: Hoyle Casino, Monopoly, Hearts	Racing ex: Gran Turismo, Project Gotham Racing, Need for Speed
Fighting ex: Super Smash Brothers Melee, Dead or Alive, Soul Caliber, WWE Smackdown	Off-Road/Rally Racing ex: RalliSport, Colin McCrae Rally, 4x4 Evolution
Life Simulations ex: The Sims, SimCity, Animal Crossing, Harvest Moon, Rollercoaster Tycoon, Zoo Tycoon	Driving Combat/Mayhem ex: Twisted Metal, Midtown Madness, Wreckless
Massively Multiplayer On-line ex: World of Warcraft, Star Wars Galaxies, City of Villains	Kart-Style Racing ex: Mario Kart, Diddy Kong Racing, Crash Nitro Kart
Music & Rhythm ex: Parappa the Rapper, Dance Dance Revolution	Sports Games
Party Games ex: Mario Party, Super Monkey Ball, Fuzion Frenzy	Baseball ex: High Heat, MLB Slugfest, World Series Baseball
Platformers ex: Mario64, Crash Bandicoot, Ratchet & Clank	Basketball ex: NBA Live, NBA Inside Drive, NBA Street
Puzzles, Game Show, & Trivia ex: Bejeweled, Tetris, Jeopardy, Monopoly	Football ex: Madden, NFL Blitz, NCAA Football, NFL Fever
Role Playing ex: Diablo, Final Fantasy, Legend of Zelda	Golf ex: Links, Tiger Woods PGA Tour, Mario Golf
Shooters ex: Call of Duty, Doom, Halo, Metal Gear Solid, Star Wars Battlefront	Hockey ex: NHL Rivals, ESPN NHL Hockey, NHL Hitz
Strategy Games ex: Civilization, Age of Empires, Warcraft	Soccer ex: FIFA Soccer, Red Card Soccer, Winning Eleven
Survival-Horror ex: Resident Evil, Silent Hill, Eternal Darkness	Sportsman ex: Reel Fishing, Deer Hunter, Cabela's Dangerous Hunts
Train Sims ex: Train Simulator, Railroad Tycoon	Extreme ex: Tony Hawk's Pro Skater, SSX, Dave Mirra BMX
	Tennis ex: Mario Tennis, Virtua Tennis, Top Spin

Tell us about your game playing.
On which platforms do you play games? PC/Macintosh Sony Playstation Sony Playstation 2 Sony Playstation 3 Sega Dreamcast Nintendo 64 Nintendo Gamecube Nintendo Wii Microsoft Xbox Microsoft Xbox 360 Which of the following platforms do you have in your home? Sony Playstation Sony Playstation 2 Sony Playstation 3 Sega Dreamcast Nintendo 64 Nintendo Gamecube Nintendo Wii Microsoft Xbox Microsoft Xbox 360			Which of the following game devices do you own? Gaming Headset Wireless Controller Driving Wheel Gaming Camera Gaming Keyboard and Mouse Portable Gaming Device (Sony PSP, Gameboy, etc.) Do you play on-line with any of the following consoles? Xbox Live Gold (pay) Xbox Live Silver (free) Sony Playstation 2 Nintendo Gamecube Sega Dreamcast Do you play computer games on-line? Multi-Player retail games (Age of Empires, Asheron's Call, Everquest, Counterstrike, etc.) Free Internet gaming web sites (MSNgames.com, Pogo.com, etc.) Check if you belong to an organized group that plays on-line together with or against other groups (e.g., a clan, guild, or club). How do you connect to the Internet? Telephone Modem Broadband Public 'Hot Spots' (WI-FI)
On average, how many hours per week do you play video games:
On a console system?			On a PC?
Which of the following type of board games do you play?
Party Games (e.g. Trivial Pursuit, Cranium, Pictionary, Scene It) European Board Games (e.g. Settlers of Catan, Carcassone, Puerto Rico) Strategic Board Games (e.g. Axis and Allies, Acquire, Risk)
Check this box if you have enrolled previously and are updating your record. Comments? As part of our work in the Accessibility field, please indicate any disabilities you may have below:
Visually Impaired Color Blind Deaf or hard of hearing Speech Disability		Mobility Impairment Cognitive Disability Other
The information collected is for the sole purpose of matching you with an appropriate activity. All information is kept confidential, as described in our privacy policy and will not be sold, distributed or otherwise publicized outside of Microsoft.