15918 Consumer

Thank you for your interest in this study!

MFORCE Research, is looking for men and women to participate in a paid focus group. The study will take place on Tuesday, October 9th from 8:00 AM until 5:30 PM. The full day focus group will take place at a facility in downtown Chicago. Free parking is provided and participants will receive a Visa gift card for $300.

Please fill out the survey below. A recruiter will call you with some follow-up questions if it appears that we can place you in the study.

Question Title

* 1. About You.

Name

Daytime Phone Number

Email Address

Age

Question Title

* 2. What is your gender?

Male

Female

Question Title

* 3. What is your ethnic background?

Non-Hispanic White/Caucasian

Black/African American

Hispanic/Latino

Asian American

American Indian

Other

Question Title

* 4. What county do you live in?

Question Title

* 5. How long have you lived there?

Question Title

* 6. Do you have a current State of Illinois driver’s license or a State ID?

Yes

Question Title

* 7. Have you been summoned for jury duty in the past 3 months?

Yes

Question Title

* 8. What is your current employment status?

Employed full-time

Employed part-time

Retired

Unemployed

Homemaker

Disabled

Other