You must answer all questions (unless otherwise noted) to be considered for participation in the focus group. Selected participants who attend the focus group will receive a $100 Visa Gift card.

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* 1. Name

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* 2. Email

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* 3. Phone number (including area code)
ex. 408-555-5555

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* 4. Age

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* 5. Are you employed?

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* 6. If you answered "yes" to the previous question, do you work full time or part time?

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* 7. Which of the following categories BEST describes your occupation?

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* 8. What is your annual household income?

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* 9. How many children live in your household?

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* 10. Do you currently use a parental controls application?

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* 11. Do you currently use a parental controls solution provided by your cable company (i.e. Circle with Disney, Clean Router, Safe DNS, etc.)?

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* 12. What parental controls application do you use?

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* 13. How long have you been using your parental controls application?

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* 14. Do you use your parental controls application on mobile, on desktop, and/or on tablet?

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* 15. How often do you use your parental control application?

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* 16. Are you available at 1:00 PM on Friday, August 31st?

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* 17. What's the best time to call you regarding the focus group?

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