HEALTHCARE Virtual Focus Groups

2022 HEALTHCARE

LKRM will be conducting online consumer research discussion groups on healthcare issues. The discussion will be held mid-January and if you qualify and participate, you will receive $150 for about two hours of your time as our thank you. Please answer the questions below and someone will be in touch with you as soon as possible. Please be assured, we are not SELLING anything. We are simply interested in your opinions.

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* 1. What is your age?

18-29

30-39

40-49

50-59

60+

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* 2. Are you registered to vote?

Yes

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* 3. Do you consider yourself.......?

Democrat

Independent

Republican

Something else

None of the above

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* 4. What is your ethnicity?

African American/Black

American Indian

Asian/Pacific Islander/Asian American

Caucasian/White

Hispanic/Latino

Something else

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* 5. Address

Name

City/Town

State/Province

Email Address

Phone Number

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* 1. What is your age?

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* 2. Are you registered to vote?

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* 3. Do you consider yourself.......?

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* 4. What is your ethnicity?

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* 5. Address

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* 6. Thank you for answering our questions! Someone will be in touch with you via phone very soon!