Please respond to all the questions below. They help us make sure we have a diverse group of people. We will contact you if you are chosen. Thank you for your time. 

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* 1. Name

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* 2. Occupation (If retired, please explain previous occupation)

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* 3. Cell Phone Number

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* 4. Email Address 

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* 5. What ZIP code do you live in?

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* 6. What is the highest degree of level or school you have completed? If currently enrolled, highest degree received.

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* 7. What is your household income? 

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* 8. What is your age? 

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* 9. What is your ethnicity? (Please select all that apply.)

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* 10. Have you participated in a mock trial focus group before? 

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