Thank you for completing this brief survey to determine whether you qualify for our upcoming focus groups in Syracuse, New York and Buffalo, New York on Sunday, September 17. This information is for research and screening purposes only and will be kept confidential. It will not be shared, and you will not receive marketing offers as a result of completing this questionnaire.

People who participate in the focus group will be paid $65 at the end of the group.

If you have any problems with this survey, please contact

* 1. Please provide contact information so we know how to get in touch with you:

* 2. What is your age?

* 3. Are you Hispanic or Latino?

* 4. What is your racial identity? Mark any that apply.

Thank you very much. Your responses have been recorded. We will be in touch with you to provide more details about the New York groups. Please keep in mind that if you do not qualify this time, we may have more groups in the coming months and may be back in touch. Thanks for your interest!