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1. Contact Information (Required.)

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2. What is your gender?

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3. What is your date of birth? (Required.)

Date

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4. I am:

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5. I live:

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6. What is your ethnicity? (please select all that apply) (Required.)

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7. Are you employed? (Required.)

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8. Please list your current position.

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9. If unemployed or retired, please list your most recent position.

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10. Do you now, or have you ever, worked for Equifax?

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11. What is the highest level of education you have completed? (Required.)

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12. Do you have children?

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13. Are you a registered voter? (Required.)

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14. Political party affiliation: (Required.)

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15. What is the last presidential election you voted in? (Required.)

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16. With regard to jury service, I... (Required.)

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17. Other than a divorce, have you ever been a party to a lawsuit?

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18. I have social media accounts on: (Required.)

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19. Wheter television or internet, what national news organization are you likely to get your news from?

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20. I have lost friends or family because of political beliefs: (Required.)

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21. What is your favorite movie genre?

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22. Have you ever donated your time, money or items to charity?

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23. If you are selected to participate in this focus group project, please indicate if you agree to participate in a private setting using only computer, laptop or Ipad (no cell phones): (Required.)

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24. If selected to participate in this focus group, my preferred session is: (Required.)

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