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Thank you for your interest in our upcoming focus groups!

We will be conducting these focus groups over the next couple of weeks; they will be hosted virtually using Zoom and will last approximately 45-60 minutes each. Each participant will receive a $50 gift card for participation; each participant will attend only one focus group.

To be considered for participation, please fill out the information below. By submitting this information, you are not obligated to participate.

Spaces are limited and selection for participation is not guaranteed. Selected participants will be contacted via email with more information. Selected participants must be 18 years of age or older.

Participants will be asked to share their cameras during the focus group and to fill out a short survey following the focus group; they must attend the full length of the session (approximately 45-60 minutes) to receive their gift card.

Individual responses and feedback will be held confidential; the focus groups may be recorded for transcription purposes.

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* 1. First and Last Name

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* 2. Email Address

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* 3. Phone Number

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* 4. Age Range

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* 5. Gender

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* 6. What is your annual household income?

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* 7. What is your Zip Code?

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* 8. Please select all statements that apply to you.

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* 9. Which of the following times of day over the next couple of weeks would you typically be available to participate in a focus group? Select all that apply.

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