Focus Group Interest Form

Thank you for your interest in participating in a focus group. Please complete the form below to be among the first notified when we have an event in your area.

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* 1. Your Name:

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* 2. Your Email Address:

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* 3. What city do you live in?

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* 4. What state do you live in?

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* 5. What county do you live in? (e.g.: Brooklyn, NY is in Kings County)

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* 6. How many times have you participated in a Zoom meeting in which you shared video and audio?

Never

Once

2 - 3 times

4 or more times

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* 7. Would you be interested in participating in an in-person focus group?

Yes

No