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:
(Required.)
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2.
Your Email Address:
(Required.)
*
3.
What city do you live in?
(Required.)
*
4.
What state do you live in?
(Required.)
*
5.
What county do you live in? (e.g.: Brooklyn, NY is in Kings County)
(Required.)
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6.
How many times have you participated in a Zoom meeting in which you shared video and audio?
(Required.)
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?
(Required.)
Yes
No
