TEENS & Social Issues

PARENTS: LKRM is hosting focus groups with teens to share their thoughts on a variety of topics. We are asking teens to share their opinions about social media, what older generations don’t understand, what their goals are, and more. Groups will be held separately for boys and girls. If your teen qualifies and participates, they will earn $200 for about 2 hours of their time. Participation is, of course, voluntary, and some participants may be invited to a follow-up interview with a national journalist. if interested, please complete the short form and we will be in touch via phone!

Question Title

* 1. What is your gender?

Male

Female

Question Title

* 2. Do you have children under the age of 21?

Yes

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* 3. How old are your children?

Under 5

Under 12

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* 4. Please choose which of the following best describes your annual household income?

Under $24,999

$25,000-49,999

$50,000-$74,999

$75,000-$99,999

$100,000+

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* 5. Please choose which of the following best describes your annual household income

Caucasian/White

African American/Black

Hispanic/Latino

Asian/Asian American

American Indian/Alaska Native

Other

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* 6. Please provide your contact info so we may reach you

NAME

EMAIL ADDRESS

PHONE #

STATE