Skip to content

Rebound the MLKCommUNITY Sustainable Transportation Equity Focus Group Participant Questionnaire

We are looking for Southeast Bakersfield residents who are interested in 
contributing to the transportation equity conversation. We are seeking
participants for paid online and in-person focus group conversations. 
            For more information about this effort please visit
           Rebound the MLKCommUNITY 
1.First Name(Required.)
2.Last Name(Required.)
3.Pronouns
4.Phone Number(Required.)
5.Email*(Required.)
6.Your Age*(Required.)
7.What neighborhood do you live in?*(Required.)
8.What is your Zip Code?(Required.)
9.(For youth participants only)
I will be able to provide a completed parental consent form to participate in the focus group.*
If you are unable to provide parental consent, please check no and write N/A in the field below. A team member from COLDf will follow up with you by email.
10.Your parent/guardian's name (first and last)*
If you selected "no" above, please write N/A
11.Which focus group session are you able to attend? Please select all that apply. You will only attend one session in the end. Each session is 1.5 hours.*
12.Are you able to attend an in-person session?
13.Please provide any accommodations needed to help you fully participate in a focus group hosted on Zoom.
14.If a Spanish language session is available, would you like to attend? A Spanish session will be available depending on interest.
Demographics
The section below is optional. Responses will help COLDf better understand the audience reached by these focus groups and provide context for our final report.
15.What Race do you identify as?
16.What gender do you identify as?
17.Do you currently rely on public transit as your primary mode of transportation?