SR 37 Focus Group - Marin You must answer all questions to be considered for a focus group. Selected participants will receive a $100 stipend for participating. OK Question Title * 1. Are you a... Man Woman OK Question Title * 2. Do you currently live or work in Marin? Yes No OK Question Title * 3. What zipcode do you live in? OK Question Title * 4. What is your age? 18-24 25-34 35-44 45-54 55-64 65 & over OK Question Title * 5. What is your racial or ethnic background? (Please check all that apply) White (non-Hispanic) Hispanic/Latino American Indian / Native American African American / Black Asian Native Hawaiian / Other Pacific Islander Other (please specify) OK Question Title * 6. What is your household income? Less than $10,000 $10,000-$14,999 $15,000-$24,999 $25,000-34,999 $35,000-$49,999 $50,000-$74,999 $75,000-$99,999 $100,000-$149,999 $150,000-$199,999 $200,000 or more OK Question Title * 7. How frequently do you travel on Highway 37? Daily A few times a week A few times a month Less than once a month OK Question Title * 8. What is your main form of transportation? (Please select one.) Drive a car Take transit (bus, train, etc.) Bicycle Walk Other (please specify) OK Question Title * 9. Which of the following categories BEST describes your occupation? (Please select one.) Agriculture Retail Construction Entertainment and Hospitality Household Labor Government or Public Agency Law Enforcement or Protective Services Publishing and Marketing Transportation and Utilities Education Social Services Legal Biotechnology and Pharmaceuticals Medical Manufacturing Banking or Finance Retired Unemployed Student Other (please specify) OK Question Title * 10. Are you available in the evening of Wednesday, June 13th, 2018? Yes No OK Question Title * 11. Please provide your contact information. Name Address Phone number (daytime number if possible) Email OK DONE