You must answer all questions to be considered for a focus group. Selected participants will receive a $100 stipend for participating.

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* 1. Are you a...

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* 2. Do you currently live or work in Marin?

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* 3. What zipcode do you live in?

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* 4. What is your age?

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* 5. What is your racial or ethnic background? (Please check all that apply)

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* 6. What is your household income?

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* 7. How frequently do you travel on Highway 37?

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* 8. What is your main form of transportation? (Please select one.)

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* 9. Which of the following categories BEST describes your occupation? (Please select one.)

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* 10. Are you available in the evening of Wednesday, June 13th, 2018?

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* 11. Please provide your contact information.

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