Thank you for your interest in our upcoming focus groups in Baltimore on Saturday, June 16. This information is for research and screening purposes only and will be kept confidential. It will not be shared, and you will not receive marketing offers as a result of completing this questionnaire. Upon completion of each group, participants will receive $60 in thanks for their time and opinions.

If you have any problems with this survey, please contact susan@opinionworks.com.

Question Title

* Please provide contact information so we know how to get in touch with you:

Thank you very much.  We will be in touch with you with details about the groups and to let you know if you qualify for one of them.  Thanks for your interest!

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