September 14, 2025 Focus Group Selection

PLEASE READ THE FOLLOWING INFORMATION CAREFULLY.

Your answers to the following questions are to help determine whether you qualify to serve on a focus group. Some of the questions are personal in nature, but your information is kept CONFIDENTIAL. Please try to answer all questions fully.

If you are selected, someone will contact you WITHIN 3 BUSINESS DAYS to confirm your availability. You MUST PROVIDE A PHOTO OF YOUR GOVERNMENT ISSUED PHOTO ID which shows your face, full name, DOB, and city/state of residence during the confirmation process. NO EXCEPTIONS.

The focus group will be held via ZOOM. You will be paid via PAYPAL.

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* 1. Please provide your contact information:

First name:

Last name:

Mobile phone:

Email:

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* 2. Where do you live?

City:

Neighborhood:

County:

State

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* 3. How old are you?

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* 4. What is your gender?

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* 5. What is your race/ethnicity?

White

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Another race

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* 6. What is your religious preference?

None

This is my religious preference

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* 7. What is your highest level of education?

12th grade or less

High school diploma/equivalent

Some college, no degree

Associates degree

Bachelor's degree

Post-graduate degree

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* 8. Have you participated in any focus groups within the last 12 months?

Yes

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* 9. What is your current (or most recent) occupation?

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* 10. What company or employer do you work for?

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* 11. Please describe your job duties and responsibilities in your current or last position:

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* 12. Have you ever had any training, courses, or worked in/around any of the following areas?

Public Safety

Health Care/Nursing/Medical

Economics/Fiance/Financial Planning

Law/legal

Psychology/psychiatry/mental health

Risk Management

Human Resources/Personnel

Insurance Claims

None of the above

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* 13. Are you married, living with, or involved with a significant other?

Yes, this is what he/she/they do for a living:

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* 14. If you have any adult children, what do they do for a living?

I don't have any adult children.

They do:

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* 15. Have you ever had any of the following work experiences?

A job where you made important financial or personnel decisions for a company

A job where you managed or supervised employees

A job where you had to deal with employee complaints of mistreatment in the workplace

Seen or worked for a company that was unfairly sued by an employee or ex-employee

None of these

If you checked any of the above, please explain:

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* 16. Have you ever seen or heard any of the following situations in a workplace?

Seen or heard someone make a false accusation of racism, harassment, or discrimination in the workplace

Seen or heard someone overreact or get offended by a harmless comment or joke in the workplace

Seen or heard about someone playing the ‘race card’ to get special treatment

Seen or heard someone get falsely or unfairly accused of racism or racial discrimination

Worked with a co-worker who was oversensitive, easily offended, or misinterpreted harmless things

Seen a workplace where workers often said things others might find racist, offensive, or inappropriate

Worked for a company that had workplace conduct rules that were too strict or too politically correct

None of these

If you checked any of the above, please explain:

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* 17. Have you (or someone close to you) ever filed a lawsuit or been sued by someone else?

Yes (please explain):

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* 18. Have you ever filed an official report or complaint with your company, manager, or human resources?

Yes (please explain)

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* 19. Have you ever left or quit a well-paying job over how you were being treated in the workplace?

Yes (please explain):

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* 20. Have you ever continued working in a job where you weren’t being treated well because it was too good or high-paying a job to quit?

Yes (please explain):

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* 21. How do you feel about the laws in Nebraska related to employment lawsuits?

Too employee friendly (unfair to companies)

Just right

Too employer friendly (unfair to workers)

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* 22. What are your feelings about a person seeking money compensation in a lawsuit over non-financial harms like mental/emotional suffering?

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* 23. What are your feelings about punitive damages (i.e. money damages to punish a company to make it change its behavior)?

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* 24. Are you able to accept payment via PayPal?

Yes

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* 25. Are you able to attend the focus group via Zoom?

Yes

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* 26. Are you available on Sunday, September 14, 2025 from 12-2 pm CDT?

Yes

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* 27. Would you like to be contacted about future focus groups in your area?

Yes

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* 28. I agree that if I misrepresented any information about myself in this survey, such as my name, age, or city/county of residence, I may be dismissed from the focus group without payment.

Agree

Disagree