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.
1.Please provide your contact information:(Required.)
2.Where do you live?(Required.)
3.How old are you?(Required.)
4.What is your gender?(Required.)
5.What is your race/ethnicity?(Required.)
6.What is your religious preference?(Required.)
7.What is your highest level of education?(Required.)
8.Have you participated in any focus groups within the last 12 months?(Required.)
9.What is your current (or most recent) occupation?(Required.)
10.What company or employer do you work for?(Required.)
11.Please describe your job duties and responsibilities in your current or last position:(Required.)
12.Have you ever had any training, courses, or worked in/around any of the following areas?(Required.)
13.Are you married, living with, or involved with a significant other?(Required.)
14.If you have any adult children, what do they do for a living?(Required.)
15.Have you ever had any of the following work experiences?(Required.)
16.Have you ever seen or heard any of the following situations in a workplace?(Required.)
17.Have you (or someone close to you) ever filed a lawsuit or been sued by someone else?(Required.)
18.Have you ever filed an official report or complaint with your company, manager, or human resources?(Required.)
19.Have you ever left or quit a well-paying job over how you were being treated in the workplace?(Required.)
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?(Required.)
21.How do you feel about the laws in Nebraska related to employment lawsuits?(Required.)
22.What are your feelings about a person seeking money compensation in a lawsuit over non-financial harms like mental/emotional suffering?(Required.)
23.What are your feelings about punitive damages (i.e. money damages to punish a company to make it change its behavior)? (Required.)
24.Are you able to accept payment via PayPal?(Required.)
25.Are you able to attend the focus group via Zoom?(Required.)
26.Are you available on Sunday, September 14, 2025 from 12-2 pm CDT?(Required.)
27.Would you like to be contacted about future focus groups in your area?(Required.)
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.(Required.)