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7/13/23 Focus Group
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1.
What is your name?
(Required.)
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2.
Have you ever participated in a jury research project?
(Required.)
Yes
No
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3.
In what county do you reside?
(Required.)
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4.
Are you a registered voter?
(Required.)
Yes
No
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5.
Do you have a valid Indiana driver's license?
(Required.)
Yes
No
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6.
Are you a U.S. Citizen?
(Required.)
Yes
No
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7.
What is the highest level of education that you have completed?
(Required.)
Some high school
High School Diploma
Some college
Associates Degree
Bachelor's Degree
Master's Degree
Doctorate
Trade School
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8.
What is your age?
(Required.)
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9.
What ethnic group do you belong to?
(Required.)
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10.
What is your gender?
(Required.)
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11.
Where do you work?
(Required.)
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12.
What is your occupation?
(Required.)
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13.
What is your employment status?
(Required.)
Employed Full Time
Employed Part Time
Retired
Laid-off
Unemployed
Stay-at-home mom
If retired, please list what you did prior to retirement.
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14.
What is your political affiliation?
(Required.)
Republican
Democrat
Libertarian
Independent
Green Party
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15.
What is your marital status?
(Required.)
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16.
What category fits your household income?
(Required.)
$0 - $40,000
$40,000 - $54,999
$55,000 - $69,999
$70,000 - $84,999
over $85,000
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17.
Please provide your city and zip code.
(Required.)
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18.
Please provide the best number to reach you.
(Required.)
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19.
Please provide your email address.
(Required.)
20.
Do you agree to be videotaped?
Yes
No
21.
Have you ever been convicted of a crime punishable by imprisonment?
Yes
No
22.
Are you willing to discuss your opinions?
Yes
No
23.
Please check if you know any of the following people or companies (you may recognize the names of companies, but please ONLY check if you or someone close to you works there or has a business/personal connection).
Patrice Flahaut
Lucette Flahaut
Dr. Christina Preusz
Jimmy Flahaut
Jason Scheele
Tyler Larson, P.A.
Dr. Sophana Karnchanasorn
Parkview Hospital
Dr. Carol Garrean
Parkview Physicians Group - Internal Medicine
Parkview Physicians Group - Urology
Janet McSharar
Benjamin Ice
Jarrod Malone
Thakena Hogue
Jordan Huttenlocker
John Holden, IU Health Physicians and Gastroenterology
Dr. Drew Hosier, Parkview Physicians Group Family Medicine & Internal Medicine
Dr. Lokesh Jha, Parkview Physicians Group - Gastroenterology
Dr. Chetan Mittal, Parkview Physicians Group - Oncology
Dr. Maximilian Pyko, IU Health Radiology
Dr. Roy Robertson, Parkview Physicians Group - Urology
Dr. Brian Rosman, Parkview Physicians Group - Urology
Zachary Roth, Vision Care Opthalmology
Dr. Scott Shie, Parkview Physicians Group - Urology
Dr. Taha Shipchandler, IU Health Otolaryngology
Dr. Anita Turk, IU Health Simon Cancer Center
Stoll Kennon Ogden, PLLC
Katz Korin Cunningham, PC
Drewry Simmons Vornehm, LLP
Barrett McNagny, LLP
Rothberg, Logan & Warsco, LLP
No, I do not know any of these people or companies.
If you answered yes to any of the above, please explain the relationship/connection.