Houston Education Opinions with Hispanic and African American parents

Introduction Section

Plaza Research Houston is conducting an Educational Opinions discussion with Hispanic and African American Parents who have children attending an HISD school. The discussion takes place on Thursday, June 27th and Friday, June 28th, 2019 time varies throughout the day and evening. If you qualify, and are chosen to participate, you will receive $125 for 2.5 hours of your time.
**Proof is required in order to participate if chosen**

Please answer the questions below. If you look like a match, we will contact you by telephone.

**Due to the large response to our surveys, we are only able to contact those that look like a match. Please continue to answer future studies, as you may be a match to those.

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* 1. Please provide us with the following information. We will be contacting you by telephone if you seem like a match.

First Name *

Last Name *

City/Town

Email Address: *

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* 2. What is your Zip Code?

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* 3. What is your primary phone number?

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* 4. Alternate Contact number

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* 5. What is your age?

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* 6. What is your date of birth?

Date

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* 1. Please provide us with the following information. We will be contacting you by telephone if you seem like a match.

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* 2. What is your Zip Code?

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* 3. What is your primary phone number?

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* 4. Alternate Contact number

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* 5. What is your age?

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* 6. What is your date of birth?

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* 7. What is your gender?