Las Cruces Focus Group Survey Questionnaire Question Title * 1. Have you ever been part of a focus group? Yes No If you answered yes, what kind of focus group did you participate in? OK Question Title * 2. What is your first name? OK Question Title * 3. What is your gender? Female Male Other (specify) OK Question Title * 4. What is your age? 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 or older OK Question Title * 5. Which race/ethnicity best describes you? (Please choose only one.) White or Caucasian Black or African American Hispanic or Latino Asian or Asian American American Indian or Alaska Native Native Hawaiian or other Pacific Islander Another race OK Question Title * 6. Which of the following best describes your current relationship status? Married Widowed Divorced Separated In a domestic partnership or civil union Single, but cohabiting with a significant other Single, never married OK Question Title * 7. How many children to you have? OK Question Title * 8. What is the highest level of education you have completed? Did not attend school 1st grade 2nd grade 3rd grade 4th grade 5th grade 6th grade 7th grade 8th grade 9th grade 10th grade 11th grade Graduated from high school 1 year of college 2 years of college 3 years of college Graduated from college Some graduate school Completed graduate school OK Question Title * 9. Are you currently enrolled as a student? Yes, full time in graduate school Yes, part time in graduate school Yes, full time at a four year undergraduate college/university Yes, part time at a four year undergraduate college/university Yes, full time at a two year undergraduate college/university Yes, part time at a two year undergraduate college/university Yes, at a high school or equivalent No, I am not currently enrolled as a student OK Question Title * 10. What is your occupation? OK Question Title * 11. Generally speaking, do you usually think of yourself as a Republican, a Democrat, an Independent, or something else? Republican Democrat Independent Something else OK Question Title * 12. In general, how would you describe your views on most social issues? Very conservative Conservative Moderate Liberal Very liberal OK Question Title * 13. In general, how would you describe your views on most fiscal issues? Very Liberal Liberal Moderate Conservative Very conservative OK Question Title * 14. What type of groups, organizations, or clubs do you participate in? OK Question Title * 15. Have you even been a party to a lawsuit, other than divorce? Yes No If you answered yes, what kind of lawsuit? OK Question Title * 16. What is your cell phone number? OK Question Title * 17. Generally, are you available for an in-person focus group weekdays after 5:00 p.m.? Yes No OK Question Title * 18. Generally, are you available for an in-person focus group weekdays between 11:30 a.m. - 1:30 p.m.? Yes No OK DONE