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* 1. Contact Information

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* 2. What is your gender?

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* 3. What is your date of birth?

Date

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* 4. I am:

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* 5. I live:

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* 6. What is your ethnicity? (please select all that apply)

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* 7. Are you employed?

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* 8. Please list your current position.

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* 9. If unemployed or retired, please list your most recent position.

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* 10. What is the highest level of education you have completed?

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* 11. Do you have children?

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* 12. Are you a registered voter?

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* 13. Political party affiliation:

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* 14. What is the last presidential election you voted in?

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* 15. With regard to jury service, I...

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* 16. Other than a divorce, have you ever been a party to a lawsuit?

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* 17. I have social media accounts on:

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* 18. Wheter television or internet, what national news organization are you likely to get your news from?

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* 19. I have lost friends or family because of political beliefs:

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* 20. What is your favorite movie genre?

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* 21. Have you ever donated your time, money or items to charity?

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* 22. If selected to participate in this focus group, my preferred session is:

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