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* 1. Full name

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* 2. Email address

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* 3. Are you a home owner?

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* 4. Do you own a dog?

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* 5. Have you ever been a party to a civil lawsuit?

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* 6. What city and state do you live in?

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* 7. Are you a registered voter?

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* 8. What is your educational background? 

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* 9. Which of the following ethnic groups do you belong to?

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* 10. What is your age group? 

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* 11. What is your gender?

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* 12. Are you married?

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* 13. Which category fits your household income?

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* 14. Do you have children? 

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* 15. In your opinion, if someone is injured by the negligence of another and fully recovers after medical treatment, what is the injured person entitled to recover from the person who negligently caused their injury?

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* 16. Are you employed? If so, what is your occupation?

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* 17. Have you served in the US Military?

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* 18. On political issues, how would you rate yourself?

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* 19. On economic issues, how would your rate yourself?

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* 20. On social issues, how would you rate yourself? 

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* 21. What is your response to the following statements? 

  Strongly disagree Somewhat disagree Neutral Somewhat agree Strongly agree
There are too many lawsuits
Jury awards are too large 
Lawsuits cost us all too much

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* 22. Please mark your availability to participate in our paid focus group on Monday- July 22, 2019 in Novato, CA:

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* 23. Is it OK to contact you by phone? If so, please provide your phone number.

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