Thank you for your interest in participating in one of our Health Focus Groups taking place IN-PERSON on either January 19 or 20, 2022 in Coral Gables, FL.

Please complete the survey only ONE time.  Completing the survey more than once will NOT increase your chances of qualifying for the upcoming research study.

The study will take place in CORAL GABLES, FL and is only open to residents of South Florida - if you do NOT live in South Florida, then you should not fill out this survey as you will not be eligible to participate in this study.

Please answer the following questions as accurately as possible because your answers will determine if you qualify to participate in the paying focus group.

Qualified participants will be contacted by telephone first so please be sure to include the best phone number for Ask Miami to reach you - if possible, please include multiple phone numbers.

This online survey is used by Ask Miami for the sole purpose to determine if you qualify as a potential participant in our upcoming focus group.  You will not be added to any sales or telemarketing lists.  You will not be paid for completing this online survey. You are NOT obligated to complete this survey, however, if you would like to be considered for this study, we will need you to submit your answers.




I have read and acknowledged the above and would like to continue to the pre-qualification survey.

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