4/6/21 Focus Group Initial Contact Form

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* 1. What is your name?

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* 2. Have you ever participated in a jury research project, legal focus group or mock trial?

Yes

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* 3. In what state do you reside?

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* 4. In what county do you reside?

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

Some high school

High School Diploma

Some college

Associates Degree

Bachelor's Degree

Master's Degree

Doctorate

Trade School

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* 6. What middle school did you attend?

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* 7. What high school did you attend?

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* 8. If you have children, what middle and/or high school do they attend?

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* 9. What is your age?

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* 10. What ethnic group do you belong to?

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* 11. What is your gender?

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* 12. Where are you employed?

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* 13. What is your occupation?

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* 14. What is your political affiliation?

Republican

Democrat

Libertarian

Independent

Green Party

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* 15. What news station do you watch? (CNN, FOX, MSNBC, etc.)

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* 16. What is your marital status?

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* 17. What category fits your household income?

$0 - $15,000

$15,00 - $30,000

$30,000 - $60,000

$60,000 - $90,000

over $90,000

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* 18. Please provide your city and zip code.

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* 19. Please provide the best number to reach you.

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* 20. Please provide your email address.

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* 21. Do you have a laptop/desktop with webcam or tablet? (Cell phones do NOT count)

Yes

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* 22. Do you have high speed internet and/or a strong Wi-Fi connection?

Yes

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* 23. Do you have Venmo? (for payment)

Yes