GENERAL INFO

We are looking for Santa Cruz County residents to participate in an in-person focus group from 8 a.m. to 6 p.m. on January 5, 2023.  Compensation for participation will be $250 (paid by PayPal or Venmo at the conclusion of the event).  This focus group will take place at a hotel in Santa Cruz; continental breakfast, lunch, and snacks will be provided.  Masks and social distancing are encouraged but not required.

Eligible applicants will be contacted via email for a Zoom interview during which you will be asked to demonstrate your ability to access our online polling platform.  If you have recently participated in one of our focus groups, you may not be eligible for this group.

If you are selected for the focus group, we will have to verify your identity for payment purposes. You will be asked to submit/show a legible copy/photo of your driver's license or California ID (instructions will be provided for which portions can be redacted).
TO BE ELIGIBLE FOR PARTICIPATION YOU MUST:

1) Have a valid California Driver’s License or California ID;

2) Be a resident of Santa Cruz County;

3) Be able to read and write in English;

4) Be able to attend an in-person event in Santa Cruz, CA;

5) Have a device (cell phone, tablet, or laptop) which can access our polling platform via the internet (free WiFi will be provided at the event).
QUESTIONNAIRE

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* 1. First Name:

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* 2. Last Name:

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* 3. Phone number (please enter the 10-digit number without spaces or special characters):

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* 4. E-mail address:

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* 5. Have you ever participated in a focus group, research study, or mock trial?

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* 6. How old are you?

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* 7. Gender

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* 8. What is your race?

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* 9. Do you:

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* 10. What city do you live in?

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* 11. What COUNTY do you live in?

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* 12. Do you have a valid state-issued photo ID (driver's license or ID card)?

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* 13. Are you a registered voter?

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* 14. With which political party do you most identify?

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* 15. What is the highest level of education you've completed?

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* 16. What is your yearly household income?

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* 17. What is your current marital status?

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* 18. How many children do you have?

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* 19. Do you ride any of the following? (Please check all that apply.)

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* 20. What is your employment status?

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* 21. Job Title (If retired or unemployed, please list your former job title.)

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* 22. Which category best describes the industry in which you work? (If retired or unemployed, please make your selection based on your last job.)

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* 23. Do you work for any of the following entities? (Please check all that apply.)

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* 24. Are you currently enrolled at any college/university?

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* 25. Have you been sent to jail before?

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* 26. How did you hear about this focus group?

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* 27. Have you been fully vaccinated for COVID-19?

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* 28. Both audio and video of this focus group will be recorded.  Will you be comfortable with this?

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* 29. Do you understand that failure to provide honest responses to this questionnaire or those administered at the event may result in removal from the event without pay?

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* 30. Please upload a clear and crisp photo of yourself for verification purposes.

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