NC Community Issues Survey

Eastcoast Research is seeking Female, Triad Area Residents for a 2-hour in-person focus group discussing issues in your community. The focus group will be held at a central location in Greensboro during the week of September 9th.

Qualified participants will receive $150 for their time and opinions.

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* 1. Please enter the information below so we can contact you if you qualify.

Name

Email Address

Phone Number

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* 2. What is your Zip Code?

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* 3. In which county do you live?

Alamance

Davidson

Forsyth

Guilford

Randolph

Rockingham

Other (please specify)

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* 4. Are you at least 18 years of age and registered to vote in North Carolina?

Yes

No