If you are a Maryland resident who is interested in participating in one of our focus groups in Montgomery County, Baltimore County, or Prince George's County in March 2018, please provide us with the following information and we will contact you with information about the focus groups.  This information is for research and screening purposes only and will be kept confidential. It will not be shared, and you will not receive marketing offers as a result of completing this questionnaire.

People who participate in the focus group will be paid $100 immediately upon completion of the group.


If you have any problems with this survey, please contact susan@opinionworks.com.
1. Please provide contact information so we know how to get in touch with you:

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* 1. Please provide contact information so we know how to get in touch with you:

2. What is your age?

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* 2. What is your age?

Thank you very much. We will be in touch with you to provide more details about the focus groups. Please keep in mind that if you do not qualify this time, we may have more groups in the coming months and may be back in touch. Thanks for your interest!

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