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* 1. Please provide your email address

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* 2. First and Last Name:

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* 3. Please provide your full street address:

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* 4. What is the best phone number to reach you?

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* 5. How did you find us?

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* 6. If you selected referral, who referred you?

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* 7. What is your preferred method of contact?

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* 8. Are you available for:

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* 9. Gender

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* 10. How old are you?

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* 11. What ethnicity do you most identify with?

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* 12. Do you have any children?

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* 13. What are the age ranges of your children?

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* 14. Choose 5 words that would best describe yourself.

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* 16. Which of the following categories best describes your employment status?

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* 17. Please describe your past or present job.

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* 18. What is your total household income?

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* 19. Have you attended any training, education, lectures, seminars, or courses in any of the following areas? (Please check all that apply)

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* 20. What's your primary source of news?

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* 21. What is your favorite news program?

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* 22. Economically, I consider myself:

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* 23. Socially, I consider myself:

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* 24. Are you a registered voter?

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* 25. What is your political preference/affiliation?

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* 26. In the last election how did you vote?

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* 27. What is your opinion on the political system?

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* 28. How important is religion to you?

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* 29. Do you have law enforcement experience?

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* 30. Do you have any family members with experience in law enforcement?

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* 31. What is your overall opinion of law enforcement?

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* 32. Have you ever served in the military?

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* 33. If yes, please provide the branch, number of years and highest rank achieved.

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* 34. If a friend or family member says something you disagree with, how likely are you to provide your opinion?

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* 35. What is your opinion on the legal system?

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* 37. What are your top 3 favorite hobbies?

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* 39. What is your current marital status?

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* 40. How many people reside in your household?

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* 41. Have you ever participated in a focus group before and if so, what type of focus group was it?

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