If you were referred please type in First and Last Name of person who referred. If not referred type NA *
Your answer
Name *
Your answer
Best Contact Telephone Number *
Your answer
Email address *
Your answer
What city do you reside in? *
Your answer
What COUNTY do you reside in? *
Your answer
How Long have you Lived in Alameda County *
Your answer
What is your age range? *
What is your Marital Staus
Clear selection
Employment status *
What is Your occupation/job title - Current or Former? *
Your answer
Do you currently work or are you retired from a city, county, state or federal government position? *
If Married/Partnered - Spouses Employment Status & Occupation *
Your answer
Grade level of Education Completed *
Ethnicity *
Do you Have a Calirornia Drivers License or ID? *
Are you a Registered Voter in California? *
When was the last time you participated in a focus group? *
Your answer
Which of the following types of focus groups have you participated in over the past 2 years? Please check ALL that Apply *
Required
How Many Focus Groups have you participated in over the past 2 years? *
Your answer
This project is 100% market research. There are no solicitations. If you meet our initial demographic requirements for this project, you will receive a telephone call from our San Diego office, area code 760 or Dallas TX office area code 214. We will do our best to follow up with everyone. For more information on our company you can visit: www.nwrrs.com - Nationwide Research Recruiters - We do not share or sell your personal information. For this focus group we will be following State and local guidelines for social distancing. Mask will be required to be worn in public common areas or per the requirement of the hotel. *