FOCUS GROUP APPLICATION

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Hello and thank you so much for your interest in joining Dr. LaReesa Ferdinand's focus group! Please enter the below following basic information and we will contact you shortly to discuss more about the focus group's requirements!

Disclaimer: This focus group is non paid, confidential answers that will not be applied to a name, any discounts or freebies are not to be used to solicit business or buying products but honor good feedback to promote the greater good in this market and serve as data to produce better consumer interest.

First & Last Name *

Birthday *

YYYY

Email *

Phone Number *

Can we text you about upcoming Focus Group events? *

Yes

Location/Timezone e.g. Chicago,IL/CST *

Do you have any experience in reviewing products- medical, technical, or otherwise? *

Yes

If Yes, please tell us a bit about that experience

If No, please tell us why you want to participate in this focus group

Is there anything you want to add?

Submit

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