Community Focus Group
Thank you for taking a moment to fill out this quick survey. We will use this information to select qualified applicants for upcoming paid focus group discussions in the Cape/Jackson area. Please fill out this survey honestly.

We do not sell this information or release it to any third party for any reason.  We only use this information for selecting focus group participants.  
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Your Name *
Your Phone Number *
Note: we will not sell your email, or contact you for anything except about upcoming focus group opportunities that you might qualify to participate in
Email Address *
Note: we will not sell your email, or contact you for anything except about upcoming focus group opportunities that you might qualify to participate in
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