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Focus Group in RWC (11-22-19)
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Email
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Your email
Attending?
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Yes
No
Maybe
Full Name
*
Your answer
Contact Phone Number
*
Your answer
Age
*
Your answer
Gender
*
Female
Male
Other:
Family Income
*
$0-$34,999
$35,000 - $74,999
$75,000 - $149,999
$150,000 - $199,999
$200,000+
Race
*
Black
Latino
Asian
White
Other:
Politics
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Democrat
Republican
Independent
Undeclared
Other:
City
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Your answer
Marital Status
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Single
Married
Children
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none
1
2
3+
Education
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High School
Some College
College
PostGrad
Job
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Your answer
Place of Birth?
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Your answer
US Citizen?
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Yes
No
Other:
Ever served in Armed Forces of the US?
*
Yes
No
Other:
Rent or Own Home?
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Rent
Own
Other:
Own your own vehicle?
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Yes
No
Ever been party to a lawsuit, other than a divorce?
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Yes
No
Ever served on a jury?
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Yes
No
read the newspaper? if so which one?
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Your answer
favorite movie genre?
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Your answer
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