Pre-Screen ~ St. Louis, MO (St. Louis County)

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St. Louis County residents ages 18 and older are needed for a 2 part paid opinion study. The 1st part of the study requires you to attend a questionnaire session being held on Friday, January 3 in St. Louis. The questionnaire session will take approximately 30 minutes to 1 hour and pays $75 at the end. The questionnaire session times are 4pm, 5pm or 6pm. Then return for the 2nd part of the study on Monday, January 13 (8:30am-6:00pm) & Tuesday, January 14 (8:30am-5:00pm) in St. Louis. Receive $400 for participating in the entire 2nd part, 2-day event. Breakfast, lunch and refreshments are provided. The research will involve listening to a presentation, filling out questionnaires (reading & writing) and discussing your opinions in a group setting. Topic is community & social issues. Note: You must be able to attend all 3 dates to participate.

Email *

First Name *

Last Name *

Contact Number(s) *

Are you a registered voter in St. Louis County, MO, or are you a resident of St. Louis County and have a valid state of Illinois driver’s license? *

What county do you reside in? *

Have you ever lived in a neighborhood, either now or in the past, that was considered to be an environmental hazard? *

Age *

Ethnicity *

Last level of education completed *

Employment status *

Full Time

Part Time

Self Employed

Unemployed

Homemaker / Stay at home parent

Retired

Full Time Student

Part Time Student

Required

What is your current occupation? (please list previous if unemployed, homemaker or retired) *

What industry do you work in? (please list previous if unemployed, homemaker or retired) *

Do you, your close friends, or your family members have any relationship to the following industries, either now or any time in the past? *

Waste Management (e.g., trash collectors, work for a trash service, etc.)

Legal industry (e.g., law enforcement, lawyers, judges, politicians, legal administrators,

Market or Market Research companies

Media (e.g., journalism, newspaper, television, radio)

Utility industry (e.g., natural gas workers, water company, electric, telephone, etc.)

None of the above

Required

What do you think are the most pressing issues facing Illinois today? And remember, there are no right or wrong answers to this question; we just would like your opinion. *

How comfortable are you sharing your opinions in a group setting? *

Not at all comfortable

Very comfortable

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