HRS FOCUS GROUP SIGN-UP
Submit your information below to participate in our nationwide research groups.  Use your expertise to influence decision makers on products and services that matter.  Help make a difference and get paid for your time and opinions.
Sign in to Google to save your progress. Learn more
Email *
Name (first and last): *
Age: *
Gender *
Phone Number: *
Which of the following best describes your Ethnicity? *
What is your Highest Level of Education? *
Are you currently employed? If so, what is your current job title? *
Which of the Following Best Represents your Household Income (parents income included if you live with them still)? *
What STATE do you live in? *
What CITY do you live in? *
In which COUNTY do you reside? *
Are you registered to vote at your current address? *
As you may know, in 2020 there will be elections for President, Congress, and other state and local offices. I know it’s a long way off and sometimes something comes up that prevents people from voting, but as it stands now, on a scale of 0-10, how likely are you to vote in the 2020 elections for President, Congress, state and local offices? Use a 0 if you are not at all likely to vote, a 5 if you’re only somewhat likely, and a 10 if you’re very certain to vote. You may use any number between 0 and 10. *
Not at all likely to Vote
Very Certain to Vote
Do you consider yourself a Republican, Democrat, Independent or something else? *
Thinking about your ideology, would you say you’re a more Progressive, more Moderate, or more Conservative? And is that VERY [Progressive/Conservative]  or Somewhat [Progressive/Conservative]? *
Do you personally identify as Lesbian, Gay, Bisexual, Transgender, Queer, or Non-Binary? *
What are your views on the following issue: Allowing gay and lesbian couples to marry legally? *
What are your views on the following issue: Laws that would protect gay, lesbian, bisexual, transgender, queer, and non-binary people against discrimination in jobs, public accommodations, and housing? *
Do you consider yourself a born-again, evangelical or fundamentalist Christian? *
Do you currently have a webcam (whether built in or plug in)? If so does it function? *
How did you hear about this opportunity?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Honest Recruiting Service. Report Abuse
Google Forms