April 26th - April 28th
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Disclaimer: The following questions are asked because we have specific demographic needs for each project. We also ask some additional questions to match you into other popular study topics we may have in the future. Your answers are only used to determine your eligibility for research purposes. Focus Group Connection will never share or sell your information. 
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First Name *
Last Name *
Age *
Phone Number *
Gender *
What is your sexual orientation? *
Which ethnicity do you identify with MOST? *
Are you mixed race? More than one race/ethnicity? *
What CITY do you live in *
What COUNTY do you live in *
What STATE do you live in (ex- CA, NY, TX etc.) *
What is your Zip Code *
What region do you live in? *
What area do you live in? *
Highest Level of Education *
Employment Status *
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) *
Annual *Household* income (Everyone working adult in your home combined) *
Marital Status *
Do you own or rent you home? *
What type of home do you live in? *
If you have children, how old are they? *
Required
What is the year of your vehicle? *
What is the Make of your vehicle? (Ford, Chevrolet, BMW, etc.) *
What is the Model of your vehicle? (Escape, Tahoe, X3, etc.) *
Did you buy/lease your vehicle new or used?
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Were you the person most responsible or equally responsible for the decision to purchase this vehicle?
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Are you the principal driver of this vehicle?  In other words, is this the vehicle that you drive at least 50% of the time?
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For the next set of options, please indicate how likely you are to consider purchasing / leasing the following type of vehicles
Gas Engine *
Diesel engine *

Hybrid (HEV)

Gas or diesel engine with a battery powered electric motor *

Plug-In Hybrid (PHEV)

Gas engine with a battery powered electric motor, can be plugged in to charge battery

 *

Battery Electric Vehicle (BEV)

Battery powered electric motor only, no gas backup

 *

Fullsize Pickup

(Ford F-150, Chevy Silverado, RAM 1500, etc

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Midsize Pickup

(Ford Ranger, Toyota Tacoma, Chevy Colorado, etc)

 *

3 Row Large Traditional SUV

(Ford Expedition, Chevy Suburban, Toyota Sequoia, etc)

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3 Row Large SUV

(Ford Explorer, Chevy Traverse, Toyota Highlander, etc)

 *

2 Row Medium/Small SUV

(Ford Edge, Ford Escape,, Toyota RAV 4, Honda CR-V, etc)

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We're going to ask you a series of questions on yourself and what you value.  The following statements describe beliefs that some people have.  Please indicate to what degree the statement fits you and your beliefs. Untitled Title
When I'm getting something done, I set my standards higher than most.
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There's little I can do to change my life
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No matter what, my family comes first
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I enjoy working with my hands to build and fix things
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I feel I can accomplish any goal
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I’m willing to sacrifice some time with my family in order to get ahead
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I'm the person people turn to when they need help.
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For the next set of questions, please indicate the frequency with which you use your new vehicle for the following activities:  

Commuting to and from work

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Business Purposes (other than commuting)

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Trailering or towing

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For shopping/daily errands

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Hauling

 *

Hunting, Fishing, or Camping

 *

Vacation Trips

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Are you conformable enough and willing to upload photos/videos to an online platform to participate in this study? *
Which of the following statements best describes you in a group situation? *
When, if ever, was the last time you participated in a market research study in person, over the phone, or online? *
If you participated in a study in the past 12-months, what was the topic? 

If you have not participated in any studies, please put "NA."
Are you or is any member of your household currently employed by, previously employed by, or retired from any of the following types of companies *
Required
**IMPORTANT** 

You must have a working Desktop or Laptop computer with high-speed internet, webcam and audio capability to participate in this study. Do you have access to all of these things to participate in this study?
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**IMPORTANT** 

To participate in our Focus Groups, we may ask you to be live on webcam and/or upload selfies and videos of yourself. Are you comfortable with this?
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**IMPORTANT**

If you are scheduled to participate in an online study, we ask that you are in a quiet location without distractions. You MUST participate from a Desktop or Laptop computer. Trying to participate from your cell phone, conducting interviews in your car and/or excessive background distractions can result in termination from the study without pay.

AGAIN!
Trying to participate from your cell phone, conducting interviews in your car and/or excessive background distractions can result in termination from the study without pay.
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**IMPORTANT**

If you are scheduled to participate in an online study, we ask you to arrive 15-minutes early. If you are late AT ALL, you may be dropped from the study, unpaid.

AGAIN! If you are late AT ALL you may be dropped from the study. UNPAID! 
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**IMPORTANT** 

Payment for participation will be paid by check in the mail to your physical home address unless otherwise stated. Payment can take up-to 3-4 weeks. Are you ok with this?

!! PAYMENTS CAN TAKE UP TO 3-4 WEEKS to receive. ARE YOU OK WITH THIS?
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How did you hear about this opportunity? *
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