Youth Focus Group Screener
Thank you for your interest in participating in a Focus Group! The following questions allow the ACYI Team to determine your eligibility for the study and ensure we are recruiting the right people. All of your responses are completely confidential and will not be shared with anyone outside of the ACYI team. Please be as honest and open as possible.

If you don't qualify, but are interested in future studies please visit this link to get in touch with a staff member from ACYI https://acyi.org/youth-voice/tega/tega-interviews/
For this study, we are interested in talking to residents of Adams County. Do you currently live in Adams County? *
Zip Code *
Your answer
For this study we are interested in speaking to youth ages 16-24. Can you tell your birthdate? *
MM
/
DD
/
YYYY
The topic of this study is youth employment. Have you experienced issues seeking and/or gaining employment? *
What is your current employment status? *
If you are employed, what is your job title?
Your answer
If you are employed, how many hours do you work in a typical week? *
How much do you earn in a typical work week? For this study we are looking for respondents who are unemployed or make less than $13.11/hour or $525/week. *
Your answer
Which of the following best represents your educational status? To qualify, you must not be pursuing educational opportunities beyond high school. *
Do you currently intend to pursue educational opportunities beyond high school, including college or a technical program? *
Thank you for your responses so far. We just have a couple more questions to make sure we are speaking to a variety of respondents.
What ethnicity best represents you? (check all that apply) *
Required
Gender *
What is your primary language? *
How many people, including you, live together in your current space? *
Your answer
Of that number, how many people are working? *
Your answer
Do you or anyone who lives with you receive any of the following support or assistance from the government? There are no right or wrong answers here, we just want to know for classification purposes. Select all that apply. *
Required
Great! Thank you for completing our survey. We will be getting in touch with you to schedule your focus group. Please provide your contact details so that we can contact you to schedule your interview.
First Name *
Your answer
Last Name *
Your answer
Address *
Your answer
Phone number *
Your answer
Email *
Your answer
Preferred Contact Method *
Required
Please indicate below if you need transportation assistance to attend one of the above focus groups. *
How did you hear about the focus group? *
Your answer
That's all! Don't forget to complete the consent form here https://acyi.org/wp-content/uploads/2019/12/AC-Employment-2-Consent-Form.pdf. Thank you for your interest in this focus group!
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