YOUTH FOCUS GROUP SIGN-UP
SE2, a Denver-based communications firm, is looking for Colorado youth ages 12-17 to participate in focus groups to help with the creation of new statewide advertising campaigns for youth and adults that focus on supporting physical and mental health of youth.

Participants will be paid $75 for their time.

Are you interested? Let us know by filling out the form below and we’ll reach out to you and your parent/guardian shortly for permission to participate.

This project is on behalf of the Colorado Department of Public Health and Environment (CDPHE) and the Colorado Department of Human Services, Office of Behavioral Health (OBH)
Your name (first and last) *
Your answer
Select the group from this list that you will participate in the focus group with: *
Age *
Gender Identity *
Sexual Orientation *
Your phone number *
Please provide a number where we will be able to reach you. Please include the area code.
Your answer
Your email address *
Your answer
Your parent/guardian's name (first and last) *
Your answer
Your parent/guardian's phone number
Please include the area code.
Your answer
Your parent/guardian's email *
Please provide an email your parent/guardian will check. This is how we will confirm that you have permission to participate in the group.
Your answer
Who lives at home with you? (Please check all that apply) *
Required
What school do you go to? *
Your answer
What grade are you in? *
What are your favorite activities/hobbies? *
Your answer
Who do you share good news with? (Please check all that apply) *
Required
Who do you share your problems with? (Please check all that apply) *
Required
Agree/Disagree: If I have a serious problem, I know an adult in or out of school who I can talk to or go to for help. *
Agree/Disagree: My parents or guardians give me lots of chances to do activities with them (ex. do fun things, have family dinner). *
Agree/Disagree: I have a friend or group of friends who care about me. *
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