COVID19 Focus Groups sign-up
Thank you for your interest in joining us for one of our Virtual Focus Groups! Please read all the information below before signing up.
Please note that all sessions will have be held virtually via Zoom
Virtual session - A webcam and microphone will be required. We will be emailing you a Zoom link with the confirmation email. You will receive a virtual amazon gift card after the session has been completed.
You will receive a confirmation email in 3-7 business days confirming your session time. If all spots fill up in a session, we will be sending you an email asking to reschedule. If we fill all sessions, we will notify you promptly. Thank you for your participation!
* Required
Email address
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Phone Number (without dashes)
*
This will used to contact you for In-person scheduling or cancellations of sessions.
Your answer
Age Group
*
18-29
30-39
40-49
50-59
60-69
70 and above
Zip code of Primary Residence
*
Your answer
Please choose from our available sessions that work best for you.
*
November 9 @ 6:30pm - Virtual Session
November 12 @ 6:30pm - Virtual Session
Required
Do you prefer to attend an in-person session?
*
We will contact you by phone or email to let you know the date and time of the In-person group
Yes
No
Send me a copy of my responses.
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