Focuscope, inc Update
Thank you for your time today. We are working to update all of our members profiles so that we have the most up to date information. Having accurate and up to date information, will allow us to contact you with new projects.
Name *
Email *
Please provide your birthdate *
Phone number *
Home Address *
City and Zip Code *
What type of home is this? *
Birth month, year, and gender of children living at home.
If you are expecting, please provide your due date.
Please indicate which office/offices you would travel to for Focuscope projects. *
What is your approximate average household income? *
Which of the following categories best describes your employment status? *
Your current occupation *
If applicable, the name of your employer or school.
Which best describes your current relationship status? *
If applicable, your spouses/partners occupation
Please include your race. *
Your highest level of education completed?
What kind of cell phone do you have?
Clear selection
Are there food allergies in your home?
Clear selection
Can we text you?
Clear selection
Do you have pets at home? *
Which of the following do you ever wear in order to shop in a grocery store or supermarket whether to walk down the aisles or to read package information? *
We often work on projects related to medical conditions. If you have a condition you are comfortable sharing, we will contact you when we are working on related projects.
Year, Make and Model of Auto(s) in home
Focuscope is busy, busy with new projects and we need men between 18-75 for projects. Do you have friends or family that would like to earn money for sharing their opinions? Simply share our link, You are both entered into a drawing for a monthly $100 Target gift card.
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