Focus Group Participant Information Sheet

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All information is completely confidential and will only be seen by those in the South Carolina Legal Market Research Group. If you are interested in participating, please fill out the information below.

First Name *

Last Name *

Phone Number *

Email Address *

City of Residence (e.g. Charleston, North Charleston, Summerville, etc. ) *

Age *

Gender *

Ethnicity/Race (Select all that apply) *

Caucasian/White

African American

Hispanic

Native American

Asian

Other:

Required

Highest Level of Education You've Completed *

If Applicable, Your Area of Study in School (e.g. business, teaching, psychology, etc.)

Marital Status *

If Applicable, Highest Level of Education You're Spouse Has Completed

If Applicable, Your Spouse's Area of Study in School (e.g. business, teaching, psychology, etc.)

Your Current Employment Status *

Your Current or Last Position of Employment *

If Applicable, Your Spouse's Current Employment Status

If Applicable, Your Spouse's Current or Last Position of Employment

Political Affiliation *

Political Ideology *

Have you or a close family/friend contracted the Covid-19 virus?

Have you ever participated in a focus group? *

Have you ever sat as a juror for a trial? *

Additional Comments

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