Focus Group Participants Needed

Narrative Focus Group
Narrative - Personal Injury Cases - Focus Groups Project  Description:  We will be holding focus groups in Islandia, NY.  2-4 times a year.  If you would like to participate in these focus groups, you will be monetarily compensated for your time, plus we will provide you with refreshments and light snacks. They are always held on a weekday and start at 6 pm.  All backgrounds are encouraged to apply.  You must be over the age of 18 and provide valid identification showing proof of age and residence. If you are chosen to participate you will be emailed all the details. To apply, you must answer the questions in full by completing the survey below. Applications without complete answers will not be considered.  Applicants who arrive more than 10 minutes late for scheduled focus groups may be disqualified to attend.  You must provide a valid email address and daytime contact phone number.
Name:*
Contact Phone:*
Email:*
Current Town/City*
Age*
Gender:*
Ethnicity:*
Marital Status:*
Do You Have Children*
Employed:*
If you answered "YES" to above described the type of employment, how long you have worked and your job title. If you are self employed please list your company name and what you do. *
Do you read the Newspaper? If yes, which one?
Preferred News Source:
Please List Your News Source Below: (CNN, CBS, Huffington Post, etc.)*
Favorite movie genre? Horror, Sci-fi, etc. *
Name of last book you read:*
What magazines do you read?
Do you Rent an apartment/condo or a home? *
Do you own your own home?*
Do you own your own vehicle.*
If yes to above- List year, make and model
Highest level of education:*
U.S. Citizen*
Ever serve in the Armed Forces of the U.S.*
Ever serve on a jury*
Ever been a party to a lawsuit, other than a divorce? *
If "Yes" to above, describe lawsuit below:
Referred by:
City, State & Country of Birth: