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WELCOME TO THE U.S. FOCUS GROUP REGISTER.

THE PURPOSE OF THIS IS TO DEVELOP A DATABASE OF POTENTIALLY AVAILABLE FOCUS GROUP RESPONDENTS.

WE ARE LOOKING FOR RESPONDENTS FROM LARGE CITIES AND SMALL TOWNS. THEY MIGHT PARTICIPATE IN FOCUS GROUP MEETINGS OR EXTENDED TELEPHONE CONFERENCES,WEB OR MAIL STUDIES.

THE FACILITIES WHO RECRUIT HAVE NO CONTROL OVER THE TYPES OF PEOPLE THEY ARE GOING TO RECRUIT. THEY ARE GIVEN SPECIFICATIONS -- WOMEN 35-40 WHO HAVE TWO DOGS AND AN INCOME UNDER $50,000 A YEAR; OR MEN WHO LIVE IN HOMES WITH WOOD SIDING AND CONSIDER THEMSELVES HOME HANDYMEN...OR NOT -- YOU JUST NEVER KNOW.

YOUR QUESTIONNAIRE WILL BE SHARED WITH A MAJOR FOCUS GROUP ORGANIZATION FOR RECRUITING PURPOSES ONLY.

LAST, BUT CERTAINLY NOT LEAST. YOU WILL NEVER BE ASKED FOR A FEE TO GET INTO A GROUP.IF YOU ARE ASKED LET US KNOW. AT THE FACILITY YOU WILL RECEIVE A "COOPERATION FEE." PARTCIPATION FEES ARE GENERALLY PRESENTED AT THE END OF THE EVENING AND ARE USUALLY IN CASH.

LET'S BEGIN...

The first questions will tell us how we get in touch with you and where you live.

1.
First Name?

2.
Last Name?

3.
E-mail address

4.
Telephone Number

5.
Cell phone number

6.
City

7.
State

8.
ZIP

Now just a little bit about who you are.  

9.
Gender
Female
Male

10.
Year you were born (Example: 1978)

11.
Month of your birth

12.
Ethnicity

13.
What is your marital status? 
Single
Co-Habiting
Married
Separated
Divorced
Widowed

14.
Do you have any children living at home
Child 1
Child 2
Child 3
Child 4
Child 5
Child 6
Male=M  /  Female=F
Age at last birthday = 7