Focus Group Participants Wanted

Spruce, Missoula MT

05 January, 2022

Description

On Wednesday, January 5, 2022, beginning at 3:00 pm, we will be holding a focus group in downtown Missoula. Participants will receive a $75.00 honorarium. Snacks and beverages will be provided. All backgrounds are encouraged to apply. More details will be provided if you are selected. To apply, please reply to this post with your answers to the following questions. Please provide the information requested below in full. Applications without complete answers will not be considered. Selected participants will be contacted on or before Tuesday, January 4th with additional information. COVID-19 considerations: We will follow all social distancing protocols and encourage protective face coverings in public areas such as hallways and restrooms. Hand sanitizer will be available. Full Name: Cell Phone #: Home Phone #: Best phone number to reach you between 9:00 am and 5:00 pm: E-Mail Address: City you live in: Marital Status: ☐ Married ☐ Divorced/Separated ☐ Widowed ☐ Single Do you have any children? ☐ Yes ☐ No How many? Gender: ☐ Male ☐ Female ☐ Other Age: Ethnicity: ☐ White ☐ Hispanic or Latino ☐ Black or African American ☐ Native American or American Indian ☐ Asian / Pacific Islander ☐ Other Political Leaning: ☐ Conservative ☐ Progressive ☐ Other What is the highest grade you completed in school?: Place of Birth (city/state): Are you a U.S. citizen?: ☐ Yes ☐ No Have you ever served in the armed forces of the US? ☐ Yes ☐ No Are you currently employed? ☐ Yes ☐ No If yes, please provide the name of your current employer & how long you have been employed. What is your current position or Title? Are you self-employed? ☐ Yes ☐ No If yes, provide the company name and type of business. Location of the employer (city/state): Total family income? ☐ $0-$40K, ☐ $41K-$75K, ☐ $75K-$100K, ☐ $100K+ Do you own your own vehicle? ☐ Yes ☐ No Vehicle make/model/year: Do you rent or own your home? ☐ Rent ☐ Own Have you ever been a party to a lawsuit, other than divorce? ☐ Yes ☐ No If yes, what kind of lawsuit? Have you ever served on a jury? ☐ Yes ☐ No Have you ever participated in a focus group? If so, what kind? ☐ Yes ☐ No What is the name of the last book you read? What magazines do you like to read? How many times a week do you watch the news? Do you read the newspaper? ☐ Yes ☐ No Which one? What is your favorite movie genre? Do you have any hobbies? ☐ Yes ☐ No What kind? COVID-19 considerations: Do you feel comfortable being around others regardless of their Covid-19 vaccination status? ☐ Yes ☐ No Do you feel comfortable being around other people if masked? ☐ Yes ☐ No Do you feel comfortable being around other people if unmasked, but socially distanced? ☐ Yes ☐ No