Please verify your information

Please take a moment and submit your responses to the questions to verify we have everything correct about you for your upcoming research study!
 
After completing this form we will have you verified for participation in the study and it will take you to our participation consent form that you need to sign online so we have it on file for you to participate. Remember, we will send you specific driving instructions to your focus group prior to your scheduled session via email and mail (if possible).