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 online focus group!

After completing this form we will have you verified for participation in the study. Remember, 4 days prior to your group we will check in with you for your REQUIRED health check via email. Respond to that health check as quickly as possible.

  • Please enter the email you have with us.
  • What is the best number to contact you at via phone?
  • Enter the year you were born, like 1999 or 1972.
    Please enter a number from 1900 to 2050.
  • Which best describes the gender to which you most identify?
  • Have you EVER participated in a focus group or research project involving a lawsuit or legal issue?
  • Which US County, Parish, or Township do you live in?
  • What is your race or ethnicity? If you are mixed race, select all races you represent.
  • Do you have any children under the age of 18 at home?
  • Do you work in, or have any training in any of the following industries or fields? Select all that apply.
  • Do you, an immediate family member, or any close friend or relative have work for, or have any connection with any of the following companies or organizations? Select all that apply.
  • Do you, an immediate family member, or any close friend or relative have any relationship with the following people? Select all that apply.
  • This field is for validation purposes and should be left unchanged.