Please verify your information PORTLAND 2/4

 

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. Remember, we will send you driving and parking instructions to your focus group via mail and email prior to your scheduled study.

  • 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?
  • Which US County, Parish, or Township do you live in?
  • Have you EVER participated in a focus group or research project that dealt with a legal case, such as a mock trial?
  • What is your race or ethnicity? If you are mixed race, select all races you represent.
  • Do you work in, or have any training in any of the following industries or fields? Select all that apply.
  • Do you or anyone you know well personally know any of these individuals.
  • Have you or anyone you know well ever been employed by, affiliated with or is a shareholder in any of these companies.
  • Please enter your mailing address so we can mail you your study information in addition to the email information you will receive from us. Include your CITY, STATE, and ZIP CODE as well.
  • This field is for validation purposes and should be left unchanged.