Please verify your information – OLYMPIA

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?
  • 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.
  • Which best describes the highest level of education you have had the opportunity to complete?
  • Typically do you consider yourself more of a Democrat, Republican or something else? Even if you don't vote, how do you think about public policy?
  • Do you work in, or have any training in any of the following industries or fields? Select all that apply.
  • Do you have any children under the age of 18 at home?
  • Which category best represents your family's total household income, before taxes annually?
  • Which best describes your current employment status?
  • Have you, or has anyone in your close circle of family and friends, ever been employed by, worked for, or received legal services from any of the following people or organizations?
  • 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.
  • Have you received any COVID-19 vaccinations? Either the first [partially vaccinated], or second dose [fully vaccinated]?
  • This field is for validation purposes and should be left unchanged.