April Focus Group Questionnaire

Initial Screening

Thank you for your interest in participating in the focus group in South San Francisco (1 to 2 miles from San Bruno Bart station) on Monday, April 21st.

Each session will last 1 hour, and participants will receive $60!

Please answer these questions so we know how to contact you and when you are available.

You can view our privacy policy here: www.vgmarket.com/privacy.php

We will contact you if your answers match our client's qualifying specifications.

1. What is your name? *This question is required.

First name
Last name
Suffix (Jr., Sr., III, etc.)

2. What is your birthday?
Please enter it in MM/DD/YYYY format. *This question is required.

Age

3. What is your gender? *This question is required.