Home Form

SoCal Focus Groups

Please fill out the form to apply.  * Required


    Any DayFebruary 16, 2024

    DemocratIndependentRepublicanOther:


    SingleMarriedSeparatedDivorcedWidowed


    High SchoolGEDAssociate's DegreeSome CollegeBachelor's DegreeMaster's DegreeProfessional Degree


    YesNo


    YesNo


    $0-$25K$26K-$45K$46K-$75K$76K-$100KOver $100K


    YesNo


    YesNo