Home Form SoCal Focus Groups Please fill out the form to apply. * Required Which day are you applying for?* Any DayFebruary 16, 2024 First Name* Last Name* Email Address* Cell Phone* Age* City You Live In- THIS MUST MATCH THE ADDRESS ON YOUR ID, WHICH IS REQUIRED BEFORE THE START OF THE FOCUS GROUP* Employer* Job Position* Gender* -Choose One-MaleFemaleOther Race* -Choose One-AsianAfrican-AmericanHispanicWhiteMiddle EasternOther Political Affiliation*DemocratIndependentRepublicanOther: Who was your favorite president of the United States?* -Choose One-George WashingtonJohn AdamsThomas JeffersonJames MadisonJames MonroeJohn Quincy AdamsAndrew JacksonMartin Van BurenWilliam Henry HarrisonJohn TylerJames K. PolkZachary TaylorMillard FillmoreFranklin PierceJames BuchananAbraham LincolnAndrew JohnsonUlysses S. GrantRutherford B. HayesJames A. GarfieldChester ArthurGrover ClevelandBenjamin HarrisonWilliam McKinleyTheodore RooseveltWilliam Howard TaftWoodrow WilsonWarren G. HardingCalvin CoolidgeHerbert HooverFranklin D. RooseveltHarry S. TrumanDwight D. EisenhowerJohn F. KenndeyLyndon B. JohnsonRichard NixonGerald FordJimmy CarterRonald ReaganGeorge BushBill ClintonGeorge W. BushBarack ObamaDonald TrumpJoe Biden Do you have children?* -Choose One-YesNo Marital Status* SingleMarriedSeparatedDivorcedWidowed Education Level* High SchoolGEDAssociate's DegreeSome CollegeBachelor's DegreeMaster's DegreeProfessional Degree Are you a U.S. Citizen?* YesNo Have you ever served in the Armed Forces?* YesNo Combined Family Income* $0-$25K$26K-$45K$46K-$75K$76K-$100KOver $100K Have you ever been a party in a lawsuit?* YesNo If Yes, what type of lawsuit? -Choose One-Business DisputeContract DisputeEmploymentLandlord/TenantPersonal InjuryOther Have you ever served on a jury?* YesNo When was the last time you were in a focus group?* -Choose One-Within a Month1-6 Months AgoOver 6 Months AgoNever