Welcome to the Strategic Focus Participant Questionnaire

Please answer all of the questions marked with a RED STAR below. Incomplete questionnaires will prevent you from being selected to participate in a focus group.

2. We conduct focus groups every Tuesday and Thursday from 11:30am to 3:00pm, are you available those days and times to participate? *This question is required.

3. Please select your sandwich preference... *This question is required.

4. First Name *This question is required.

5. Last Name *This question is required.

6. Best Phone Number to reach you between 9am and 5pm *This question is required.

7. E-Mail Address *This question is required.

8. Date of Birth *This question is required.

9. Mailing Address:
Street
City, State
Zip Code
County (City of Richmond, Henrico, Chesterfield) *This question is required.

10. Where were you born? *This question is required.

11. Are you a US Citizen? *This question is required.

12. Are you a registered voter? *This question is required.

13. Political Affiliation *This question is required.

14. Highest grade in school you completed? *This question is required.

15. Do you have a current, valid state driver's license? *This question is required.

16. Have you ever served in the military? *This question is required.

17. Should there be a wall between Mexico and the US? *This question is required.

18. Current employer? *This question is required.

19. How long employed there? *This question is required.

20. Current position with employer? *This question is required.

21. Location of employer? *This question is required.

22. Are you self-employed? *This question is required.

23. If self-employed, what's the name of your business? *This question is required.

24. If self-employed, what type of business is it? *This question is required.

25. Total household income? *This question is required.

26. Gender *This question is required.

27. The minimum wage should be at least $15/hour. *This question is required.

28. Relationship Status *This question is required.

29. How many children do you have? *This question is required.

30. Do you supervise minor children in your home? *This question is required.

31. Do you own your own vehicle?

If YES, year, make and model? *This question is required.

32. In general, what are your political views? *This question is required.

33. What is your religious affiliation? *This question is required.

34. Have you participated in a legal focus group in the past?

If yes, please explain. *This question is required.

35. Have you ever been party to a lawsuit other than a divorce?

If YES, what kind of lawsuit? *This question is required.

36. Have you ever been convicted of a felony? *This question is required.

37. Do you currently have jury summons? *This question is required.

38. Are you a lawyer, married to a lawyer, studying law, or have you worked for a law firm? *This question is required.

39. How many times a week do you watch the news?

40. Do you read the newspaper? Which one?

41. Thank you for completing the registration. We will review your information, if you are selected to participate we will email you within 48-hours with additional information. Please type in your email address again for validation.
*This question is required.