Welcome!  Thank you for your interest in participating in one of our upcoming focus groups. This survey was developed so that we may collect information that will be instrumental in selecting appropriate candidates for the group.  Please answer all questions as truthfully as possible.  

This survey will take approximately 10-15 minutes to complete.  Ensure that you will have enough time to provide thoughtful replies.  

Your privacy and the privacy of your responses will be respected and maintained. Your name, address, phone number, or personal information will not be released to anyone without your permission. Under no circumstances will this information be sold, traded or otherwise exploited. You will not be asked to enter your social security number or any payment information.