Focus Group Participant Form

Thank you for your interest in participating in a focus group.

We collect basic demographic data to ensure that the composition of our focus groups matches the audience from which we are seeking input and opinions. Your information is never shared, is only viewed by the data manager, and is not used for any purposes other than to organize focus groups.

Please complete the participant survey below and we will contact you with dates and times of focus groups that are a match.

Focus Group Participant Privacy Statement:

We keep basic demographic information on file for use in organizing and facilitating focus groups for our clients. Your information is never shared or used for any purposes other than to organize focus groups. Participant data is stored electronically on a secure cloud-based server and kept on file for one year. If you no longer want to be part of the focus group database, you can contact Deneen Wiske at deneen@breakofday.net at any time to request removal.