BGS Focus Group Form

Black Girl Sunscreen Focus Group

You're invited!
Your Name*
Your E-mail*
example@example.com
Your Contact Number*

Area CodePhone Number
Please pick a date you are available - TBD*
Can you commit to a 60-minute session on this date?*
When was the last time you used Black Girl Sunscreen*
Do you have reliable internet, a webcam, and a quiet space suitable for a virtual meeting?*
You can remain off camera if desired.
Do you or anyone in your household work in market research, cosmetics, dermatology, or related industries?*
Are you willing to sign a confidentiality agreement?*
Are you comfortable sharing your thoughts in a small group?*
Which racial/ethnic background do you identify with?*
What age range do you fall into?*
What is your geographic location? *
Please confirm that you are 18 years of age or above? *
Please note:

The session will be a Virtual 60 minute session and will feature a $100 gift card for session participation.

Participation agrees to confidentiality and consent to a recorded session.
Additional Comments and Questions
Would you like to be considered for future Focus Group sessions?

YesNo
Should be Empty: