05/16 Focus Group Intake Form

Focus Group Intake Form

Earn $180 for 6 Hour Online Focus Group. Complete the form below to get started.
Event Details:

Only 8 spots are available for this focus group. You will be paid $180 for 6 hours of your time shared during a virtual focus group. This is a mock jury focus group where you and others will be asked to share your opinions on a variety of facts/issues from an active, pending lawsuit. Because this focus group relates to a real lawsuit/case in this venue with an upcoming trial date and anyone who participates must be identifiable for exclusion as a juror from the trial, accurate disclosure of the below information is necessary for participation. The focus group will take place on May 16, 2026 from 9:00 am to 3:00 pm.
Name

First NameLast Name
Email
example@example.com
Political Affiliation
Highest Level of Education
Gender Identity
Age
Please state your age above
Race
Occupation
Please state your current occupation above
Marital Status
Please Specify Marital Status
Can you attend via computer or tablet (phone attendees will be not allowed to participate)?
Do you have a Zelle or Venmo account to receive payment?
Link to any one of your social media accounts that would support you are a real person and not spam/robot:
E.g. Instagram, Facebook, TikTok, X, LinkedIn, etc...
If selected to participate in the focus group, do you have, and will you submit, water/electric/cable bill/ that shows your name and address to confirm you reside in Anne Arundel County, MD?
Annual Income
Should be Empty:

Focus Group Intake Form

Event Details: