Mock Trial Participant Information
May 28th, 2026
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you at least 18 years of age?
*
Yes
No
Have you ever participated in a Mock Trial or Focus Group for Feller & Wendt LLC or Focused LLC?
*
Yes
No
Have you ever, or do you now work for a personal injury law firm?
*
Yes
No
Have you ever been convicted of a felony?
*
Yes
No
Are you a US Citizen?
*
Yes
No
Your Current Age
Gender
Male
Female
Ethnicity
White/Caucasian
Hispanic/Latino
Native American
Asian
African American
Other Pacific Islander
Political Affiliation
Democrat
Republican
Independent
Libertarian
Marital Status
Single/Never Married
Married
Widowed
Divorced
Living w/ Partner
Current City & State of Residence
Birthplace (City & State)
Number of Children
Ages of Children, if applicable
Total Family Income
0-$40k
$41K - $75K
$76K - $100K
$100K+
Education (Select Highest Level)
Highschool/GED
Some College
Graduate Degree
Bachelor's Degree
Associated Degree/ Trade School Completion
If you have a degree, what's your major?
Current Employer
Location of Employment
Length of Employment
Position or Title
Job Description
Self Employed?
Yes
No
If yes, what type of business?
Previous Employer
Previous Job Title
Do you own your own vehicle?
Yes
No
If yes, what is the make, model & year?
Do you rent or own your home?
Rent
Own
Do you own a pet?
Dog(s)
Cat(s)
Fish
Bird(s)
None
Have you ever participated in a focus group?
Yes
No
If yes, What kind of focus group?
Have you ever been party to a lawsuit, other than a divorce?
Yes
No
Have you ever served on a Jury?
Yes
No
What are your hobbies?
What is the name of the last book you read?
Favorite Movie Genre
Horror
Comedy
Romance
Action
Thriller
Western
Drama
Science Fiction
Crime Film
What kind of magazines do you like to read?
Food & Cooking
Fashion
Entertainment
Sports
Home Lifestyles
Health
Travel (ie National Geographic)
I Don't Read Magazines
Have you ever traveled?
Yes
No
If so, where?
What are your greatest achievements?
How many days a week do you watch the news?
Never
Occasionally (1-2)
Often (5-6)
Always
Do you read the news paper or any news apps?
Yes
No
If yes, which sources/ apps do you read?
What is your preferred form of Social Media?
How did you hear about this Focus Group?
Social Media
Craigslist
KSL
Family/Friend
Preferred Method of Contact (Text, Call, Email)
When is a good time to contact you by phone?
Please upload a form of ID to be considered a participant THIS IS REQUIRED
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: