November 14 2026 Group Intake Form

Focus Group Intake Form

Earn $150 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 $150 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 November 14, 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, Paypal, or Venmo account to receive payment?
All participants are required to verify their identity through a brief video call (1-5 minutes) prior to the focus group. Please confirm your willingness to complete this verification process. Please note, all participants unwilling to verify their identification are instantly disqualified.
Annual Income
Should be Empty:

Focus Group Intake Form