Thank you for your interest in participating in this important research study. The online focus group will take place from March 13-16th. You will be asked to log on twice every day (from a computer with a keyboard) and respond to our questions and the comments of other participants.

Deadline to confirm your availability is this Friday, March 9th.

Yes, I am able to attend the focus group from Tuesday 3/13 to Friday 3/16
No, I am not available or would not like to participate


First Name:
Email:
Phone:




Trouble with this form?