Underage Drinking Prevention - Parent Focus Group Recruitment

Jump at the Sun Consultants - Helping Communities Reach New Heights

Parent Recruitment

Underage Drinking Prevention Campaign

Thank you for responding to our request. We are currently recruiting parents of African American children, 7 to 8 years of age living in Milwaukee County. Parents should be between the ages of 25 - 40. Please complete the following form to confirm your interest and availability. A representative will call to confirm your participation in a scheduled focus group discussion.

* Indicates required field

First Name *

Last Name *

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Select a Group (Please select one) *

Tuesday August 4th 1:00- 2:30 Friday August 7th 1:00-2:30

Age of Focus Group Participant *

How many children do you have? *

How old is each child? *

What is the gender of each child? *

Grades of Children *

Did you ever drink alcohol as a minor? *

Yes No

In a group setting with people you don't know which one is describes you the best: *

Active listener that rarely engages in the conversation Active listener that comfortably engages in conversation Occasionally dominates the conversation

Which best describes you in a group setting with people you don't know: *

Reserved and/or reluctant to share my opinions and thoughts. Comfortable initiating a free flowing conversation. Comfortable sharing my opinion and thoughts after some reflection. More likely only to share my thoughts and opinions if I am called on.

Which best describes you: *

Novice to zoom - "I have never or rarely use zoom." Zoom infrequent user - "I'd like someone to walk me through zoom before the focus group." Comfortable zoom user - "I use zoom 1-2 times a week with occasional issues" Frequent zoom user - "I use zoom 3-5 times a week without issues"

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Parent Recruitment

WE WOULD LOVE TO WORK WITH YOU!