Underage Drinking Prevention - Parent Focus Group Recruitment

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Cessation
Same Game Different Smokers
My Menthol Story
No Menthol Sunday
Truth Check
Media

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"

Submit

Parent Recruitment

WE WOULD LOVE TO WORK WITH YOU!