Focus Group Participant Demographics Form
First Name
Last Name
Age
Gender
Female
Male
Non-binary
Other
Prefer not to say
Ethnicity
Asian
Black or African American
Hispanic or Latino
Native American or Alaska Native
Native Hawaiian or Pacific Islander
White
Other
Prefer not to say
Education Level
No formal education
Primary education
Secondary education
Associate degree
Bachelor's degree
Master's degree
Doctoral degree
Other
Occupation
Email
City/Location
Do you have any accessibility needs?
No
Yes
Prefer not to say
Other Comments