Environmental Hazards Whitehorse Focus Groups

Qualification Survey

Thank you for taking this survey. We're trying to get a representative group of people in Whitehorse. Answering these questions will help us determine if we have a spot for you.

Focus groups will be conducted virtually via Zoom and will be recorded. Participants will be compensated $50 for one 90 minute session.

Focus groups will start in the beginning of April and will be held outside of work hours. We will contact participants about specific time and dates prior to that.

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* 1. Contact Information:

Name

Email Address

Phone Number

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* 2. Do you live in Whitehorse?

Yes

Other (please specify)

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* 3. Do you work for a local or state government agency? If so, please tell us what department or agency you work for.

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* 4. What is your age?

Under 18

18-24

25-44

45-64

65+

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* 5. What is your gender?

Male

Female

Other (please specify)

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* 6. What is the highest level of school you have completed or the highest degree you have received?

Less than high school degree

High school degree or equivalent (e.g., GED)

College - Associate or Bachelor degree

Graduate degree

Trade school certificate

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* 7. What race do you identify with?

White or Caucasian

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Another race or Multiracial