About the Process
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***If you have completed a Tampa Focus Group with JuryStudy before, then you are not eligible to participate again.***
Tampa, FL Juror Application
Today's Date that you are submitting your application.
Enter Today's Date.
Have you ever participated in a focus group?
Yes, I have been on focus groups before.
No, I have not been on a focus group.
Are you available on Fridays, Saturdays or both?
I am flexible and can participate on Fridays or Saturdays
Please let us know if you are available to participate in a Jury Study on a Friday, Saturday or if you are flexible and either day would work for your schedule.
Age (18+ Only)
Please enter a number from
Telephone number you can be reached at 9am - 5pm
District of Columbia
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Have you ever served on a jury?
Do you have a driver license?
Are you a convicted felon?
Are you a U.S. Citizen?
Do you have any children?
Highest Level of Education
Less than High School
High School or GED
Associate or Technical Degree
Have you ever served in the armed forces of the U.S.?
What is your Political Affiliation?
Are you currently employed?
Current Employer, Your Title, # of Years with Company?
For example: Apple, Inc., Software Developer, 5 years
Total Family Annual Income
Less than $40k
$41k - $75k
$75k - $100k
$101k - $199k
Do you own your own car?
Make/Model/Year of primary vehicle
For example: Honda Civic 2005
My Living situation is:
Rent a home
Own a home
Rent an apartment
Have you ever been a party to a lawsuit other than divorce?
What type of lawsuit(s)?
Have you ever had an X-Ray in your life?
Have you ever had an MRI in your life?
Have you ever been to a Chiropractor?
Yes, and I liked it.
Yes, and it was okay.
Yes, but I didn't like it.
Not yet, but I would try it out.
No, and I would never go.
Has a family member or close friend ever been to a Chiropractor?
Yes, and they liked it.
Yes, and they said it was okay.
Yes, but they didn't like it.
Not yet, but they would try it out.
No, and they would never go.
How do you feel about Chiropractors in general?
Positive - I like chiropractic treatment and I find it helpful.
Positive - I've never had chiropractic treatment, but I like chiropractors.
Neutral - I don't know much about it.
Negative - I do not like chiropractic treatment and will not see chiropractors again.
Negative - I've never had chiropractic treatment, and I never would. I do not like chiropractors.
Name of last book you read?
What magazines do you like to read?
What is your favorite movie genre?
What are your hobbies?
For example: tennis, sewing, fishing, jogging
Do you read newspapers for news?
Which newspapers do you read?
If none, type "none"
Do you watch Television for news?
How many times a week do you watch the news on Television?
Two or Three
Four or Five
Nearly every day
What Television stations do you watch most for news?
Do you get your news from the Internet?
What web sites do you often use for news?
What type of cell phone do you use?
Flip Phone or other
I do not have a cell phone
How did you hear about us?
Word of Mouth
Can you speak and understand the English language?
Yes, I am fluent in speaking and understanding English
I can speak and understand a little English
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