Focus Group Inquiry
|
Your Name
* |
|
Organization
* |
|
Phone
* |
|
Email
* |
|
Desired Date
* |
MM |
/ |
DD |
/ |
YYYY |
|
Alternate or Additional Date
|
MM |
/ |
DD |
/ |
YYYY |
|
Room Set Up
|
Clients & respondents in the same room
Clients in a separate observation room
Clients not attending groups – no extra room required
|
AV needs (Select all that apply)
|
LCD Projector and Screen
Laptop Speakers
37″ Flat Panel TV with DVD Player
Digital Video Recording (stationary/unmanned)
|
Other Facility Requirements:
|
|
Do you want a recruitment referral?
|
Yes
No
|
How did you find us?
* |
I’m already a client
Quirks
Google or online search
A friend or colleague sent me
I attended a public event at Catalyst Ranch
I attended a social event at Catalyst Ranch
I attended a meeting at Catalyst Ranch
Facebook
Twitter
Yelp
Instagram
|
|
