Colorado Panelist Response Form Company Invitation Code * Your 5 digit code is located on your Panelist Response Form that was mailed to you. (top right-hand corner, under the QR code) Street Address * City * State * Zip * First Name * Last Name * Email * Primary Language * Phone Number * Gender * Female Male Another gender identity Age * Race * Asian or Pacific Islander Black or African American Native American or Alaska Native White Multiracial Ethnicity * Hispanic or Latina/o/x (of any race) Not Hispanic or Latina/o/x Highest education level attained? * Some schooling but no diploma High school diploma or equivalent Some college or Associate’s degree Bachelor’s degree or higher Political Identity * Conservative Moderate Liberal Don't Know Available to Participate * Wednesday, July 26 (6:00-9:30 PM) Please initial the following statements below: I received this invitation mailer at my primary residential residence, not at a business address. * I am not a current or former elected official. * I understand that I must attend the full 3.5 hrs. of my designated session in order to receive the $100 gift card. * I have access to a laptop, desktop, or tablet with Zoom capabilities. (Zoom training will be provided to those who are selected). * I certify the the information on this form is true to the best of my knowledge. * Date: *