EBSA "Lost & Found Portal" Collection 1: Design Review

Recruitment Survey for collection 1

EBSA Lost and Found Portal

EBSA Lost and Found Design Review Focus Group Recruitment Survey
Recruitment survey questions for possible focus group participants. All fields are required.

1. Email Address
   We are collecting your email address so we may contact you to inform you if you have been selected as a participant.

2. What city and state are you located in?

3. Which of the following best describes you?

• Asian or Pacific Islander

• Black or African American

• Hispanic or Latino

• Native American or Alaskan Native

• White or Caucasian

• Multiracial or Biracial

• Not listed here

4. Please select your age group

• 30 - 40

• 40 - 50

• 50 - 60

• 60 and over

5. Have you had at least two jobs where your employer provided retirement benefits?

An employer-sponsored retirement plan is a workplace benefit offered by some companies to help provide workers with income in retirement (ex: a pension, 401k, 403b etc.).

• Yes

• No

• I'm not sure.

6. Do you have any type of visual impairment that affects your ability to see colors, shapes, or details?
   Please select one option that best applies to you.

• Yes, I have colorblindness.

• Yes, I have another visual disability.

• No, I do not have any visual impairment.