What is your name? *

First Name

Last Name

What is your date of birth (DOB)? *

MM

DD

YYYY

What is your cell phone number? *

(###)

###

####

Are you a U.S. citizen? *

Yes

No

Do you speak English fluently? *

Yes

No

Have you lived in your hometown (or near it) for your entire life? *

Yes

No

Are you over 18 years of age? *

Yes

No

Are you willing to participate in a 90-minute interview to share your personal experiences? *

Yes

No

What would be your interview preference to share your personal experiences? *

Zoom

In-person

Would you like to know about other climate-related research projects that you can participate in? *

Yes

No