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Water Disconnection Study

Thanks for your interest in participating in this study! Please complete the short form below to tell us a little about your experience and how we can contact you.

Participation involved an interview typically lasting 30-45 minutes. Interviews are conducted in person and participants are compensated with a $45 giftcard.

Please note that not everyone who expresses interest will necessarily be selected for an interview, as we are looking for participants with particular experiences relevant to the study. We may not be able to contact everyone who completes the form, and completing this form does not commit you to participating.

What's your first name?

Where in Los Angeles do you live? [Neighborhood/Zip Code]
Have you experienced a water shutoff in the last 3 years?
Untitled multiple choice field
A
B
C
Can you briefly describe what happened? Please tell us in your own words — responses that appear to have been generated using AI may be screened out.
Phone number where we can reach you to schedule an interview
Please provide a phone number. Email cannot be used as an alternative.
If you can provide documents showing that your water service was disconnected, we can conduct an interview online. Otherwise, the interview must be conducted in person. Can you provide documentation of your disconnection?
Untitled multiple choice field
A
Untitled multiple choice field
B