Belgium Day Trip

Call Comments

General Information

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Title

First Name

Surname

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Daytime Telephone Contact Number

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Gender

What is your current living status?

What is your employment status?

Occupation/Job Title (if applicable)

Do you have children?

Ethnic Background

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Postcode

County

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Which Borough of London do in live in?

Which of the following age bands do you fall into?

Exact Age

Do you have children that live in your household?

Specific Criteria

Do you own a car?

Yes

Number of vehicles in the household

Vehicle Number 1 Details

Vehicle - Make & Model

Car Type

Year of manufacture

Vehicle no.1 registration number

Are you the principle driver of this vehicle?

Yes

Who is the principle driver of Vehicle no.1?

Did you buy your car new or used?

Was car no.1 bought and paid for privately, or is it a company car, that is, bought or leased by an employer or business?

Company

Private

Leased

In which year did you buy your car?

Vehicle Number 2 Details

Vehicle no.2 - Make & Model

Vehicle no.2 - Type

Vehicle no.2 - year of manufacture

Vehicle no.2 registration number

Are you the principle driver of this vehicle?

Yes

Who is the principle driver of Vehicle no.2?

Was car no.2 bought new or used?

New

Ex-demonstration

Used

Was car no.2 bought and paid for privately, or is it a company car, that is, bought or leased by an employer or business?

Company

Private

Leased

In which year did you buy your car?

How did you hear about Take Part in Research?

Future Car

When do you plan to buy / lease your next car?

Will you purchase from...

Will your car be a...?

Will you or someone in your family have a choice of at least 2 makes?

For your next vehicle purchase would you consider to buy / lease any makes other than that of your current car?

How often is your car used for… ?

Commuting to and from work

Weekend Trips

To what extend do you agree with the following statements?

I consider a car to be a means of transport rather than a source of pleasure

When I buy a car I choose the least expensive one that meets my needs

I like looking at beautiful cars

A car allows me to express my personality

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Agree

Disagree