Consumer Test

Thank you for registering your interest in this exciting new research on the subject of online clips, films and TV show providers!

The research is in the form of a 45 minute conference call on either the 18th or 19th of June. As a thank you for your time we would be happy to give you an incentive of £35.

Date – 18th or 19th June

Times - In the evening

Duration – 45mins

Incentive - £35

Type of research – Telephone call

When completing the form please answer carefully and as honestly as possible, there are no right or wrong answers, all answers will be looked at individually when checking that you are applicable for the research. If you do fit the profile of respondent that we are looking for, then one of our team will call you to book you in.

Please fill out the
following form

If you are a good fit for the research, a member of the team will be in touch over the coming days with some more information!

Your Details...

Please amend any details that may have changed since last registering for research (current members only)

Title

First Name

Surname

Username

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Password

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Please confirm your Password

Gender

What is your current living status?

What is your employment status?

Occupation

Industry/Sector

Do you have Children?

Date of Birth

dd/mm/yyyy

Town/City

County

Postcode

Nearest major city/town to your location

This will be used as the location in which the research may take place (e.g group discussions), alternatively please select local research only and we will contact you for anything within your local area and telephone interviews.

Which Borough of London do in live in?

Daytime Contact Telephone Number

Alternative Contact Telephone Number

Email Address

Which of the following areas of research are you happy being contacted about?

Consumer Research

Business Research

Motor Vehicle Research

How did you hear about Take Part in Research?

Other, please state:

Full Name of the Person Recommending to Take Part in Research

Email Address of the Person Recommending to Take Part in Research

This information will be held confidentially and securely by Take Part in Research Ltd in accordance with the Data Protection Act 1998 and Market Research Society Code of Conduct.

I understand that my information will only be used to provide me with the opportunity to participate in occasional paid research. I am aware that I am under no obligation to participate and I am entitled to have my data removed at any point.

Agree

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