International Students Needed!

Thank you for registering your interest in this new research.

This leading and innovative research will give you the opportunity to share your experiences learning English as a second language

The research is in the form of a 2 hour workshop and is taking place on Monday 23rd of November.

For just 2 hours of your time we are offering a £50 cash incentive!

Details as follows:

Date – Monday 23rd of November
Times - 14:00
Duration – 2 Hours
Location - Cambridge
Incentive - £50 cash incentive
Type of research - Workshop

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.

Your Contact Details

First Name *

Surname *

Daytime Contact Telephone Number *

Alternative Contact Telephone Number

Email Address *

Your Current Life Stage...

Gender * MaleFemaleOther

What is your exact age?

What is your current living status? * SingleMarriedDivorcedWidowedCo-habiting

What is your ethnic group? White Mixed / Multiple ethnic groupAsian / Asian British Black / African / Caribbean / Black British Other ethnic group

Are you a British National, that is, were you born and raised in the UK? *

Yes

No

From which country do you originate? AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBrunei BulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (see Timor-Leste)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueNamibiaNauruNepalNetherlandsNetherlands AntillesNew ZealandNicaraguaNigerNigeriaNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoa San MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpain Sri LankaSudanSurinameSwaziland SwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailand Timor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVenezuelaVietnamYemenZambiaZimbabwe

How long have you been living in the UK? Up to 3 months3 - 6 months6 - 12 months1 - 2 years2 - 3 years3 - 5 years6 - 10 yearsMore than 10 years

Your Contact Information...

County * AberdeenshireAngleseyAngusAntrimArgyll (Argyllshire)ArmaghAyrshireBanffshireBedfordshireBerkshireBerwickshireBrecknockshireBuckinghamshireButeshireCaernarfonshireCaithnessCambridgeshireCardiganshireCarmarthenshireCheshireClackmannanshireCornwallCromartyshireCumberlandDenbighshireDerbyshireDevonDorsetDownDumbartonshireDumfriesshireDurhamEast LothianEssexFermanaghFifeFlintshireGlamorganGloucestershireGreater LondonHampshireHerefordshireHertfordshireHuntingdonshireInverness-shireKentKincardineshireKinross-shireKirkcudbrightshireLanarkshireLancashireLeicestershireLincolnshireLondonderryLondonMerionethshireMiddlesexMidlothianMonmouthshireMontgomeryshireMorayshireNairnshireNorfolkNorthamptonshireNorthumberlandNottinghamshireOrkneyOxfordshirePeeblesshirePembrokeshirePerthshireRadnorshireRenfrewshireRoss-shireRoxburghshireRutlandSelkirkshireShetlandShropshireSomersetStaffordshireStirlingshireSuffolkSurreySussexSutherlandTyroneWarwickshireWest LothianWestmorlandWigtownshireWiltshireWorcestershireYorkshireOther

Postcode

Nearest major city/town to your location * Local Research OnlyAberdeenAshfordBangorBelfastBirminghamBournemouthBradfordBrightonBristolCambridgeCanterburyCardiffCoventryDartfordDublinEdinburghExeterGlasgowLeedsLeicesterLincolnLiverpoolLondonManchesterMargateMilton KeynesNewcastleNewportNorwichNottinghamOxfordPlymouthReadingSheffieldSloughSouthamptonSunderlandSwanseaWatfordWindsorYork

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.

You and Your Studies...

At which university are you currently studying?

Cambridge

Anglia Ruskin

Other

Are you an international student

Yes

No

Have you taken an English language exam (i.e. Cambridge English, IELTS or other)

Yes

No

What is the name of the certificate of English language you achieved?

In which year did you take the English exam? 201520142013201220112010200920082007200620052004200320022001200019991998199719961995 or earlier

If you are applicable, would you be able to attend the research on Monday 23rd November at 14:00?

Yes

No

SCREENING: Current & Past Employment

SCREENING: Past Research

SCREENING: Research Specific Criteria

SCREENING: Suitability

This information will be held confidentially and securely by Roots 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

Disagree

Δ