Call Comments
Agency
Forensic Fieldwork
Roots Research
Appointment Time - NEW TIMES
Friday 26th June - 8.30am
Friday 26th June - 9.30am
Friday 26th June - 10.30am
Friday 26th June - 11.30am
Friday 26th June - 12.30pm
Friday 26th June - 1.30pm
Friday 26th June - 2.30pm
Friday 26th June - 3.30pm
Friday 26th June - 5.00pm
Friday 26th June - 6.30pm
Friday 26th June - 7.30pm
Saturday 27th June - 8.30am
Saturday 27th June - 10.00am
Saturday 27th June - 11.30am
Saturday 27th June - 1.00pm
Saturday 27th June - 2.30pm
Saturday 27th June - 4.00pm
Incentive Offered
£80
£100
Booked as:
Individual
Couple - Insert Partner Name
General Information
Please make any amendments necessary to the details shown below.
First Name
*
Surname
*
Mobile Contact Number
Alternative Contact Telephone Number
Email
Gender
*
Male
Female
Other
Have you ever taken part in market research before?
*
Yes, in the last 6 months
Yes, longer than 6 months ago
No, never
What were the topics?
Which of the following age brackets do you fall into?
*
19 years old or under
20 - 29 years old
30 - 39 years old
40 - 49 years old
50 - 59 years old
60 - 69 years old
70 - 75 years old
76 years old or over
What is your exact age?
*
Car Brand
*
Car Model
*
How many doors does your car have?
*
3 doors
5 doors
In which year did you buy your car?
*
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995 or earlier
In which month did you buy your car?
*
January
February
March
April
May
June
July
August
September
October
November
December
Reg. No.
*
Did you buy your car new or used?
*
1 New
2 Ex-demonstration / Dealer Assured Used Car
3 Used Car
At the time you purchased/leased your car, which of the following best describes your role in the decision process?
*
1 I was the primary decision Maker
2 The Decision was mainly mine but someone else provided input
3 I shared the decision equally with someone else
4 Someone else mostly made the decision, but I provided some input
How often do you drive your car?
*
Almost every day
4 - 5 times a week
2 - 3 times a week
Once a week
Less than once a week
Do you run any online forums or communities related to automobiles?
*
Yes
No
Occupation
What is your occupation?
*
1 Professional
2 Owner/Executive
3 Self-Employed
4 White Collar Employee
5 Blue Collar Employee
6 Homemaker
7 Student
8 Retired
9 Unemployed
10 Refuse to Answer
What city do you currently live in?
*
Do you live in...
*
1 In your own household
2 Not in your own household (e.g. sharing with relatives, parents, friends, etc.)
What is your current marital status?
1 Single
2 Divorced / Separated / Widowed
3 Married
4 Living with partner
Which of the following best describes your final level of full time education or training?
*
1 Secondary school no qualifications
2 Secondary school with qualifications
3 Higher education (not university)
4 University - 1st Degree
5 University - Higher Degree
What is the total income of your household, including pensions and other benefits, before tax and other deductions?
*
1 Up to £10,000
2 £10,000 - £19,999
3 £20,000 - £29,999
4 £30,000 - £39,999
5 £40,000 - £49,999
6 £50,000 - £59,999
7 £60,000 - £79,999
8 £80,000 - £99,999
9 £100,000 - £124,999
10 £125,000 and more