Southwark Voters Round 2

New research on topical issues and politics, we need you! We want to understand your views - whether you're interested in politics or you don't think your voice counts we'd love to hear from you.

The research is in the form of a 90 minute group discussion taking place in Southwark, London on Wednesday 17th December. As a thank you for your time we would be happy to give you an incentive of £40.

Date – Wednesday 17th December
Times - 6.00pm
Duration – 90 Minutes
Location - Southwark, London
Incentive - £40
Type of research – Group discussion

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 Details...

Please amend any details that may have changed since last registering for research (current members only)
What are the age(s) of your children? (please tick all that apply)

Your Occupation...

Which department(s) do you work within;

Your Contact Details

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.

Specific Questions

Your Vote...

Are you eligible to vote in the UK? *
Are you registered to vote for the 2015 General Election? *
Did you vote in the 2010 General Election? *
Have you ruled out voting for any of the following political parties at the 2015 General Election? *
Your participation in this research is on the understanding that both the individual information that you provide and the end client are anonymous. Is that ok with you? *


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.

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