PERSONAL REGISTRATION

Be rewarded by sharing your opinions. Add your details to our database and enjoy the excitement of marketing research by participating in research interviews, focus group discussions, and other research studies. A focus group discussion is an informal gathering, facilitated by a researcher, in which participants share their opinions about products and services. Research participants can have an effect on the development of a range of products and services, including cars, food, telecommunications, alcohol, travel and finance. Clients and other researchers may observe the discussion, which is typically recorded for later analysis. There are no right or wrong answers and your privacy will be protected.

All participants receive a cash incentive for their participation and meet people similar to themselves. Incentives generally range from $60 upwards depending on the duration of the discussion. Other benefits may include taste testing, being the first to see new products and receiving product samples. Submission of personal details is limited to adults 18 years and above.

Please note that the more information you provide us, the greater the opportunities will be for your inclusion in market research.

Fields in red are compulsory

Gender

First Name
Surname
Home Postcode
Work Postcode
E-mail Address
Telephone - Work
(include area code)
Telephone - Home
 (include area code)
Telephone - Mobile
Date of Birth (dd/mm/yyyy)
Country of birth?
If Other specify:
Main Language spoken at home?
If Other specify:
Marital status (select one)


 
 
Children living at home:

Boy 1 - DOB (dd/mm/yyyy)

Girl 1 - DOB (dd/mm/yyyy)
 
Boy 2 - DOB (dd/mm/yyyy)
Girl 2 - DOB (dd/mm/yyyy)
 
Boy 3 - DOB (dd/mm/yyyy)
Girl 3 - DOB (dd/mm/yyyy)
 
Boy 4 - DOB (dd/mm/yyyy)
Girl 4 - DOB (dd/mm/yyyy)
 
Boy 5 - DOB (dd/mm/yyyy)
Girl 5 - DOB (dd/mm/yyyy)

 
 
 
 
 
Employment Status
Your highest education level? (select one)
If Other level:
Occupation? (if applicable)
Spouse/Partner employment status
Spouse/Partner Occupation
Annual household income
(Gross, before tax)
 
 
Car ownership in
household/family:		 Car 1 Make/Model
  Year
  Style
  Bought
     
Car ownership: Car 2
 Make/Model
  Year
  Style
  Bought
     
Car ownership: Car 3
 Make/Model
  Year
  Style
  Bought


   
 
 
Drink alcohol?(Hold down Ctrl key for multiple responses)
Smoke cigarettes?
Pets? (Hold down Ctrl key for multiple responses)
   
Airline travel:  
Total return flights per year (For leisure)
Total return flights per year (For business)
Frequent flyer club membership? (Hold down Ctrl key for multiple responses)
   
Internet access at home
Internet provider
Landline telephone provider (Local calls)
Landline telephone provider (Overseas)
Mobile telephone provider
Mobile telephone plan type
   
Pay TV provider
   
Political preference

 
Home ownership
Main Bank (Mortgage)
Main Bank (Credit card/s)
Main Bank (Other accounts)


 
Medical Conditions (Hold down Ctrl key for multiple responses)
Past attendance at focus group discussions?
(Your response will not affect your inclusion)
Membership of any on-line research panels? (Your response will not affect your inclusion)
Where did you hear about us?
   
Respondents are expected to answer all questions honestly and accurately. Those found to be doing otherwise may have their details deleted from our database and submitted to a "Do Not Use" Register. Do you agree with this condition of participation? (Selecting "No" may affect your inclusion in the database)

Group discussions and interviews may be recorded. The recording will be used for analysis purposes and remains confidential to the researcher and their client. Do you agree with this condition of participation? (Selecting "No" may affect your inclusion in the database)


Photo ID or two other forms of ID (e.g. a Medicare card, ATM card, rates bill, etc) may be requested prior to participation in a group discussion or interview in order to prove identity and for venue security. Do you agree to this condition of participation? (Selecting "No" may affect your inclusion in the database)


 
Any other comments?
 

Recommend us:
If you think that your friends, family and colleagues would enjoy participating in paid market research then please submit their names and email addresses and we will send them each an email to invite them to join.

Name Email Address
Name Email Address
Name Email Address