Project Flow II - Kent & Sussex & Hampshire & Isle of Wight
    • *
      First Name
    • *
      Last Name
    • *
      Address Line 1
    • Address Line 2
    • *
      City
    • *
      Post Code
    • *
      Country
    • *
      County/Province/Region
    • *
      Phone Number
    • *
      Email
  • *
    Gender:
  • *
    Date of Birth
  • *
    Age
  • *
    What is your marital status?
  • If you have a child/ children, what is their age(s)?
  • *
    Which of the following best describes your current employment status?
  • *
    What is your occupation?
  • *
    Please can you tell me the occupation of the main income earner in your household?
  • *
    Do YOU or ANY of your close friends/family work in any of the following industries:
  • If so, in what capacity?
  • *
    During the past six months, how many times, if at all, have you participated in any market research project which took thirty minutes or longer?
  • What was the subject of the group discussion(s) that you took part in?
  • *
    Which county/region do you live in?
  • *
    Which of these best describes the dwelling that you live in as your main home?
  • *
    Which of the following statements best describes the level of responsibility and involvement when making decisions about your household utility suppliers?
  • *
    Which of the following ways do you pay your water bill?
  • *
    Who is your current water supplier for Incoming water?
  • *
    Who is your current water supplier for Waste water?
  • *
    Do you currently own and use a smartphone?
  • *
    The research we are conducting will be using an online community and will require you to take and upload video on your mobile phone; a bit like posting on social media sites such as facebook. Can you tell me, how comfortable are you with technology?
  • *
    Which of the following tasks do you feel comfortable doing unaided on your:
  • *
    Just for fun: Please tell us your favourite dinner party fact? e.g. Sea otters hold hands when they sleep so they don't drift apart. 
  • *
    I state the above information is factually correct and that I wish to be contacted regarding further research on this subject. I understand that the research I participate in may be video and audio recorded, for use in research purposes only and without identifying me, in accordance with the Market Research Society code of conduct - submission of this form indicates my consent to this process.
  • *
    I give permission for this information to be held confidentially and securely by Podengo Market Research Recruitment Ltd in accordance with the General Data Protection Regulation (GDPR) (EU) 2016/679 for the sole purpose of inviting me to participate in market research fieldwork from time to time, for which I will earn cash incentives. I understand I have the right to decline or withdraw at any time, and to have my details deleted from the database.
  • *
    How did you hear about this project?

That's all, folks!

* End page and disqualification logic can only be seen in the live survey

Loading...