Str8talking Market Research Questionnaire

Full Name

First NameLast Name

male / female

MF

introduced by (or how you found this site)....a name please not just "friend" or "recommendation"

Birth Date

MonthDayYear

E-mail

mobile telephone

full address and postcode

home telephone

work telephone

The more contact details you are able to supply, the easier it is for us to reach you when a market research opportunity does arise!

You are under no obligation to provide any contact information and details you do provide will not be passed on to any other party

ethnic origin

level of education

marital status

number of children

ages and sex of children

your occupation

type of company / industry

Are you self employed, or a company owner or director

partners job title & type of company / industry (if applicable)

are you a manager or decision maker at work

how many employees in your company (or the company you work for)

do you smoke / vape

which brand and how many per day

do you wear glasses

rate your computer literacy / internet ability

	1	2	3	4	5

1 is Worst, 5 is Best

make and model of any laptop or desktop pc you own

do you download films or music

broadband at home with

Who do you bank with

do you do online banking

which credit / debit cards do you have

how interested and knowledgeable are you in stocks and shares / investments

	1	2	3	4	5

1 is Worst, 5 is Best

make and model of mobile phone

what network are you on

how do you pay for your mobile

contractpay as you go

is it a smart phone

do you use apps

do you have a 2nd mobile (make / model etc..)

television provider (sky / virgin / freeview etc..)

TV

terrestrialdigitalcable

do you watch online (i.e: i-player / streaming etc...)

music taste

do you play or watch any sports?

List make, model and year of any vehicles you have in your household

which newspapers or magazines do you read (hard copy)

which newspapers or magazines do you read online

how often do you travel / holiday

list some recent places visited

do you travel for business

list any social network sites you are on and how often you use them

how often do you use public transport

neverdailyweeklyoccasionally

do you use the above for

do you travel by

coach

please list any hobbies and anything else you wish to mention

please tell us if you have taken part in market research previously, how long ago, how often and who were you recruited by

are you currently registered with anyone else to take part in market research

Any personal or contact information that you provide is given on an entirely voluntary basis, and you are under no obligation to answer any or all of the above questions. What you do tell us is treated with complete confidentiality and is used only to assess your suitability to take part in any specific market research project. There is no contract between us, and it is entirely at our discretion whether or not you are used. None of the data you provide will be passed onto any other party.

You have the option to let us know at any time, that you no longer wish to take part in market research by calling 01923 635568 or emailing info@str8talking.co.uk and your data will be removed and destrtroyed

You can also call or email to update or alter any information you have provided.