Research application: Holidays abroad – Tues 29th or Weds 30th May Research application: Online slot games 6th, 7th or 8th June

Research application: Healthcare – 30th or 31st May

Research application: Healthcare - 30th or 31st May
***You will be given £50 cash if you take part in this research***


To take part, you must be available in central Leeds on either Wednesday 30th, OR Thursday 31st May.
One-to-one sessions will last 45 minutes and take place at set times between 9:30am-4:30pm.
Research sessions will involve looking at a website and telling a researcher what you think.

You're eligible to apply if you fit ONE OR MORE of the following criteria:

- Have a long term / serious health condition
- Pay privately or plan to pay privately for healthcare
- Have a close relative with a long term / serious health condition and plan to arrange private healthcare for them
OR
- Plan to have a cosmetic or weight loss procedure
- Plan to have a diagnostic test, scan or screening
- Plan to have fertility testing or treatment
- Plan to have physiotherapy treatment

All information shared with us is protected by the Data Protection Act and will not be shared with any third parties. We are compliant with all Market Research Society standards, so the information you provide will only be used to assess your suitability to take part. It will not be used to contact you for marketing or sales purposes at a later date.

* Required
Full name: *
Please provide your first name and surname.
Your answer
Email address: *
Please provide the same email address that we have on record - this will allow us to match your application with the answers you gave when you registered. If you need to update your email address, just let us know. If you're selected, we'll send your invitation via email, so please make sure your email address is one that you use regularly.
Your answer
Mobile phone number: *
Please double-check you have typed the correct number, as we'll call you if you're shortlisted.
Your answer
Which model is your current mobile phone? *
Please be as specific as possible (eg. iPhone 6s, Samsung Galaxy S6). Please type N/A if this doesn't apply to you.
Your answer
Your age: *
Your answer
Your gender: *
What is the highest level of education you have completed? *
Please tick all that apply to you.
Required
What is your current work / study situation? *
Please tick all that apply to you.
Required
What is your job title? *
If you are unemployed, a stay-at-home parent, retired, or a student please state AND also let us know your previous job title (eg. 'retired: was Administration Manager').
Your answer
If you are married or cohabiting, what is your partner's job title? *
If your partner is unemployed, retired, or a student or graduate, please state AND also let us know their previous job title (eg. 'retired: was Administration Manager'). Please type N/A if this doesn't apply to you.
Your answer
What is your approximate household income? *
Household income refers to the combined incomes of everyone sharing your household.
How much disposable income do you have after paying for essentials (rent / mortgage, bills, food, medicine)? * *
Please tick all that apply to you.
Required
Healthcare...
If you wear glasses, what is the prescription/ strength of your lenses? *
Please be as specific as possible (eg. +1.5 strength). Please type N/A if this doesn't apply to you.
Your answer
How would you describe your current health and lifestyle? *
Please tick all that apply to you.
Required
Which of the following statements apply to you? *
Please tick all that apply to you.
Required
If you plan to have a cosmetic or weight loss procedure, please provide some details. *
(eg. name of procedure, date you plan to have it). Please type N/A if this doesn't apply to you.
Your answer
If you plan to have a diagnostic test, scan or screening, please provide some details. *
(eg. name of procedure, date you plan to have it). Please type N/A if this doesn't apply to you.
Your answer
If you currently have a long term / serious health condition, please provide some details. *
(eg. name of your condition, date you were diagnosed, treatment you need or how you manage your condition). Please type N/A if this doesn't apply to you.
Your answer
If you currently have a long term / serious health condition, have you seen a healthcare professional (eg. GP, nurse)? *
Please tick all that apply to you.
Required
Do you use NHS or private health services? *
Please tick all that apply to you.
Required
How do you feel about healthcare services? *
Please tick all that apply to you.
Required
Have you ever paid for healthcare? *
Please tick all that apply to you.
Required
If you pay / have paid money to any private healthcare providers, which are / were they? *
Please state, or tell us if you don't know. Please type N/A if this doesn't apply to you.
Your answer
Are there any private healthcare providers that you wouldn't use? *
Please state, or type N/A if this doesn't apply to you.
Your answer
If you have a close relative with a long term / serious health condition and plan to arrange private healthcare for them, please provide some details. *
(eg. name of their condition, date they were diagnosed, treatment they need or how they manage their condition). Please type N/A if this doesn't apply to you.
Your answer
Your availability...
WEDS 30th MAY: I am available for the following sessions: *
Please select 'all day', 'not available', or individual sessions if you are only free for part of the day. Please note if you are flexible, it's more likely that we can invite you to take part.
Required
THURS 31st MAY: I am available for the following sessions: *
Please select 'all day', 'not available', or individual sessions if you are only free for part of the day. Please note if you are flexible, it's more likely that we can invite you to take part.
Required
How did you find out about this research? *
Please provide details such as received email, Google search, Facebook page, Facebook advert, flyer, word-of-mouth etc.
Your answer
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