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Research application: Benefits & tax credits – Thurs 19th July

Research application: Benefits and Tax Credits - Thursday 19th July
- Do you claim benefits or tax credits?

For this research, we are looking for a mix of people with:
- No learning or mental health conditions
- People with the following learning or mental health conditions: anxiety, depression, ADHD, dyspraxia, dyslexia, dyscalculia, Asperger's syndrome or autism.

***You will be given £40 in Love2shop vouchers if you take part in this research***

To take part, you must be available in central Leeds on Thursday 19th July 2018.
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 some wording and telling a researcher what you think.

All information shared with us is protected by the General Data Protection Regulation 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.

* Required
About you...
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
Your age: *
Your answer
Your gender: *
Your relationship status: *
What are the ages of the children living in your household? *
Please include any adult children living at home. Please type N/A if this doesn't apply to you.
Your answer
Do you have any of the following learning or mental health conditions? *
Please tick all that apply to you.
Benefits and Tax Credits...
What is your current work or study situation? *
Please tick all that apply to you.
What is your job title? *
If you are unemployed, a stay-at-home parent, retired, or a student or graduate, please state AND also let us know your previous job title (eg. 'retired: was Administration Manager').
Your answer
Which of the following benefits do you receive? *
Please tick all that apply to you
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
With regards to how you use the internet, which of the following statements apply to you? *
Please tick all that apply to you.
If you have mentioned a learning or mental health condition above, does it affect how you read information or use the internet? (For example, do you use any software or equipment?) *
If applicable, please list any software or equipment you use to read information or browse the internet. *
Please be as specific as possible (eg. coloured perspex, screenreader etc.) Please type N/A if this doesn't apply to you.
Your answer
Your availability...
THURS 19th July: 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.
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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