Research application: Politics – 13th-17th Aug Research application: Cats and dogs – 30th or 31st Aug

Research application: Insurance – Thurs 16th or 23rd Aug

Research application: Insurance - Thurs 16th or 23rd Aug
- Are you aged 20-55?
- Do you purchase insurance?


***You will be given £50 cash if you take part in this research***

To take part, you must be available in East London (Shoreditch / St Luke's) on Thursday 16th or Thursday 23rd August 2018.
Focus groups will last 60 minutes and start at 4:00pm or 5:00pm. There will be 7 people per focus group.

All information shared with us is protected by the General Data Protection Regulation; it is entirely confidential 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 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 gender: *
Your age: *
Your answer
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
Insurance...
Who is usually responsible for purchasing your insurance products? *
Please tick all that apply to you.
Required
Which of the following types of insurance have you purchased in the last 2 years? *
Please tick all that apply to you.
Required
When did you last purchase an insurance product? *
Your availability...
THURS 16th AUG: 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 23rd AUG: 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
Submit
Never submit passwords through Google Forms.
This form was created inside of SimpleUsability Ltd. Report Abuse - Terms of Service