brought to you by Vula Vula Research

Tell us about yourself

By answering these few questions, we get to know which research studies are best suited to your profile.

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* 1. What is your name?

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* 2. What is your surname?

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* 3. Gender

Male

Female

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* 4. Which of the following age groups do you fall into?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 5. Race

Black

White

Colored

Indian

Other (please specify)

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* 6. Which of the following financial institutions do you bank with? (Single select)

First National Bank/RMB

Capitec Bank

Nedbank Limited

ABSA Bank Limited

Standard Bank

Bidvest Bank/Investec

Other (please specify)

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* 7. Which of the following banking services do you use frequently? (Multiple select)

Online Banking (accessed through a laptop/desktop)

Banking App (accessed through a smart phone)

Telephone Banking (accessed through any mobile device)

Cellphone Banking (accessed through any mobile device)

Private Banking (accessed through a private banker)

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* 8. What is your personal monthly income bracket (i.e. before deductions)?

R0 - R3'000

R3'001 - R10'000

R10'001 - R25'000

R25'001 - R40'000

R40'001 - R65'000

More than R65'000

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* 9. Which area are you based in during the day (school, work or home)?

Johannesburg - North (e.g. Northcliff)

Johannesburg - South (e.g. Soweto)

East Rand (e.g. Vosloorus)

West Rand (e.g. Roodepoort)

Pretoria (Central)

Pretoria (other suburbs/townships)

Other (please specify)

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* 10. Would you be willing and able to visit our testing centre to participate in a research study? (Note: testing centre is in Johannesburg CBD & testing is conducted during week days for approx 1hour only, once off)

Yes

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* 11. Contact details

Email Address

Phone Number

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