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581-2021BT
Details
1.
Internal Use Only
*
2.
Please fill the following details:
(Required.)
Name
Contact number
Email address
State
Suburb
Postcode
Year of Birth
*
3.
The technology required to participate in the focus group is:
· A smartphone / laptop / desktop computer
· Broadband speed internet connection
· Webcam
· Headphones
· The ability to take photos and video and upload them
Do you have access to these?
(Required.)
Yes
No
*
4.
Q1. Do you or does any member of your household work in or have worked in any of the following industries/occupations in the last 5 years?
(Required.)
Advertising
Market research
Tobacco manufacturer, distributor, sales
Media [newspapers, magazines, radio or TV]
Journalism
Public Relations
Healthcare [doctor, nurse, student of medicine]
Marketing / Communications
Legal professions
Government Agency or Department (please specify)
Finance
Telecommunications
None of these
*
5.
Can you please specify your job role and in what industry?
(Required.)
Job role:
Indusry
