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Quid Venistis Online Panel & Group Discussion Recruitment

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* 1. Would you be interested in participating in some online research questions?
This would be a very minor time commitment of say 8 mini surveys per year with each survey taking no more than 5-10 minutes to complete. Would you be able to commit to this level of time and respond to each survey within 7 days? (You may opt out at any time during the year.)

Yes

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* 2. Would you be interested in attending group discussions generally held at a a near city location in the evenings? These discussions are usually 60-120 minutes and each participant is paid a minimum of $100 in cash or debit card for their time.

Yes

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* 3. Would you please tell us your name, email address (if applicable) and your phone number so we can contact you.

First Name

Last Name

Address

Email address

Mobile telephone number

Other telephone number

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* 4. Can you please tell us a little bit about you so we can balance our group composition. What is your gender?

Male

Female

Non-binary

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* 5. In which of these age groups do you fall?

18-24

25-30

31-39

40-54

55-64

65+

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* 6. How would you describe your occupation?

Professional/executive

White collar

Blue collar

Home duties

Retired

Other (please specify)

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* 7. Which of these groups best describes the household you live in?

Single People: People under 40 years living alone or sharing accommodation

Young Couple: Married or living together with no children in the home

Young Family: Couple or single parent with children under 6 years

Middle Family: Couple or single parent with children aged 6-15 years

Mature Family: Couple or single parent with most children over 15 years and at least one still living in the home

Mature Couple/Single: Couple/single in middle to late age groups with no children in the home

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* 8. Which of the following best describes your gross household income?

Under $20,000 pa

$20,000-$39,999 pa

$40,000-$59,999 pa

$60,000-$79,999 pa

$80,000-$99,999 pa

$100,000-$149,999 pa

$150,000+ pa

I would prefer not to say

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* 9. Do you live with a disability?

Yes

Prefer not to say

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* 10. Which language do you mainly speak at home?

English

Chinese

Italian

Greek

Arabic

Vietnamese

Punjabi

Other (please specify)