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Intuito Online Panel & Group Discussion Recruitment

1. Recruitment

Do you want to be paid an incentive to participate in mini research studies on-line and/or group discussions?

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* 1. Would you be interested in participating in some on-line research questions?

Yes

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* 2. 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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* 3. Would you be interested in attending a group discussions generally held at our Norwood premises in the evenings? These discussions last approximately 90 minutes and each participant is paid on average $100 in cash for their time. Topics for discussion including anything from purchasing ice cream to social issues such as employment and health.

Yes

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* 4. Would you please tell us your name, email address and phone number so we can contact you.

First Name

Last Name

Address

Email address

Mobile telephone number

Other telephone number

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

Male

Female

Other

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* 6. In which of these age group do you fall?

18-24

25-30

31-39

40-54

55-64

65+

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* 7. How would you describe your occupation?

Professional/executive

White collar

Blue collar

Home duties

Retired

Other (please specify)

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* 8. 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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* 9. 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