Thank you for taking the first step to join our online panel community.
Please fill in the information below. Sometimes we select panel members based upon their background for certain specialist topics(e.g. country you live in), so there are some extra questions in there about you. Here is some more information:
- You will be invited to the survey via email (and sometimes SMS/text) with a link to the online survey
- The email will tell you all the relevant information about the survey, including the prize deaw.
- Should you win the prize draw, then you also have the opportunity to donate the same value to a charity of YOUR choice.
- You will also have the opportunity to read some survey results on our website and in the media.
And finally, we are an independent market research company and a member of ESOMAR (the international organisation of market researchers) and abide by their codes of conduct. This includes not passing your personal details to any 3rd party nor directly attribute you to any responses (so you can tell us your real opinions).
Thank you once again for joining us and good luck in the prize draws!
Sincerely
Jane Kennedy
Panel Manager
Real Opinions
[email protected]
Website: www.real-opinions.com
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Gender
Male
Female
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Q. What year were you born in?
-- Select --
After 1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Before 1920
Prefer not to say
*
Q. What country do you mainly live in?
(Please select your response from the drop down box)
-- Select --
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Democratic People's Republic of Korea
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia (Federated States of)
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestinian Autonomous Area
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Republic of Korea
Republic of Moldova
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Thailand
Togo
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United Republic of Tanzania
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
*
Q. What country are you originally from?
(Please select your response from the drop down box)
-- Select --
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Democratic People's Republic of Korea
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia (Federated States of)
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestinian Autonomous Area
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Republic of Korea
Republic of Moldova
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Thailand
Togo
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United Republic of Tanzania
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Q. What is the highest level of education you have currently attained?
-- Select --
No formal education
Primary
Secondary
Tertiary (graduate degree)
Tertiary (post graduate degree)
Trade/certificate
Other
Which of the following live with you in your household?
[Please select all that apply]
Parents
Wife/husband/partner
Brothers and sisters
Your children
Friends
Other relatives
Colleagues
Employer & their family
Other
None of the above
Q. Which of the following best describes your occupation?
Manager or Senior Official
Professional (e.g. certified doctor, teacher, accountant, engineer, lawyer)
Associate Professional and Technical (e.g. IT programmer, nurse, technician, artist, designer, broker)
Administrative and Secretarial (e.g. receptionist, clerk, typist)
Skilled Trade (e.g. baker, chef, carpenter, mechanic, electrician, plumber, hand craft)
Personal Service (e.g. hairdresser, childcare, nanny, housekeeping, medical or education assistants).
Sales and Customer Service (e.g. customer service, call centre, retail sales assistant, street trader)
Process Plant and Machine Operative (e.g. taxi driver, sewing machinist, routing tester, operator)
Elementary (e.g. waiter, cleaner, security, packer)
Full time student
Retired
Housewife/husband
Unemployed
Don't know
Q. What is your approximate gross annual HOUSEHOLD income / package value (income from all sources before deductions) in US Dollars (USD$). We’d like to remind you this will remain completely confidential and THE LAST OPTION IS 'Prefer not to say'.
(Please select the closest range in the drop down list)
-- Select --
$0 - $249
$250 - $499
$500 - $749
$750 - $999
$1,000 - $1,499
$1,500 - $1,999
$2,000 - $2,499
$2,500 - $2,999
$3,000 - $3,499
$3,500 - $3,999
$4,000 - $4,999
$5,000 - $5,999
$6,000 - $6,999
$7,000 - $7,999
$8,000 - $8,999
$9,000 - $9,999
$10,000 - $12,499
$12,500 - $14,999
$15,000 - $19,999
$20,000 - $29,999
$30,000 - $39,999
$40,000 - $49,999
$50,000 - $74,999
$75,000 - $99,000
$100,000 +
Prefer not to say
Full Name
*
Email Address
- Please ensure you enter an email address you use regularly as this is where we will send invitations to surveys.
Mobile Number
- To receive a text/SMS messages notifying when we have urgent surveys. (Enter the number someone would call you on from overseas, e.g. 00971501234567 for a UAE number)
Please contact
[email protected]
if you have any questions or comments regarding panels or surveys. For business inquiries, contact us at
[email protected]
. To visit our website, go to www.real-opinions.com. Copyright © 2008 Real Opinions Ltd.
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