If you would like to take part in the Domestos study to help increase the number of available toilet facilities when out and about, please enter your details and answer the questions below. 

This study is open to Mumsnet users living in Birmingham, Manchester or Glasgow. 

Thanks and good luck! 

MNHQ

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* 1. Please enter your details below:

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* 2. How many children do you have in your family/household (of any age)? 

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* 3. How old are the children in your family/household? Please tick all that apply. 

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* 4. Why would you like to take part in this study?

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* 5. If you are selected, we will need to send your details (name and address, plus mobile number and email address if they are needed for delivery) to Domestos so that they can dispatch the buttons. We will NOT pass on your Mumsnet username. Please confirm if you'd like us to do this.

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* 6. If you are selected, we will use your contact details to communicate logistics of the study. Please indicate below if this is something you'd like.

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