First For Fieldwork Database Survey

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* I give permission for my information to be held confidentially and securely by First For Fieldwork in accordance with the latest Data Protection legislation, for the sole purpose of finding paid market research projects for me or my immediate family to take part in. First For Fieldwork is registered with the Information Commissioners Office (ICO), Reg No.ZA324473.

I agree to First For Fieldwork emailing or phoning me, or occasionally sending me texts about available new projects.

I understand that I am free to withdraw my registration at any time by completing the 'Unsubscribe' form on the website, or by sending an email including my name, and adding the word 'Unsubscribe' in the subject box, or by clicking the 'Unsubscribe' link on any project email I receive.

I understand that by registering I am agreeing to the Terms & Conditions above, and the Privacy Policy set out on the First For Fieldwork website http://firstforfieldwork.co.uk/privacy-policy/

I accept the terms and conditions / privacy policy of use

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* First Name

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* Surname

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* Are you......

Male

Female

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* Address

Address

Address 2

City/Town

Postcode

Email Address

Phone Number

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* Date of Birth DD/MM/YYYY

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* Which of the following best describes your employment status?

Employed Full Time

Employed Part Time

Self Employed

Full time student

Unemployed looking for work

Unemployed - Short Term sick

Unemployed - Long Term Sick

Homemaker / Looking after the kids

Retired

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* What is your occupation (if applicable)?
If retired - please state previous occupation

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* What is the occupation of the head of household (if not you)?
If retired - please state previous occupation

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* What is your Current Status?

Married / Co-habiting

In a relationship

Single

Widowed

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* Number of children living at home

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* Please state the Date of birth for each of your children living at home.
Eg 14/3/2002, 1/4/2006

Child 1

Child 2

Child 3

Child 4

Child 5

Child 6

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* Do you have any children who have left home?

Yes

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* What is your ethnic background?

White British

White Non British

Black African

Chinese

Japanese

Pakistani

Black Caribbean

Indian

Bangladeshi

Other

Prefer Not To Say

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* First Name

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* Surname

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* Are you......

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* Address

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* Date of Birth DD/MM/YYYY

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* Which of the following best describes your employment status?

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* What is your occupation (if applicable)?​If retired - please state previous occupation

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* What is the occupation of the head of household (if not you)?​If retired - please state previous occupation

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* What is your Current Status?

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* Number of children living at home

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* Please state the Date of birth for each of your children living at home.​Eg 14/3/2002, 1/4/2006

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* Do you have any children who have left home?

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* What is your ethnic background?

* What is your occupation (if applicable)?
If retired - please state previous occupation

* What is the occupation of the head of household (if not you)?
If retired - please state previous occupation

* Please state the Date of birth for each of your children living at home.
Eg 14/3/2002, 1/4/2006