Exit If you would like to take part in a product test of the Howz Home Care Kit, please enter your details and answer the questions below. Thanks and good luck! MNHQ Question Title * 1. If you were selected, how would you be testing the Howz Home Care Kit? I'd have the box in my home, with family member/s, friend/s or carer/s receiving notifications if necessary The box would be in a loved ones home, with me/us receiving notifications if necessary Other (please specify) Question Title * 2. Please enter your details below: First Name(s) Surname Address line 1 Address line 2 Address line 3 Address line 4 Postcode Usual Gransnet username Email address Mobile number Question Title * 3. How old are you? Under 18 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 or older Question Title * 4. How old are your children? Please tick all that apply. Under 8 8-12 13-17 18-21 22-25 26-29 30-39 40-49 50 or over Question Title * 5. What is the average annual income for your household? Less than £10,000 £10,000 – £19,999 £20,000 - £34,999 £35,000 - £49,999 £50,000 - £74,999 £75,000 - £99,999 £100,000 plus Question Title * 6. Why would you like to test the Howz Home Care Kit? Question Title * 7. 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 Howz so that they can dispatch the product. We will NOT pass on your Gransnet username. Please confirm if you'd like us to do this. Yes - I'd like my name and address, plus mobile number and email address if appropriate, to be passed on to Howz so that they can dispatch the product. No - I would not like my details to be passed on. Question Title * 8. If you are selected, we will use your contact details to communicate logistics of the product test and remind you to give your feedback. Please indicate below if this is something you'd like. Yes - I'd like my email address and mobile number to be used by Gransnet to contact me with updates about the product test if I'm selected. No - I would not like my details to used in this way. Done
