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Gender*:

First Name*:

Surname*:

Home Postcode*:

Work Postcode:

Email*:

Phone (work):

Phone (home)*:

Mobile:

Date of Birth (dd/mm/yyyy)*:

Country of Birth:

If other, specify:

Main Language:

If other, specify:

Marital Status:

Children living at home

Boy 1 - DOB:

Boy 2 - DOB:

Boy 3 - DOB:

Boy 4 - DOB:

Boy 5 - DOB:

Girl 1 - DOB:

Girl 2 - DOB:

Girl 3 - DOB:

Girl 4 - DOB:

Girl 5 - DOB:

Employment Status:

Highest education level:

If other level specify:

Occupation (if applicable):

Spouse / partner employment status:

Spouse / partner occupation:

Annual household income (pre-tax):

Car ownership in household/family

Car 1

Make / model:

Year:

Style:

Bought:

Car 2

Make / model:

Year:

Style:

Bought:

Car 3

Make / model:

Year:

Style:

Bought:

Drink Alcohol:

Smoke Cigarettes:

Pets:

Airline Travel

Total return flights per year (For leisure):

Total return flights per year (For business):

Frequent flyer club membership:

Internet access at home:

Internet provider:

Landline telephone provider (Local calls):

Landline telephone provider (Overseas):

Mobile telephone provider:

Mobile telephone plan type:

Pay TV provider:

Political preference:

Home ownership:

Main Bank (Mortgage):

Main Bank (Credit card/s):

Main Bank (Other accounts):

Medical Conditions:

Past attendance at focus group discussions (Your response will not affect your inclusion):

Membership of any on-line research panels (Your response will not affect your inclusion):

Where did you hear about us:

Respondents are expected to answer all questions honestly and accurately. Those found to be doing otherwise may have their details deleted from our database and submitted to a "Do Not Use" Register. Do you agree with this condition of participation? (Selecting "No" may affect your inclusion in the database):

Group discussions and interviews may be recorded. The recording will be used for analysis purposes and remains confidential to the researcher and their client. Do you agree with this condition of participation? (Selecting "No" may affect your inclusion in the database):

Photo ID or two other forms of ID (e.g. a Medicare card, ATM card, rates bill, etc) may be requested prior to participation in a group discussion or interview in order to prove identity and for venue security. Do you agree to this condition of participation? (Selecting "No" may affect your inclusion in the database):

Any other comments:

Recommend Us

If you think that your friends, family and colleagues would enjoy participating in paid market research then please submit their names and email addresses and we will send them each an email to invite them to join.

Name 1:

Email 1:

Name 2:

Email 2:

Name 3:

Email 3:

Paid Research Registration

Be rewarded for sharing your opinions!

Registration for paid research is open to all residents of Australia.

QRA manages a respondent database that is strictly confidential and is used by the company; our database is not made available to any 3rd parties.

If you are interested in providing your honest and open opinion on a range of products and services, please feel free to complete our online registration form.  If you are aged under 16 years, we require you to obtain permission from your parents or guardians.

To register on our database please complete our Registration form alongside.

What happens next?

You will be contacted either by phone or email about any projects we feel you may be eligible for.

Research takes the form of either an informal group discussion (focus group) , one-to-one interview or an on-line survey.

Our clients generally target specific respondents, so the more information you provide at registration the better chance we have of being able to include you. This information is not passed on to any third parties. We normally contact the participants by telephone or e-mail. You will then be asked a few questions to make sure the topic being researched is relevant to you. If you meet the client´s need, then you are invited to participate.

Companies conduct a range of research relating to either existing products, or a new product prior to their launch. They want to know from you, the user; how the product or service can be improved or changed. Research participants can have an effect on the development of a range of products and services, including cars, food, telecommunications, alcohol, travel and finance

All participants receive a cash incentive for their participation and will often meet people similar to themselves. Incentives generally range from $60 upwards depending on the duration of the discussion. Other benefits may include taste testing, being the first to see new products and receiving product samples.

Commitment

If you accept the invitation to participate all we ask is you keep your commitment to us and attend. If for any reason you are unable to attend, please contact QRA as soon as possible so we can organise a replacement.

Please note

People who behave inappropriately at a session or are found to be dishonest in the information they provide to us will be added to our ‘DO NOT USE’ list and will no longer receive any further opportunities to participate.