Project Pad: UK Wide
We're looking for people aged 18-70yrs for a project on home adaptations due to disability.
The research will involve filming 5 x 2-4 minute selfie videos.
As a thank you for taking part, you would receive £30 with a bonus reward of £100 for the best video.
Videos to be completed between Friday 16th - Tuesday 20th March
We ask that you complete the following questions on this online form to see whether you may be eligible for this project. Should you seem eligible based on your answers, one of our team will contact you via phone to check your answers and ask any additional questions that we may need to know. Further details will then be provided if we are able to get you along.
PLEASE REGISTER ASAP AS SPACES ARE LIMITED.
PLEASE NOTE: You will be re-directed to our signup page when your form has been submitted
Address (please include specific area & postcode)
Postcode (PLEASE DOUBLE CHECK)
EMAIL ADDRESS (PLEASE CHECK FOR TYPOS)
Where is the country are you located?
Yorkshire and Humber
East of England
Do you or does anyone in your immediate family work for any of the following?
Market Research or Marketing
None of the above
Please tell me about any research you have taken part in. For each project, when was this and what was the topic?
What is your age?
Which of the following best describes your ethnicity?
White – British/ English/ Welsh/ Scottish/ Northern Irish
White – Irish
Any other white background
Black – Caribbean or Caribbean British
Black – African or African British
Any other Black/African/Caribbean/ Black British background
Asian – Indian or Indian British
Asian – Pakistani or Pakistani British
Asian – Bangladeshi or Bangladeshi British
Asian – Chinese or Chinese British
Any other Asian background
White and Black Caribbean
White and Black African
White and Asian
Any other mixed/multiple ethnic background
Arab or Arab British
Any other group or background, please specify
Prefer not to say
How would you describe the area in which you live?
What is your current living status?
Living with parents
Living with family
Sharing with friends
How old are your children living at home? If you have none, please put N/A
Do you have any children who have left home? If you have none, please put N/A
What is your working status currently?
Working full time (30+ Hours per week)
Working part time (6-29 Hours per week)
Working less than 6 hours
Education (GCSE or pre-GCSE)
Education (A-level or equivalent)
Education (Degree or equivalent)
Please could you tell us your occupation and your job title?
Please could you tell us the occupation of the main income earner in your house?
Do you suffer from any of the following long term health conditions?
Please select all that apply?
Coronary Heart Disease
Chronic Obstructive Pulmonary Disease
Other joint disorders e.g. Carpel Tunnel Syndrome
Other serious mental health illness e.g. paranoid psychosis
MS (multiple sclerosis)
None of the above
If you suffer from any of the above conditions, please tell us whether your home meets your needs? Please tell us as much about your current housing situation as you feel comfortable doing.
Does your home have any adaptations to help with day to day life?
Help with cleaning
Help with Budgeting
Ramp into property and out to garden
Lower kitchen worktops
Mental health support
Raising seats or beds
Aids for dressing e.g. shoehorn
Personal alarm (e.g. alarm worn on lanyard in case of falls)
None of the above
I state the above information is factually correct and that I wish to be contacted regarding further research on this subject. I understand that the research I participate in may be video and audio recorded, for use in research purposes only and without identifying me, in accordance with the Market Research Society code of conduct - submission of this form indicates my consent to this process
I give permission for this information to be held confidentially and securely by Podengo Market Research Recruitment Ltd in accordance with the Data Protection Act 1998 for the sole purpose of inviting me to participate in market research fieldwork from time to time, for which I will earn cash incentives. I understand I have the right to decline or withdraw at any time, and to have my details deleted from the database.
How did you hear about this project?
If somebody suggested you for this project, please tell me their name & email address/telephone number as we do offer a referral reward for some projects (when particularly specified)
Do Not Fill This Out