Alta Research - Market Research Registration Page

Our main areas of recruiting are :
. Focus Groups : are run in an informal setting, they go for about 1.5 hours & people are paid cash for attending (normally somewhere between $50 and $90).
. Product Testing : usually in involves viewing or trialling a product either at a central location or at home. Payment is via either a voucher or cash

	Market Research - Registration Form Please answer as many questions as possible, the more information you can give us the easier it is for us to match you to specific research projects - SYDNEY , BRISBANE & WOLLONGONG AREAs ONLY -

	Decided not to register? - please click here to tell us why:

1.	First Name :
2.	Surname :	Title:
	Add/Update Information ?
3.	Address :	(optional)
	Suburb:
	Postcode :	State : * Bris/Syd/Canberra/Wollongong ONLY
4.	Telephone - Home :
	Telephone - Work :
	Telephone - Mobile :	Plan:
		Mobile Provider:
5.	Email Address : [Please make 'susan@alta.com.au' an allowable address in your spam filter]	* We may email you from time to time regarding groups, enter 'OPT OUT' in the Email Address if you do not wish this to happen.
	Email Check Frequency :
		...
6.	Your Gender :
	What is your Marital Status :
	What is your Nationality :	If born outside of Australia, enter year you arrived
	Date of Birth :	Day(01-31) Month(01-12) Year(1900-)
	Areas in which you would prefer to attend groups:
		...
7.	Job Title :	(10 characters max.)
	Employed Status :
	Self Employed :	No. of Employees:
	Which of these would best describe your occupation (ABS codes) :
	What Industry Type :
	Suburb in which you Work:
	What is your education level:
	What is your partners occupation (if applicable)	(10 characters max.)
		...
8.	Do you drink ? (mark whichever apply) :	Beer Wine NON-Drinker
9.	Credit cards held (choose whichever apply):

10.	What bank do you have your main account with :
	What other account(s) do you have:	Savings Account Cheque Investment
	What Building Society do you have an account with :	(10 characters max.)
		...
11.	These questions relate to your main car(s):
	Car Make :
	Car Model :
	Year of Manufacturer :
	Main Car insured with :	(10 characters max.)
	Is this a company car :
	Are you a member of a car club:
		...
12.	Do you have pets (how many):	Cat Dog
		...
13.	For children living at home, what is their age : (enter more than one by selecting child/year/month multiple times)	Child: - Year of birth: Month: Are they interested in attending Groups ? :
		...
14.	Into which of the categories listed does the income of the entire household belong? (*ABS categories)
15.	Do you smoke cigarettes :
	Do you wear spectacles/ contact lenses :
	Do you travel on business :
	Do you have Pay TV :
	Do you have Private Health Insurance with :
	Did you hear about us via:
	Comments :



		Thank you.
	If you have friends who might be interested in registering, please Click Here to send them an invitation email.

. We expect respondents to answer all questions honestly. Those found to be doing otherwise will go on a 'Do Not Use' Register.
. The information your supply is treated with the utmost confidentiality and is held in a physically secure and access limited (via thumb-
print) environment. Your information will only be seen and used by us and only for market research recruiting purposes.

Next Steps:
If you would like to be added to our database, as available to attend Group Discussions/ Product Testing, please fill out the form below.

We will periodically email or phone you to see if you are suitable for current projects.

Market Research - REGISTRATION

We are ISO 20252 accredited, sub-committee member of the AMSRS (Australian Market & Social Research Society) and follow their defined standards, ethics and guidelines.
We also adhere to the National Privacy Principles (Private Sector) Act 2000 as laid out in our Privacy Policy.

Established in 1985, Alta Research is a Sydney based Market Research Recruiting company.

We recruit individuals and groups for Focus Groups and Product Tests - this is a way for companies to gain feedback from the community about current and future products/services.

For general questions about our products, please contact our office:

General information

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