For Respondents

Aplication form

1. Please specify the name of the city/town of your permanent residence
 
2. Please specify your name
 
3. Please specify the year you were born
 
4. Do you or any member of your family work in the area of marketing or marketing research?

 
5. Have you ever participated in a marketing research study?


 
6. Your mobile telephone number
 
7. Your e-mail address