Consumer Registration

Stable Research draws the members of it's discussions groups from the information entered below. While only Section 1 is compulsory, the more information you give us - the greater your chances of inclusion in a discussion group. Registration is open for all residents of Australia.

Please complete the form and then click on Submit. Please note that all your details are confidential and only used by Stable Research for market research purposes.

Notes:

  • People under 16 years should obtain permission from parents or guardians
  • Multiple submissions don't increase the likelihood of election for panels - however details can be updated at any time

Go to Section:2 3 4. The Submit button is at the end of Section 4.

Section 1

All fields in this section are COMPULSORY
Please indicate if this information is a new registration or an update of your existing personal details. If this is an update please complete all fields to overwrite existing data.
New Update
Title:
First Name:
Last Name:
Date of Birth: / /   eg. [20 / June / 1965]
Sex: Male     Female
Marital Status:
Home Street Address:
Home Suburb:
Home State:
Home Postcode:
Home Phone:
Landlines ONLY 		    No hyphens, brackets or blank spaces.
Work Phone:
Landlines ONLY		     No hyphens, brackets or blank spaces.
Work Suburb:
Work Postcode:
Mobile Phone:     No hyphens, brackets or blank spaces.
Email Address: (See Note Below)

Note:

By supplying your email address you give Stable Research permission to email you with notification of any jobs we are holding and permission for us to send you online surveys. If you do not wish to receive emails or participate in online surveys then please do not supply us your email address

Return to top

Section 2 - About You
Highest Level of Education:
Annual Income:
Employment Status:
Job Title:
Occupation:
Industry:
Pets:
Do you wear
contact lenses and/or glasses?
Your ethnicity and country of birth:

Children Do YOU have children who have left home?
Do YOU have children living at present in your household? Check the checkbox if you have children living with you. Uncheck to clear all fields.
 Name M F   Year Born:
 Name M F   Year Born:
 Name M F   Year Born:
 Name M F   Year Born:
 Name M F   Year Born:
 Name M F   Year Born:

Return to top

Section 3 - Products Used
Main Bank:
Health Fund: Yes     No
Health Fund Name:
Car 1 Type:
Car 1 Make:
Car 1 Year Model:
Car 1 New / Second Hand:
Car 1 Owned
Car 2 Type:
Car 2 Make:
Car 2 Year Model:
Car 2 New / Second Hand:
Car 2 Owned
Do You Smoke? Yes     No
Preferred Brand:
Nicotine Strength:
Do You Drink Beer: Yes     No
Preferred Brand:
Drink Wine: Yes     No
Drink Spirits: Yes     No
Pay TV:
Home Computer: Yes     No
On the Internet: Yes     No
Are you in a Frequent Flyer Program? Yes     No

Return to top

Section 4 - Other
Comments/Notes:
Where did you find out about us:

Disclaimer | Privacy Statement


Copyright©Stable Research 2003.  All rights reserved.
Site developed by PrimaClass Consulting