What year were you born? (please write in full eg 1976) *
Your answer
What month were you born (please select) *
Choose
January
February
March
April
May
June
July
August
September
October
November
December
Mobile or best contact number *
Mobile number is preferred as we usually contact you via sms.
Your answer
Email address *
Your answer
Which state do you live in? *
Choose
NSW
VIC
QLD
WA
SA
NT
ACT
Tasmania
Who is the main grocery buyer in your household? *
Choose
Myself
Myself and someone else
Someone else
Do you have any food allergies, intolerances or restrictions? *
Required
If 'Yes', please list the foods you avoid:
Your answer
Which of the following locations are convenient for you to attend Taste Tests? (tick all that apply) *
Required
How many years have you lived in Australia? *
Choose
Less than 2 years
2-5 years
5-10 years
More than 10 years
What is your cultural background? *
Choose
Australian
English/Irish/Scottish
Asian
European
American/Canadian
South American
New Zealand
Other
Do you own any pets? *
Required
Do you and/or your partner smoke? (tick all that apply) *
Required
We conduct taste tests for children of all ages as well. Do you have children living at home and would like to also receive notifications about taste tests for children? *
Choose
Yes
No
If applicable, what year was your 1st child born?
Your answer
If applicable, what year was your 2nd child born?
Your answer
If applicable, what year was your 3rd child born?
Your answer
If applicable, what year was your 4th child born?
Your answer
If applicable, what year was your 5th child born?
Your answer
How did you hear about our taste test panel? *
Thank you for registering your details. Hit the submit button below, then LIKE our facebook page (Benchmark Taste Test Panel) to keep up to date with taste tests happening in your area.