- Are you aged over 13-15?
- Do you use health services?
***You will be given £40 cash if you take part in this research***
To take part, you must be available in central Leeds on Tuesday 12th March 2019.
Sessions will last 60 minutes and take place at either 4:45pm OR 6:00pm.
Research sessions will involve looking at some websites or apps and telling us what you think.
A parent or guardian must attend the session as well, and they will also get £20 cash as a thank you!
PLEASE NOTE: We recommend completing this particular form on laptop or desktop PC if possible, to avoid it jumping around. Once you have submitted your answers, scroll up to see the confirmation message (sorry for any inconvenience).
All information shared with us is protected by General Data Protection Regulation and will not be shared with any third parties. We are compliant with all Market Research Society standards, so the information you provide will only be used to assess your suitability to take part. It will not be used to contact you for marketing or sales purposes at a later date.
Please provide your first name and surname.
If you're selected, we'll send your invitation via email, so please make sure your email address is one that you use regularly.
Mobile phone number:
Please enter the mobile number of the PARENT or GUARDIAN of the child. Please double-check you have typed the correct number, as we'll call you if you're shortlisted.
Your child's full name:
Your child's age:
Your child's gender:
How do you access health services?
Please tick all that apply to you
I use NHS services
I pay privately for my healthcare
I use both NHS and private healthcare
When did you last use an NHS healthcare service?
During the last month
During the last 3 months
During the last 6 months
During the last year
During the last 2 years
I don't use NHS services
Which NHS services have you used within the last 12 months?
Please tick all that apply to you.
A walk-in centre
Routine hospital care
Emergency hospital care
Outpatients clinic (e.g. Chiropody, physiotherapy, counselling)
I haven't used NHS services within the last 12 months
TUES 12th March: I am available for the following sessions:
Please select 'all day', 'not available', or individual sessions if you are only free for part of the day. Please note if you are flexible, it's more likely that we can invite you to take part.
4:45pm to 5:45pm
6:00pm to 7:00pm
How did you find out about this research?
Please provide details such as received email, Google search, Facebook page, Facebook advert, flyer, word-of-mouth etc.
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