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Submitted URL: https://r20.rs6.net/tn.jsp?f=001utirwOiZciYRZYaNx2mGmtfv4zJcpoqx7L5w4488o8z18t-D6ndTLJfdMnYoRUAv2IODgjAp_6IeUNeZdU7x...
Effective URL: https://www.smartsurvey.co.uk/s/34VAGN/
Submission: On March 31 via manual from GB — Scanned from GB

Form analysis 1 forms found in the DOM

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            <h1 class="ss-survey-title">Earn £50 Take Part In A Research Interview About Hearing Loss</h1>
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                <div class="ss-required-box ss-required-summary hidden" aria-hidden="true" role="alert" id="ss-required-summary" tabindex="-1"> There was an error on your page. Please correct any required fields and submit again.
                  <a class="ss-required-scroll-trigger" href="#">Go to the first error.</a> </div>
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                          <div class="cf"><span style="font-size: 16px"><strong>Earn £50 For Taking Part In A Research Study About Hearing Loss<br> Payments will be made via PayPal, Bank Transfer or Amazon egift Voucher.</strong></span><br>
                            <br> Before many new products (including financial products) are launched designers often show their products to members of the public, so they can hear their opinions, before their products hit the shop shelves or the App
                            Store(s). In order to do this they look for new people who would be willing to share their views in discussion groups or interviews.<br>
                            <br> Participants are financially rewarded in cash for their time. Our clients will always value your ideas and opinions and your participation in these studies is never publicized.<br> &nbsp;
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                        <h3 id="ss-question-title-16370911" class="ss-question-title"> Are you available on any of the following dates/times? <br>Please only apply to take part, if you are sure that you will be available. <br> <strong
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                    <div class="ss-question">
                      <div class="hidden ss-required-box RequiredText req-16370912" tabindex="-1">This question requires an answer</div>
                      <div class="ss-question-inner">
                        <h3 id="ss-question-title-16370912" class="ss-question-title"> Do you have any of the following disabilities? <strong class="ss-required-star" title="This question requires an answer">*</strong></h3>
                        <div class="ss-question-options">
                          <div class="cf">
                            <ul class="ss-list cf ss-list-vert">
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                  <div class="ss-question-holder">
                    <div class="ss-question">
                      <div class="ss-question-inner">
                        <h3 id="ss-question-title-16371972" class="ss-question-title"> Do you CARE FOR or SUPPORT someone with any of the following disabilities? </h3>
                        <div class="ss-question-options">
                          <div class="cf">
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                              <li><label class="ss-option-title" for="o16371972129035915"><input type="checkbox" class="ss-input-checkbox" id="o16371972129035915" name="o16371972" value="129035915"><span>Tinnitus</span></label></li>
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                        <h3 id="ss-question-title-16371984" class="ss-question-title"> Do you have access to a Laptop or Desktop Computer? <strong class="ss-required-star" title="This question requires an answer">*</strong></h3>
                        <div class="ss-question-options">
                          <div class="cf">
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                      <div class="ss-question-inner">
                        <h3 id="ss-question-title-16372039" class="ss-question-title"> Do you feel comfortable using a laptop/desktop computer? <strong class="ss-required-star" title="This question requires an answer">*</strong></h3>
                        <div class="ss-question-options">
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                      <div class="ss-question-inner">
                        <h3 id="ss-question-title-16370914" class="ss-question-title"> How old are you? <strong class="ss-required-star" title="This question requires an answer">*</strong></h3>
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                    <div class="ss-question">
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                      <div class="ss-question-inner">
                        <h3 id="ss-question-title-16370916" class="ss-question-title"> Where do you live? Please name the nearest city <strong class="ss-required-star" title="This question requires an answer">*</strong></h3>
                        <div class="ss-question-options">
                          <div class="cf"> <textarea aria-labelledby="ss-question-title-16370916" data-qid="16370916" id="t129036958" name="t129036958" class="ss-input-textarea ss-required-option " rows="3" cols="50"></textarea></div>
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                    <div class="ss-question">
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                        <div class="ss-question-options">
                          <div class="cf">
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Text Content

EARN £50 TAKE PART IN A RESEARCH INTERVIEW ABOUT HEARING LOSS

There was an error on your page. Please correct any required fields and submit
again. Go to the first error.

 
Earn £50 For Taking Part In A Research Study About Hearing Loss
Payments will be made via PayPal, Bank Transfer or Amazon egift Voucher.

Before many new products (including financial products) are launched designers
often show their products to members of the public, so they can hear their
opinions, before their products hit the shop shelves or the App Store(s). In
order to do this they look for new people who would be willing to share their
views in discussion groups or interviews.

Participants are financially rewarded in cash for their time. Our clients will
always value your ideas and opinions and your participation in these studies is
never publicized.
 

This question requires an answer


ARE YOU AVAILABLE ON ANY OF THE FOLLOWING DATES/TIMES?
PLEASE ONLY APPLY TO TAKE PART, IF YOU ARE SURE THAT YOU WILL BE AVAILABLE.
*

 * Tuesday 5th April 11am (60 minutes)
 * Tuesday 5th April 1pm (60 minutes)
 * Tuesday 5th April 3pm (60 minutes)
 * Wednesday 6th April 1pm (60 minutes)
 * Thursday 7th April 1pm (60 minutes)
 * Thursday 7th April 3pm (60 minutes)
 * Friday 8th April 1pm (60 minutes)
 * Friday 8th April 3pm (60 minutes)
 * Other
   
 * I am not available on any of these dates/at any of these times, but I would
   still like to take part


 
This question requires an answer


DO YOU HAVE ANY OF THE FOLLOWING DISABILITIES? *

 * Tinnitus
 * Hearing Loss
 * I am Deaf and use BSL
 * Anxiety/Depression
 * Dyslexia
 * Dyspraxia
 * No, I do not have any of these conditions
 * Other
   


 


DO YOU CARE FOR OR SUPPORT SOMEONE WITH ANY OF THE FOLLOWING DISABILITIES?

 * Tinnitus
 * Hearing Loss
 * I am Deaf and use BSL
 * Anxiety/Depression
 * Dyslexia
 * Dyspraxia
 * No, I do not care or support anyone with any of these conditions
 * Other
   


 
This question requires an answer


DO YOU HAVE ACCESS TO A LAPTOP OR DESKTOP COMPUTER? *

 * Yes, I have access to a laptop or desktop computer
 * No, I do not have access to a laptop or desktop computer
 * Other
   


 
This question requires an answer


DO YOU FEEL COMFORTABLE USING A LAPTOP/DESKTOP COMPUTER? *

 * Yes
 * No
 * Other
   


 
This question requires an answer


HOW OLD ARE YOU? *



 
This question requires an answer


WHERE DO YOU LIVE? PLEASE NAME THE NEAREST CITY *



 
This question requires an answer


1. WHAT IS YOUR GENDER? *

 * Male
 * Female
 * Rather Not Say
 * Other (please specify):
   


 
This question requires an answer


2. WHAT IS YOUR EMAIL ADDRESS? *



 
This question requires an answer


3. WHAT IS YOUR ETHNICITY? *



 
This question requires an answer


4. WHAT IS YOUR TELEPHONE NUMBER? *



 
This question requires an answer


5. WHAT IS YOUR NAME? *




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