WP Keap campaign form

Tell us how you would prefer us to contact you. (Tick as many boxes as you wish) * *

Gender * *

Ethnicity

Tell us what enabling support you use and what access needs you have

Use this box to tell us more about any of the above and/or to tell us about what reasonable adjustments you need

From time to time Open Inclusion ltd. may invite you to take part in consumer research, focus groups, mystery shopping, user testing or other projects.

The information you have given will enable us to choose the right people to take part in each project. There is no obligation to take part – you just say ‘yes’ or ‘no’.

All of this work is carried out in accordance with the Market Research Society Code of Conduct.

The information you give on this form will only be used by Open Inclusion ltd. to enable them to match research criteria by their clients. It will not be shared with any individuals or organisations.

Open Inclusion ltd. will take all reasonable technical and organisational precautions to prevent the loss, misuse or alteration of the information you have given, and it will be stored in an encrypted database.

To amend any of the information we hold, or have it removed from the database, please contact panel@openinclusion.com.

Declaration

(Please check both the boxes below and then click the ‘Submit’ button)

I have read the above statements and understand that: *

Section 1 of 3 – Contact details

Section 2 of 3 – Personal Details

Section 3 of 3 – Finally some legal stuff

Data Protection Act – Privacy Statement