Diversity

Name

Email address

Age

Date of Birth

Gender

Occupation

Address

Contact Number

Do you or any members of your family or close friends work in any of the following occupations, either now or in the past?

Advertising/MarketingMarket ResearchJournalismPublic RelationsDesignNone of these

Have you ever attended a market research group or a depth interview?

YesNo

How many market research group discussions or interviews have you ever attended?

NoneOneTwoMore than two

When was the last time you participated in a market research discussion group or individual interview and what was it about?

What is your life stage?

Pre-FamilyYoung Family (Children <8yrs old)Older Family (Children>8yrs old,<18yrs old)Empty Nester/Children 18+ still at home

Which of the following reflect your opinions on advertising?

I really enjoy advertisements and actively take note of their contentI do not mind adverts and tend to remember those relevant to meI do not mind adverts but don’t ever pay them much attentionI hate adverts and tend to actively ignore/avoid them

Would you say you enjoy discussing different issues/topics and speaking your mind in general?

YesNo

Are you open to others perspectives on topics and enjoy hearing them EVEN if you don’t necessarily agree?

YesNo

Are you willing to talk about issues involving ethnicity, diversity and identity and interested to hear others opinions?

YesNo

Which of the following best describes your ethnicity?

WhiteAsian/Asian BritishBlack/Black British, African/CaribbeanMixed/Multiple Ethnicities (Please specify)Other

To what extent do you identify with the ethnicity you chose?

1-Strongly Identify2-Partly Identify3-Somewhat Identify4-I do not identify5-Unsure/Don’t Know

Which group are you applying for?

Group 4 – Mixed/Dual Ethnicities Females - Tuesday 6.00pmGroup 1 – White Males - Tuesday 8.10pmGroup 2 – Black Females - Wednesday 6.00pmGroup 3 – Asian Males - Wednesday 8.10pm