West Coast Field Services
1st Floor
47 Kishorn Road
Applecross WA 6153
Australia

Ph. +618 9316 3366
Fax. +618 9316 9117

Get Paid For your Opinions!

We often need to organise small groups of people to take part in informal discussions about various topics, from ice cream to alcohol and social issues- in fact it could be anything.

If you are interested in joining 8 -10 people for an interesting and informal discussion, we invite you to register to take part. We offer refreshments and the groups usually last for an hour and a half. Those who take part are paid for their participation.

There is never any obligation, your name will not be used for any other purpose.

If you would like to be part of it, please fill in the form below. Alternatively, you could give us a call at (08) 9316 3366 or email to onlinesurvey@marketresearch.com.au

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Occupation
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Please specify if you are any of the following:-
Wine Drinker
Beer Drinker
Spririt Drinker
Smoker
Do you own a business? What business are you in?
Do you have Private Health Insurance? Who is your insurance provider?
Do you have children under 18? What year are they born in?
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