To join the New Zealand Survey Panel please fill in this form

    All questions marked * are obligatory.

* First name(s):
* Last name(s):
* Email address (for receiving invitations):
* Your gender?	Pick an answer:                              Female Male
* The year you were born?	Pick an answer:                              1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910
* The postcode where you live? (4 digits)
* The highest level of education you have completed?	Pick an answer:                              Year 10 Year 11 Year 12 Year 13 Bachelor degree Diploma/certificate Postgraduate degree Other
* Your current occupational status?	Pick an answer:                              Full time employed Part time employed Self employed Not employed Student Home maker Retired Other
* Your monthly personal income (after taxes)?	Pick an answer:                              $1.000 or less $1.000-$2.499 $2.500-$4.999 $5.000-$7.499 $7.500-$9.999 $10.000-$14.999 $15.000 or more Don't know/No answer
(If you are currently working) Your area of work?	Pick an answer:                              Administration Advertising, marketing & PR Animal & plant resources Arts, design & crafts Construction & property mng. Counselling & guidance Economist, statisticians etc Education & teaching Engineering Finance, insurance etc Health care Hospitality Human resources Information services Information technology Law enforcement & security Legal services Leisure, sport & tourism Logistics & transport Management consultancy Manufacturing & processing Natural resources Publishing & media Sales, retail & buying Scientific services Others
(If you are currently working) Are you authorized to make purchase decisions at work for $1.000 or more?	Pick an answer:                              Yes, always Yes, most often Yes, but rarely No
* Are you currently married or single?	Pick an answer:                              Married Single Other
* How many persons 15 years or older live in your household (including yourself)?	Pick an answer:                              1 2 3 4 5 or more
* How many persons younger than 15 years live in your household?	Pick an answer:                              0 1 2 3 4 5 or more
* Are you involved in making household decisions about major puchases (e.g., cars, appliances, furniture, etc.)?	Pick an answer:                              Yes, always Yes, most often Yes, but rarely No
* Are you involved in making household decisions about daily puchases (e.g., food, cleaning products, etc.)?	Pick an answer:                              Yes, always Yes, most often Yes, but rarely No
* What is the monthly household income (after taxes)?	Pick an answer:                              $1.000 or less $1.000-$2.499 $2.500-$4.999 $5.000-$7.499 $7.500-$9.999 $10.000-$14.999 $15.000 or more Don't know/No answer
Do you/your family own or rent your current home?	Pick an answer:                              Rent Own Other
Do you personally or does your household have access to a car (own, rent or lease)?	Pick an answer:                              Yes, I have a car Yes, I have access to a car No