GippsTech Research Participant Screening Survey
Please fill in the form below to be added to our list of potential research participants. If you are selected as a research participant, we will contact you no later than the 31st of May to organise a session.

The research session will be approximately 60-90 minutes. You will be compensated $100 for completing the session.

All responses to this survey will be kept confidential. If you have any questions, please email maria@gipps.tech or give us a call at 03 5644 3321 or 0477 536 374. Thank you!
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Email *
I am: *
I am in the following age group: *
Which of the following applies to you? Tick all that apply.
I am located in: *
I would describe the place where I live as: *
Which of the following applies to your use of the internet and online technologies? Tick all that apply. *
Required
Aside from messaging and browsing, what kind of mobile apps do you have installed on your phone? Tick all that apply. *
Required
Which of the following apply to your household situation? *
Which of the following apply to your working situation? *
Which of the following apply to your financial situation? *
Required
What kind of bank accounts do you have in your name? *
Required
Have you had joint bank accounts in the past and then had to close them later? (eg. after separating from a partner, moving out of a shared household) *
What kind of utility accounts do you have in your name? *
Required
Please tell us your preferred contact name: *
Please provide a phone number and/or email address so we can contact you if you are short-listed for our research project: *
Would you like to be notified of future research opportunities with GippsTech? *
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