New E-Cigarette/ Vape Research Starting September

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Dear Participants

This research will be starting during the second week of November. We are offering ￡35 cash upon the completion of this study which will take 60 minutes.

This research will involve you coming into the office in West London each time, using some products and filling out surveys.

If you are interested in taking part, please apply by completing the short survey below. If you seem suitable to take part and fit our clients criteria, we will be in touch within the next 2/3 weeks via email or phone call to confirm your participation.

PLEASE USE THE SAME EMAIL ADDRESS YOU USE TO SIGN UP HERE AS YOU DO THROUGHOUT THIS STUDY. THIS MEANS YOU WILL RECIEVE INFORMATION, REMINDERS AND PAYMENTS ON TIME.

DON'T MISS OUT!
We have multiple Tobacco and Cigarette home tests happening RIGHT NOW and STARTING SOON!
Answer the question at the bottom of the form and tell us what Tobacco Products you use to join our Tobacco Panel and find out whenever we have a new project that may interest you!

Thank you

The Opinion Hub Team

Email *

First Name *

Last Name *

Mobile *

Please indicate your gender *

Male

Female

Prefer not to say

Other:

How old are you? *

What is your Date of Birth? *

YYYY

When did you last take part in a market research discussion group or interview *

Within the last 3 months

Within the last 6 months

6 - 12 months ago

1 - 2 years ago

2 years plus

Never

I cant remember

Other:

If so what was the topic/topics

Do you personally, or someone from your family or your close friends work in any of the following sectors? *

Bank

Marketing

Medicine

Tobacco industry/production/retail

Advertising

Market research

Journalism / TV / Media

Government health related establishments

Health or pharmaceutical industry/retail

Alcohol industry/retail

None of the above

Required

Do you smoke, vape or use nicotine containing products? (cigarettes, cigarillos, cigars, e-cigarettes
etc)? *

Yes

How often do you use the following products? *

Several times a day or more

Several times a week

At least once a week

Less than once a week/ Every once in a while

E- Cigarettes/ E-Vaping

Manufactured (ready-made) cigarettes in a pack (Factory Made Cigarettes)

Roll your own Tobacco Cigarettes

Cigarillos

Tubes Cigarettes

Others

If you stated other, which product(s) do you use?

About how long have you been smoking E-Cigarettes (Vape)? *

less than 3 months

3 - 6 months

7 - 12 months

1 - 2 years (at least 1 year, but less than 2 years)

2 - 3 years (at least 2 years, but less than 3 years)

3 - 4 years (at least 3 years, but less than 4 years)

Longer (please specify below)

If selected Longer, how long

Which of the following types of vaping products/electronic cigarettes do you currently use?
*

Disposable e-Cigs (One piece design that does not have detachable cartridges/pods or a refillable tank; the battery is not rechargeable and the whole device is thrown away when finished

Disposable Vape Bars (Larger, high puff count, one-piece design that does not have detachable cartridges/pods or a refillable tank; the battery is not rechargeable and the whole device is thrown away when finished using)

Rechargeable Cigarette-Like e-Cigs (The type that uses rechargeable batteries with pre-filled replacement cartridges and looks similar to traditional cigarettes)

Closed Rechargeable Pod Systems (The type that has a rechargeable battery and uses pre-filled replacement pods and does not require re-filling the liquid)

Refillable Pod Mods (Refillable pod systems that are rechargeable and require e-liquid to be bought separately)

Mid Size Vape Pens (Refillable mid-sized vape pen/eGO style vaping device, the type that requires e-liquid to be bought separately)

Mod/Vaping Device/APV (Larger refillable MOD/APV/Vaporizer devices that require e-liquid to be bought separately)

I don't Use a Vape Device

Required

Please indicate how many mls or pods of vape liquid you would use on an average week. Please also specify if you use pods or bottled liquid. *

What percentage/ mg strength of Nicotine do you usually use? *

0 (No Nicotine)

3mg (0.3%) Nicotine

9mg (0.9%) Nicotine

12mg (1.2%) Nicotine

16mg (1.6%) Nicotine

18mg (1.8%) Nicotine

Nicotine based flavour, but not sure which one

Don't Know

Would you be willing to test Devices with Nicotine up to 9mg (0.9%) in strength? *

Yes

Which of the following flavours (if any) would you NOT be interested in trying? You may be asked to try some of these flavours in the test. *

Watermelon

Melon

Grape

Cherry

Lemon Lime

Fruit Cooling Flavours

Orange

Strawberry

Mint

Blueberry

Grapefruit

Pineapple

Bubble gum

Chocolate

Caramel

Tobacco

I would try all flavours mentioned above

Required

Are you pregnant or could it be likely that you are pregnant? Or are you breast-feeding? *

Yes

Maybe

Male - Not Applicable

Other:

Do you suffer from cardiovascular problems, including heart rhythm disorders, heart problems, high
blood pressure and other circulatory diseases?
*

Yes

To the best of your knowledge, are you allergic to any of the following ingredients?

Glycerine, Propylene Glycol, Nicotine, Nicotine Lactate, L-carvone, Ethanol, Ethyl Maltol, Vanillin, Oil Peppermint, Terpeneless

Yes

Clear selection

I am happy for you to share my answers (excluding contact details and surname), with your clients? *

Yes

Maybe

Are you willing and able to participate in this test?

Yes

Clear selection

Where did you hear about this project

Im on your mailing list

Word of mouth

Instagram

Facebook

Other socials

Google

Other

Clear selection

We currently have a Home Cigarette Test going on. Are you currently taking part in this/ have recently taken part in this or would you be interested in taking part in this?

Yes I am taking part/ have completed this study

I have not taken part but would like to

No I am not interested in Cigarette Research

Clear selection

Would you be interested in joining our Tobacco Panel to be notified and receive information whenever we have a new Tobacco/ Nicotine based study? If so please indicate which of the following you smoke on a regular basis (at least daily) *

Factory made Cigarettes

Roll your Own Tobacco

E-Cigarette/ Vape Products

Snus + Nicotine Pouches

Cigars

Cigarillos

I am not Interested

Other:

If you were referred, please enter the name and email of the person who referred you

Notes

Opinion Hub Ltd will use the information you provide on this form to analyse whether you fit our client’s criteria to take part in this project. If you appear suitable we will pass your details to our client for processing. However we only pass on your answers and first name, we exclude contact details and surname. Please click the option below to enable us to contact you and book you in for this project and allow us to share your information with our client and third party courier company. If you are not currently on our database and would like to be please also tick the add to mailing list option below. You can change your mind at any time by clicking the unsubscribe link in the footer of any email you receive from us, or by contacting us at hello@opinionhub.co.uk. We will treat your information with respect. For more information about our privacy practices please visit our website. By clicking below, you agree that we may process your information in accordance with these terms. Your data will be held securely, transferred securely and deleted at the end of the project. For full data policies please visit our website.

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