Education and Nursery Focus Group Sign-Up

Thank you for considering taking part in one of our focus groups for parents of nursery and school aged children.

To see if you are eligible, please answer the following questions. We will contact you to confirm availability. If you attend a group you will be paid £100 in the form of an Amazon voucher, or a donation to the charity of your choice.

In addition, if you would like to be entered into a draw to win a £250 Amazon voucher (whether or not you attend a focus group), please enter your email address, and /or a nominated charity, at the end.

Please share with other parents! If they are eligible and attend, and confirm that you referred them, you will be eligible for a £50 referral payment as a mark of our thanks.

The information you provide is confidential, will not be shared with any other party, and will only be used for the stated purpose.

Thanks!

1. What is your postcode? *This question is required.

2. Do you have nursery or school aged children? *This question is required.

3. How old are your children?

Child 1
Child 2
Child 3
Child 4
Child 5

3. For each of your children, what kind of school, nursery or day care do they attend?

Child 1
Child 2
Child 3
Child 4
Child 5

3. Roughly what is your total annual household income before tax? *This question is required.

3. Would you be interested in attending a paid focus group to share your views on education and childcare?

The focus groups will take place in the Putney area on various dates over the coming weeks. *This question is required.

3. If you are unable to attend a focus group due to timing or location, could we instead have a brief (~10-15 minute) telephone call to get your perspectives on the same topics?

3. If so, please enter a phone number and email address that we can use to contact you to confirm your availability.

Your information will not be shared with any third party and will be used only for this purpose.

Telephone

Email address

3. If you are eligible, what times and dates and dates might you be able
to attend a focus group?

Please tick as many as you can to assist us in fitting you in! We will contact you to confirm, but this gives us a rough idea.

Space Cell	9am	10am	11am	1pm	2pm
Wednesday December 4th	Wednesday December 4th: 9am	Wednesday December 4th: 10am	Wednesday December 4th: 11am	Wednesday December 4th: 1pm	Wednesday December 4th: 2pm
Thursday December 5th	Thursday December 5th: 9am	Thursday December 5th: 10am	Thursday December 5th: 11am	Thursday December 5th: 1pm	Thursday December 5th: 2pm
Friday December 6th	Friday December 6th: 9am	Friday December 6th: 10am	Friday December 6th: 11am	Friday December 6th: 1pm	Friday December 6th: 2pm
Monday December 9th	Monday December 9th: 9am	Monday December 9th: 10am	Monday December 9th: 11am	Monday December 9th: 1pm	Monday December 9th: 2pm
Tuesday December 10th	Tuesday December 10th: 9am	Tuesday December 10th: 10am	Tuesday December 10th: 11am	Tuesday December 10th: 1pm	Tuesday December 10th: 2pm
Enter another option	Other: 9am	Other: 10am	Other: 11am	Other: 1pm	Other: 2pm

3. If you would like to be entered for the draw for a £250 Amazon voucher, please enter your email address here.

You can also enter the name of a charity of your choice.

4. Are you filling out this screening survey because you were referred by someone?

If so, and you attend a focus group, they or a charity of their choice, may be eligible for a referral bonus as a mark of our gratitude. If you have their consent to do so, please write their name and email address here.