Quality Eye Application Form V3 Survey

Quality Eye Application Form V3

Thank you for your interest in focus group research and mystery shopping for Quality Eye. Its free to join, and you are never under any obligation to answer any survey or take part in market research projects. PLEASE NOTE, WE WILL CONTACT YOU SHOULD SUITABLE ASSIGNMENTS ARISE.

1. Address details

Address details First name
Surname
Address 1
Address 2
City
County/Province/State
Postal/zip code
Country

2. Please state the full name of who referred you to Quality Eye (if applicable)

Please state the full name of who referred you to Quality Eye (if applicable)

3. Contact details

Contact details Home
Work
Mobile
Other
Email
Fax

4. Date of birth - Please use format DD/MM/YYYY

Date of birth - Please use format DD/MM/YYYY

5. Gender

Gender

6. Marital status

Marital status

7. Number of children (under 16) in your household..

Number of children (under 16) in your household..

8. Please state your job title

Please state your job title

9. Occupation classification

Occupation classification

10. What is the highest level of education you have achieved

What is the highest level of education you have achieved

11. Please state your ethnic origin

Please state your ethnic origin

12. Household income

Household income

13. Do you have access to a vehicle?

Do you have access to a vehicle?

14. Please state your car details (if applicable)

Please state your car details (if applicable) Make
Model
Bodystyle

15. Please indicate type of ownership for your car.

Please indicate type of ownership for your car.

16. Please state the year of registration for your car

Please state the year of registration for your car

17. Do you have a disability?

Do you have a disability?

18. Have you worked as a mystery shopper before?

Have you worked as a mystery shopper before?

19. How did you hear about Quality Eye?

How did you hear about Quality Eye?

20. When are you available?

When are you available?

21. Please create a password (min 5 characters)

Please create a password (min 5 characters) Select Username
Select Password
Retype Password

22. Our mystery shoppers are independent contractors, NOT employees of Quality Eye. Please read the following agreement.

This agreement sets out independent contractural terms between Quality Eye and its freelance mystery shoppers (evaluators).1. The company provides anonymous service evaluations for clients on the basis of assignments and reports conducted by the evaluator.2. The evaluator agrees to carry out such assignments under the following terms.3. The evaluator will carry out instructions as provided in the evaluation package accompanying the offer of an assignment at a specific time and location.4. The company will pay up to but not exceeding a fee and expenses as detailed in the offer of assignment.5. The evaluator will abide by all instructions and deadlines to the best of his or her ability and will inform the company promptly of inability to comply with those instructions and deadlines.6. The evaluator is a freelance independent operator at all times and is not a representative of the company or an employee or agent. The company is not responsible for payment of income tax or other taxes, pensions or National Insurance contributions of evaluators and bears no responsibilities for accidents or losses of any sort occurring while the evaluator is conducting an assignment. 7. The evaluator will at no time disclose confidential information regarding the company or its clients. 8. The evaluator will inform the company of any bias or conflicts of interest which may prejudice the company, client or assignment. This includes assignments involving clients for whom the evaluator has family members of friends operating as employees, competitors, suppliers or major customers.9. The evaluator will undertake all assignments to the best of his or her ability and will endeavor always to remain objective and impartial.10. The evaluator will inform the company of any other companies for whom the evaluator conducts assignments.11. This agreement may be cancelled in writing at any time by either party.

Please indicate in the selection box below if you are in agreement with this process.

Our mystery shoppers are independent contractors, NOT employees of Quality Eye. Please read the following agreement. This agreement sets out independent contractural terms between Quality Eye and its freelance mystery shoppers (evaluators).1. The company provides anonymous service evaluations for clients on the basis of assignments and reports conducted by the evaluator.2. The evaluator agrees to carry out such assignments under the following terms.3. The evaluator will carry out instructions as provided in the evaluation package accompanying the offer of an assignment at a specific time and location.4. The company will pay up to but not exceeding a fee and expenses as detailed in the offer of assignment.5. The evaluator will abide by all instructions and deadlines to the best of his or her ability and will inform the company promptly of inability to comply with those instructions and deadlines.6. The evaluator is a freelance independent operator at all times and is not a representative of the company or an employee or agent. The company is not responsible for payment of income tax or other taxes, pensions or National Insurance contributions of evaluators and bears no responsibilities for accidents or losses of any sort occurring while the evaluator is conducting an assignment. 7. The evaluator will at no time disclose confidential information regarding the company or its clients. 8. The evaluator will inform the company of any bias or conflicts of interest which may prejudice the company, client or assignment. This includes assignments involving clients for whom the evaluator has family members of friends operating as employees, competitors, suppliers or major customers.9. The evaluator will undertake all assignments to the best of his or her ability and will endeavor always to remain objective and impartial.10. The evaluator will inform the company of any other companies for whom the evaluator conducts assignments.11. This agreement may be cancelled in writing at any time by either party. Please indicate in the selection box below if you are in agreement with this process.