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Women's Anti-Perspirant Trial
Hi there. Thank you for your interest in our Women's Antiperspirant Product Trial. Please fill out our questionnaire below it should only take about 5-10 mins. This information will be used by our team to assess everyone's suitability for the product trial. Once we have received your submission, you may be contacted by the project team to ask you for a short self-filmed so we can find out about more about you. If selected, you will be asked to use the Anti-Perspirant product supplied for 7 days and asked to shoot 3-4 short testimonial videos on your phone during the trial week commencing 4th May 2020. You will be sent a brief for the requirements for these videos as well as a phone stand and, of course, the product required. After completing the trial and a final questionnaire, as a thank you, you will receive a gift voucher worth R1200. Thanks again!
Your gender
*
Female
Male
Other
Full Name
*
First Name
Middle Name
Last Name
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Age
Do you or does someone in your family work in the following industries? Select all that apply.
*
Market Research / Marketing company
Market Research / Marketing company department of any company
Advertising agency
PR company
Media company, such as radio, TV, magazine, internet
Graphic design or packaging company
Employed by or directly involved in personal care brands
Drugstore or supermarket manager that sells personal care or hair products
None of the above
What is your total annual household income in Rand ?
*
1 - 205,900
205,901 - 321,600
321,601 - 445,100
445,101 - 584,200
584,201 - 744,800
744,801 - 1,577,300
1,577,301 and above
Do you or does someone from your family work for one of the following companies?
*
Unilever
Proctor & Gamble
Johnson & Johnson
Colgate - Palmolive
L'Oreal
AV/ Indigo Brands
Amka
Revlon
Beiersdorf
None of the above
Which of the following phrases better describe your role related to the choice and purchase of the personal care products that you use?
*
You are personally responsible for the choice and purchase of the products you use
You share equally the responsibility for the choice and purchase of the products that you use
You are personally responsible for the choice of the products but a different person buys it
You are not personally responsible for the choice and purchase of the product that you use and has no influence on that decision
Do you use any kind of anti-perspirants / deodorants?
*
Yes - regularly
Yes - but not regularly
No
What kind of anti-perspirant /deodorant do you use most often, at least 5 times a week?
*
Roll-On
Aerosol
Stick
Cream
Other
Is there any kind of anti-perspirant/ deodorant that you wouldn't use under any circumstances?
*
Roll-On
Aerosol
Stick
Cream
Other
Which anti-perspirant/ deodorant brand(s) have you used in the last 12 months?
*
Shield
Garnier
Shower to Shower
Nivea
Lady Speed Stick
Dove
Other
Which anti-perspirant/ deodorant brand(s) have you used in the last 6 months?
*
Shield
Garnier
Shower to Shower
Nivea
Lady Speed Stick
Dove
Other
What deodorant brand do you use nowadays, at least 5 times a week?
*
Shield
Garnier
Shower to Shower
Nivea
Lady Speed Stick
Dove
Other
What is the brand, model and memory of your mobile phone?
*
What is your current work status?
*
Housewife
Student (Part or Full time)
Working part time
Working full time
Retired
Looking for work
What do you do for a job ?
*
What method do you use to remove underarm hair ? Please select all that apply
*
Razor
Wax hot/ cold
Laser
Other
Have you taken part in any paid modelling, acting or TV over the last 10 years or taken part in any kind of advertising? If so, please tell us when and what for.
*
Have you ever had any cosmetic or plastic surgery?
*
Yes
No
Prefer not to say
Please indicate what languages you are fluent in and would be happy to record your trial videos using
*
English
Zulu
Sesotho
Other
I consent to Unilever and Fresh Film to use, handle, process and store the personal data I have given on this form for the purposes of this trial.
*
YES
NO
I consent to Unilever and it's partners making photographs and information about my appearance, including information about my ethnic background, available to Dove campaign staff in Unilever and its' creative agencies, including outside of the European Economic Area. (Incl. South Africa)
*
YES
NO
Please upload 2 recent photos of yourself without filters, hats or sunglasses.
*
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