Registration
Join CSR Surveys Panel Please fill out the following form as completely as possible. Most of the fields must be filled out to validate your registration; you will be reminded if you miss any of these.
Why is the registration form so long? Much of the form asks standard demographics. This enables us to build a profile of each user. This standard information will be used in all of our research Once we have this information, it will no longer be necessary to ask you these questions in future surveys.
Name:
Username:
E-mail:
Password:
Verify Password:
Country:
Afghanistan
Albania
Algeria
Andorra
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Marshall Islands
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia, Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Mauritania
Mauritius
Mexico
Micronesia, Federated States of
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and The Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Togo
South Africa
Spain
Sri Lanka
Sudan
Tonga
Suriname
Trinidad and Tobago
Swaziland
Tunisia
Sweden
Turkey
Switzerland
Turkmenistan
Syria
Tuvalu
Taiwan
Tajikistan
Tanzania
Thailand
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Western Sahara
Yemen
Zambia
Zimbabwe
Phone #:
Fax #:
Gender:
Male
Female
Date of Birth:
To which of these racial groups do you consider you belong?:
Malay
Chinese
Indian
Bumiputra
Mixed race (Malay and Chinese)
Mixed race (Malay and Indian)
Mixed race (Chinese and Indian)
White
Mixed race (Eurasian)
Black
Mixed race (White and Black)
Other ethnic group
Which religion do you belong to?:
Islam
Buddhism
Hinduism
Protestantism
Roman Catholic
Judaism
Sikhism
Taoism
What do you consider your wage bracket to be?:
Lower middle earnings
Middle earnings
Higher middle earnings
High earnings
_UE_High_Earnings
How many people are you directly responsible for in your place of work?:
0
1
2 to 5
6 to10
11 to 20
21 to 50
51 to 100
Over 100
Which of the following best describes your working pattern?:
Working full time (30 or more hours per week)
Working part time (8 - 29 hours per week)
Working part time (Less than 8 hours a week)
Full time student
Retired
Unemployed
Other
Which of the following professions closest describes your current position?:
Employer/manager of establishment with 10 or more people.
Employer/manager of establishment with less than 10 people.
Professional worker - lawyer, accountant, teacher, engineer etc.
Supervisory - office worker: supervises others.
Non-manual - office worker: non-supervisory.
Foreman and supervisor.
Skilled manual worker.
Semi-skilled manual worker.
Unskilled manual worker.
Farmer: has own farm.
_UE_Agricultural_Worker.
Member of armed forces, security personnel
Student
Retired
What is the highest level of education you have completed?:
Primary education
Secondary education
Tertiary education (e.g. Degree)
Higher tertiary education (e.g. Postgraduate)
Address:
Which of these options best describe your home ownership?:
Rented from council (Bandaraya/Majlis)
Leased HDB Flats
Rented from a private landlord
Buying property on a home loan
Own the property outright
At what age did you finish full-time education?:
15 or under
16
17
18
19
20 and above
Still in education
What is the population of the town in which you currently live?:
Under 2,000 people
2,000 - 5,000 people
5-10,000 people
10 - 20,000 people
20,000 - 50,000 people
50,000 - 100,000 people
100 - 500,000 people
500,000 and more people
What is your marital status?:
Married
In a civil partnership
Living with partner
Separated
Divorced
Widowed
Never married
How many children do you have under the age of 18?:
0
1
2
3
4
5
6
More than 6
What is your overall household income bracket?:
Low income
Lower middle income
Middle Income
Higher middle income
High income
How many cars does your household have the use of for private motoring?:
0
2
3
More than 3
Security Code:
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