Section 1 - Personal Details

Mr/Mrs/Miss/Ms: N.I. No.: First name: Address: Surname: Telephone No.: Mobile No.: Postcode: Fax No.: Email:

Section 1 - ..cont.

Nationality: Ethnicity:	Which languages do you speak? (other than English) French German Spanish Other (Specify)
Do you have any children? Yes No How old are they?
How far would you be willing to travel? within 10-mile radius of home within 20-mile radius of home more than 20-mile radius of home	Do you have access to a car? Yes No
Availability Monday Tuesday Wednesday Thursday Friday Saturday Sunday Morning Afternoon Evening (Tick all that apply)

Section 2 - Experience

Please state your previous experience: For which organisations have you previously conducted a mystery shop? Which ones are you currently working for?

Section 3 - Mystery shopping projects

We constantly recruit mystery shoppers for various projects . Please answer the questions below to see if you qualify for any of our continuous surveys.

Do you have a passport: Yes No Please state expiry date:

Who do you bank with? Do you/ would you be willing to bank online? Yes No

Who provides your gas? Who provides your electricity?

When did you last visit the Natural History Museum in London? Within the last year Within the last two years Longer ago Never visited

Section 3 - ...cont.

What telephone company do you have line rental with? Would you be willing to change your line rental to another company? YesNo What company provides you with your telephone calls? Would you be willing to change your call provider to another company? YesNo To which countries do you make calls? Please specify Please separate multiple answers with a comma. Which mobile network are you with? Please specify Please separate multiple answers with a comma.

Do you have Internet access at home Yes, broadband Yes, dialup No What company do have internet with? Are you thinking about getting internet access at home? YesNo

Do you have Digital TV at home? Yes No Are you thinking about getting Digital TV at home? What company do you have Digital TV with? SKY NTL Telewest Other Yes No Please Specify

Thank you - We may contact you as needed.



Please note you must have a default mail client setup in order to submit this form.
Please email your CV to enquiries@fds.co if you are unable to submit this form.