Panel Application Form

1. FieldworkHub is a market research agency that arranges focus groups, in-depth interviews, online research and other types of market research for well-known brands based in the UK, Europe and North America. MyFieldworkHub is our website for respondents.

If you are interested in our paid market research opportunities, please fill in this form to add your details to our database (if you have previously completed this form on the fieldworkhub.com website, don’t worry – we still have your details saved so you don’t need to complete it again).

Our panel application form is also available in German / Unser Panel Antragsformular ist auch in deutscher Sprache verfügbar

Protecting your personal information is important to FieldworkHub. So we’ve developed a Respondent Personal Information Policy that covers how we collect, use, disclose, transfer, and store your information. If you register on our database or sign up to take part in a particular market research study, we will take all reasonable steps to ensure that your data is treated securely and in accordance with this Policy.

First name *This question is required.

Last name *This question is required.

Country of residence *This question is required.

2. Email address *This question is required. This question requires a valid email address.

3. Please re-enter your email address *This question is required. This question requires a valid email address.

4. Mobile phone number *This question is required.