Full Name (required)

Email (valid email required)

House Number/Name

Street Name

Town/City

Postcode

Your Telephone Number (required)

Booths Card Number

Nearest Store (required) —Please choose an option—BarrowfordBurscoughCarnforthChorleyClitheroeFulwood, PrestonGarstangHesketh BankLongridge, PrestonLongton, PrestonLythamPenwortham, PrestonPoultonScotforth, LancasterSt AnnesKendalKeswickKirkby LonsdaleMilnthorpePenrithUlverstonWindermereYorkshireIlkleyRiponSettleHale BarnsKnutsfordMediaCityUK, SalfordI don't shop at Booths

How often do you shop at Booths? (required) —Please choose an option—NeverLess than once a yearOnce every 7-12 monthsOnce every 4-6 monthsOnce every 3 monthsOnce a monthTwice a monthOnce a weekA couple of times a weekEveryday

Gender (required) —Please choose an option—MaleFemaleOtherPrefer not to say

Age (required) —Please choose an option—Under 1818-2526-3536-4546-5556-6566-75Over 75Prefer not to say

Do you have any children under 16 living at home? (required) —Please choose an option—YesNo

Apart from yourself, how many over the age of 16 live in your household? (required) —Please choose an option—0123 or more

What type of customer research are you interested in? (required) Customer focus groupsAssisted shopsSurveysOnline communities

By registering and ticking this box you are agreeing to our privacy policy.

Δ