Extra.ie Survey & Sampling Panel

Sign up to the Extra.ie survey and sampling panel to trial free products and win prizes for your opinions!

Question Title

* 1. What is your first name?

Question Title

* 2. What is your last name?

Question Title

* 3. Please supply your email address.

Question Title

* 4. Which age range are you?

18-24

25-34

35-44

45-54

54+

Question Title

* 5. Please indicate your gender

Female

Male

Non Binary

I do not wish to disclose this information

Question Title

* 6. What county do you live in?

Question Title

* 7. I agree to the terms and conditions of being on this survey and sampling panel and am happy for Extra to contact me in relation to future surveys.

Yes

No