Mystery Assessor Enquiry Form Personal DetailsFirst Name: * Last Name: * Gender: * Please SelectMaleFemale Date of Birth: * Day12345678910111213141516171819202122232425262728293031 MonthJanFebMarAprMayJunJulyAugSeptOctNovDec Year200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Email: * Confirm email address: * Alternative Email: Home Phone (Inc Area Code) * Mobile Phone (Inc Area Code) * Work Phone (Inc Area Code) Can we contact you at work? YesNoContact DetailsStreet Address: * City/Town/Suburb (Inc Area Code) * State/Province * Country * Please SelectAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua & DepsArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia HerzegovinaBotswanaBrazilBruneiBulgariaBurkinaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepChadChileChinaColombiaComorosCongoCongo {Democratic Rep}Costa RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIreland {Republic}IsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKorea NorthKorea SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar, {Burma}NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussian FederationRwandaSt Kitts & NevisSt LuciaSaint Vincent & the GrenadinesSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweZip Code/Postcode * The postcode should be in one of the following formats AN NAA ▪ ANN NAA ▪ AANN NAA ▪ AAN NAA ▪ AANA NAA ▪ ANA NAA ▪ AAA NAA (A=Alphabet N=Number) EducationYour highest level of education completed * Please SelectGCSE’sA LevelsUniversity DegreeUniversity Masters/PhdEmployment DetailsWhat is your current Employment Status? * Please SelectUnemployedEmployed Full TimeSelf EmployedRetiredPresent Employer:Company Start Date: * Day12345678910111213141516171819202122232425262728293031 MonthJanFebMarAprMayJunJulyAugSeptOctNovDec Year2020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900End Date: * Day12345678910111213141516171819202122232425262728293031 MonthJanFebMarAprMayJunJulyAugSeptOctNovDec Year2020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Job Title Previous Employer:Company Start Date: * Day12345678910111213141516171819202122232425262728293031 MonthJanFebMarAprMayJunJulyAugSeptOctNovDecEnd Date: * Day12345678910111213141516171819202122232425262728293031 MonthJanFebMarAprMayJunJulyAugSeptOctNovDec Year2020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Job Title To help us customize your shopping profile please fill out the following questions:How Many languages do you speak fluently? * Please Select12345678910Do you have access to the following: This information will help us to determine how suitable you are for various projects Car YesNo Mobile Phone YesNo Laptop YesNo PDA YesNo Printer YesNo Digital Camera YesNoWhat is your marital status? * Please SelectSingleMarriedCivil PartnershipPartnerDo you work for any other mystery shopping companies? * Please SelectYesNoHave you ever been convicted of a crime or felony? * Please SelectYesNoHow often do you stay overnight in a hotel, guest house, cruise, club per year on average Once a year on holiday15 -30 nights pr year30 – 50 nights per yearMore than 50 nights per year What style of hotel do you usually stay in for Leisure purposes. Guest HouseHotel 1 – 3 Star4 or 5 star HotelBoutique HotelGuest HouseHotel 1 – 3 Star4 or 5 star HotelBoutique Hotel What style of hotel do you usually stay in for Business purposes. Guest HouseHotel 1 – 3 Star4 or 5 star HotelBoutique HotelDo you have any disabilities/illnesses that would affect you ability to perform the services required as per the Independent Agreement (such as mobility, sight, hearing, speech)? * Please SelectYesNoHow did you find out about The Mystery Partnership? * Please SelectRecommended by current mystery assessorWeb searchAdvertisementOther (Specify below) Why do you want to become a Mystery Shopper? (choose up to 3) I have spare timeI like staying in hotelsI like eating for freeI like to help companies exceed customer expectationsI want to earn extra cashI want to ensure companies take customer feedback seriouslyI want to help businesses to improve customer serviceI'd like to get more work experienceOther (explain in 30 words or less) Do you know anyone who has undertaken assessments for The Mystery Partnership who we can approach for references. * Please SelectYesNo Please provide their name in the box below. I accept the contract terms and conditionsView contract terms and conditions.* indicates required fieldBy using this form you agree with the storage and handling of your data by this website.