Please complete the following questionnaire. All information given will remain confidential. Step 1 of 7 14% Name* First Last Date of birth* DD slash MM slash YYYY Phone*Email* Enter Email Confirm Email Address* Street Address Suburb State Postcode AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Age group* 18-24 25-34 35-44 45-54 55-60 +60 Gender* Female Male Nationality* Education background* Current occupation* How did you hear about this position?* Are you in general good health?* Yes No If 'No' is selected, please give details.Have you ever suffered an allergic reaction to wine or any wine related products?* No Yes If 'Yes' is selected, please give details.Please Indicate which, if any, of the following foods disagree with you (allergy, discomfort, etc): Cheese Chocolate Eggs Fruits Meats Milk Poultry Seafood Spices Nuts Vegetables Do you have any other allergies?* No Yes If 'Yes' is selected, please give details. Please indicate your dietary requirements:* No special diet Diabetic Low Salt Other dietary requirementsAre you taking any medications that affect your senses?* No Yes If 'Yes' is selected, please give details.Are you colour-blind?* No Yes Are you on any other sensory panels?* No Yes If yes, please provide information on what sensory panels are you on.What is your current availability? (tick all that apply)* Monday AM Monday PM Tuesday AM Tuesday PM Wednesday AM Wednesday PM Thursday AM Thursday PM Friday AM Friday PM Would you be able to commit to at least one year of participation on the panel?* No Yes Comments How often do you drink wine?* Never Occasionally Once a week Two or three times a week More than three times a week What type of wine do you drink?* Mostly white wine Mostly red wine Both equally Neither The following is a list of wine types of current, or potential interest to us. Using these descriptions please rate each wine type by circling the number on the scale that most closely describes your attitude towards it. Sparkling wine* Dislike extremely Dislike Neither like or dislike Like Extremely like Aromatic White Wines (e.g. Rieslings, Sauvignon Blanc)* Dislike extremely Dislike Neither like or dislike Like Extremely like Sweet White Wines (e.g. Moscat)* Dislike extremely Dislike Neither like or dislike Like Extremely like Rosé* Dislike extremely Dislike Neither like or dislike Like Extremely like Dessert Wines (e.g. botrytis Semillon)* Dislike extremely Dislike Neither like or dislike Like Extremely like Light Bodied Red Wines (e.g. Pinot Noir)* Dislike extremely Dislike Neither like or dislike Like Extremely like Full Bodied Red Wines (e.g. Shiraz, Cabernet Sauvignon)* Dislike extremely Dislike Neither like or dislike Like Extremely like Fortified Wines (i.e. Sherry, Port, etc)* Dislike extremely Dislike Neither like or dislike Like Extremely like Do you have a background in wine or any wine qualifications?* No Yes If yes, (please specify) How would you describe the flavour differences between a white and red wine?*What are some other foods that taste like yoghurt?*What is the best description of Parmesan cheese?*Describe some of the noticeable flavours of brussel sprouts?*Thank you for your time.Please click the Submit button to submit the form. 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