Please complete the following questionnaire. All information given will remain confidential. Step 1 of 7 14% Name* First Last Date of birth* Date Format: 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 IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Age group*18-2425-3435-4445-5455-60+60Gender*FemaleMaleNationality*Education background*Current occupation*How did you hear about this position?* Are you in general good health?*YesNoIf 'No' is selected, please give details.Have you ever suffered an allergic reaction to wine or any wine related products?*NoYesIf '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?*NoYesIf '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?*NoYesIf 'Yes' is selected, please give details.Are you colour-blind?*NoYes Are you on any other sensory panels?*NoYesIf 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?*NeverOccasionallyOnce a weekTwo or three times a weekMore than three times a weekWhat type of wine do you drink?*Mostly white wineMostly red wineBoth equallyNeither 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 extremelyDislikeNeither like or dislikeLikeExtremely likeAromatic White Wines (e.g. Rieslings, Sauvignon Blanc)*Dislike extremelyDislikeNeither like or dislikeLikeExtremely likeSweet White Wines (e.g. Moscat)*Dislike extremelyDislikeNeither like or dislikeLikeExtremely likeRosé*Dislike extremelyDislikeNeither like or dislikeLikeExtremely likeDessert Wines (e.g. botrytis Semillon)*Dislike extremelyDislikeNeither like or dislikeLikeExtremely likeLight Bodied Red Wines (e.g. Pinot Noir)*Dislike extremelyDislikeNeither like or dislikeLikeExtremely likeFull Bodied Red Wines (e.g. Shiraz, Cabernet Sauvignon)*Dislike extremelyDislikeNeither like or dislikeLikeExtremely likeFortified Wines (i.e. Sherry, Port, etc)*Dislike extremelyDislikeNeither like or dislikeLikeExtremely like Do you have a background in wine or any wine qualifications?*NoYesIf 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.