Becoming a panelist is easy! Just follow these 3 steps:

1. Complete the form below and click Apply Now.
2. Check your email. You will receive an email with a link to click and confirm your application.
3. Please await approval. You will be contacted with the next steps regarding our Panels.

In the following questionnaire, we will ask you questions about yourself and your product usage. Please, fill it out and make sure to answer every question at your best.

Email Address:
This will be your user name to log in to our panelist website.

Re-Type Email Address:
 

Password:

Re-Type Password:

First Name:

Last Name:

Gender:

Country:

Address:

City/Town:

State:

ZIP:

Postal Code:

Primary Contact Number:

Alternate contact number: (Optional)

Alternate email: (Optional)

Year of Birth:

Please select any of the below allergies that apply to you. If none apply, please skip.

• Bleach Products
• Soap/Household Cleaners
• Dust and Mold
• Skin Allergies
• Perfume and Fragrances
• Food
• Seasonal Allergies like Hayfever
• Other

  Other: 

Are you a staff of Reckitt? (Employee/Contractor)

You must click both links below before you can proceed. / Sie müssen auf beide Links unten klicken, bevor Sie fortfahren können.

Please read our Confidentiality Agreement. / Bitte lesen Sie unsere Geheimhaltungsvereinbarung.

Please read our Privacy Notice. / Bitte lesen Sie unseren Datenschutzhinweis.

I am over age of 18, and I have read and agree to the Confidentiality Agreement, and will comply with the instructions given to me as a panellist for each Study in which I decide to participate.

Reckitt will use your personal data to add you as a panellist and to invite you to give your feedback for consumer insight from time to time. Please read our privacy notice for more details.

In some studies we may need to collect your sensitive personal data (such as health information) for conducting the study. If you agree to this, please tick the box below.