Research Participant Registration Form 


Please complete the questions below to register as a research participant with Myriad Research for future project invitations.

An important part of all our projects is the people who make up our panel… people from all age groups, areas and occupations who like to contribute their ideas and opinions, as a survey respondent or as a participant in a small group discussion.

Invitations to participate will come via email, text or phone call. Please make sure you add our email address ( to your contacts list so you don’t miss out.


Please enter your email address:
Please enter your first name:
Please enter your last name:
Please enter your best contact number:
Please enter your year of birth, eg 1980:
Please select your gender:
Please select your state: