REVShopping F Research Spring 2012
Exit this survey
1. Introduction
1
. First Name:
First Name:
2
. Last Name:
Last Name:
3
. Age:
Age:
Under 20 years old
20-49
50-59
60+
4
. Gender:
Gender:
Male
Female
5
. Email Address (for study email confirmation purposes only):
Email Address (for study email confirmation purposes only):
6
. Phone Number:
Phone Number:
7
. What is your current employment status?
What is your current employment status?
Full-time
Part-time
Not employed and homemaker
Not employed and a student
Retired
Not employed and looking for work
8
. When was the last time, if ever, you participated in marketing research study, such as a consumer group discussion or an individual interview?
When was the last time, if ever, you participated in marketing research study, such as a consumer group discussion or an individual interview?
Never
Within the last three months
Three months or more
9
. NOT COUNTING YOURSELF, how many people reside in your home?
NOT COUNTING YOURSELF, how many people reside in your home?
None (I live alone)
One
Two or more
10
. Do you have children living at home?
Do you have children living at home?
Yes
No
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