1. Carbonated Sodas or Pops
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1
. Name
Name
First Name
Last Name
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2
. Gender
Gender
Male
Female
3
. Work Phone Number
Work Phone Number
4
. Cell Phone Number
Cell Phone Number
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5
. Best contact number between the hours of 9am-7pm
Best contact number between the hours of 9am-7pm
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6
. Age
Age
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7
. Email Address
Email Address
8
. Race
Race
White or Caucasian
Hispanic or Latino
Black or African-American
Asian-American or Pacific Islander
Native American or American Indian
Other (please specify)
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9
. Are you currently a member of our database or was this email forwarded to you by someone else?
Are you currently a member of our database or was this email forwarded to you by someone else?
Current member
Email forwarded
Don’t know
10
. When was the last time you participated in a research focus group or one on one interview?
When was the last time you participated in a research focus group or one on one interview?
Less than 3 months ago
3-6 months ago
6-12 months ago
More than 1 year ago
Never
11
. Have you participated in any marketing research discussions in the past 6 months related to ANY of the following topics?
Yes
No
Paper products (napkins, paper towels)
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Have you participated in any marketing research discussions in the past 6 months related to ANY of the following topics? Paper products (napkins, paper towels) Yes
Paper products (napkins, paper towels) No
Beverages (including sodas or pops, beer, wine, etc.)
Beverages (including sodas or pops, beer, wine, etc.) Yes
Beverages (including sodas or pops, beer, wine, etc.) No
Snack foods
Snack foods Yes
Snack foods No
Pet supplies or pet care
Pet supplies or pet care Yes
Pet supplies or pet care No
12
. When it comes to the foods and beverages you CONSUME YOURSELF, which of the following best describes how much of the shopping or buying you do for those?
When it comes to the foods and beverages you CONSUME YOURSELF, which of the following best describes how much of the shopping or buying you do for those?
I do all of my own shopping for the foods and beverages I consume
I do about half or more of the shopping for the foods and beverages I consume
I do less than half of the shopping for the foods and beverages I consume
13
. Which of the following best describes your living situation?
Which of the following best describes your living situation?
I live at home with my parents or guardian
I live on “my own”, either by myself or with another/others
14
. Do you or any of any family members have an occupation that is related to one of the following fields?
Yes, You
Yes, Family member for close friend
Yes, relation of family member
NO, no one I know works for in this field
Paper products (napkins, paper towels)
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Do you or any of any family members have an occupation that is related to one of the following fields? Paper products (napkins, paper towels) Yes, You
Paper products (napkins, paper towels) Yes, Family member for close friend
Paper products (napkins, paper towels) Yes, relation of family member
Paper products (napkins, paper towels) NO, no one I know works for in this field
Beverages (including sodas or pop, beer, wine, etc.)
Beverages (including sodas or pop, beer, wine, etc.) Yes, You
Beverages (including sodas or pop, beer, wine, etc.) Yes, Family member for close friend
Beverages (including sodas or pop, beer, wine, etc.) Yes, relation of family member
Beverages (including sodas or pop, beer, wine, etc.) NO, no one I know works for in this field
Marketing or market research
Marketing or market research Yes, You
Marketing or market research Yes, Family member for close friend
Marketing or market research Yes, relation of family member
Marketing or market research NO, no one I know works for in this field
Advertising agency or public relations
Advertising agency or public relations Yes, You
Advertising agency or public relations Yes, Family member for close friend
Advertising agency or public relations Yes, relation of family member
Advertising agency or public relations NO, no one I know works for in this field
Television, radio, magazine, or newspaper
Television, radio, magazine, or newspaper Yes, You
Television, radio, magazine, or newspaper Yes, Family member for close friend
Television, radio, magazine, or newspaper Yes, relation of family member
Television, radio, magazine, or newspaper NO, no one I know works for in this field
Direct mail or promotional agency
Direct mail or promotional agency Yes, You
Direct mail or promotional agency Yes, Family member for close friend
Direct mail or promotional agency Yes, relation of family member
Direct mail or promotional agency NO, no one I know works for in this field
15
. Which of the following describes your marital status?
Which of the following describes your marital status?
Single
Married
Living with roommate or significant other
Divorced or separated
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. Do you currently have any children of your own living with you?
Do you currently have any children of your own living with you?
Yes
No
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. Which of the following categories describes your current personal employment status?
Which of the following categories describes your current personal employment status?
Employed full-time
Full-time homemaker
FT college student
PT college student AND FT work
PT college student AND PT work
Temporarily unemployed
Other (i.e. PT work & homemaker, PT work only)
18
. Which best describes the last year of school you completed?
Which best describes the last year of school you completed?
Some high school or less
High school diploma or GED
Technical School
Some college
Associates degree
Bachelors degree
Graduate degree
19
. Which best describes your total annual household income?
Which best describes your total annual household income?
less than $25,000
$25,000 - $34,999
$35,000 - $39,999
$40,000 - $59,999
$60,000 - $74,999
$75,000 or more
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. How often do you drink the following types of beverages?
5X/Week or more
About 3-4X/Week
1-2X/Week
Less often than once a week
Coffee
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How often do you drink the following types of beverages? Coffee 5X/Week or more
Coffee About 3-4X/Week
Coffee 1-2X/Week
Coffee Less often than once a week
Carbonated Colas (Pepsi, Coke, Diet Coke or Pepsi)
Carbonated Colas (Pepsi, Coke, Diet Coke or Pepsi) 5X/Week or more
Carbonated Colas (Pepsi, Coke, Diet Coke or Pepsi) About 3-4X/Week
Carbonated Colas (Pepsi, Coke, Diet Coke or Pepsi) 1-2X/Week
Carbonated Colas (Pepsi, Coke, Diet Coke or Pepsi) Less often than once a week
Carbonated Sodas or Pops that are Non-Cola (i.e. Dr. Pepper, 7-Up/Sprite, Mountain Dew, Orange Crush, etc.)
Carbonated Sodas or Pops that are Non-Cola (i.e. Dr. Pepper, 7-Up/Sprite, Mountain Dew, Orange Crush, etc.) 5X/Week or more
Carbonated Sodas or Pops that are Non-Cola (i.e. Dr. Pepper, 7-Up/Sprite, Mountain Dew, Orange Crush, etc.) About 3-4X/Week
Carbonated Sodas or Pops that are Non-Cola (i.e. Dr. Pepper, 7-Up/Sprite, Mountain Dew, Orange Crush, etc.) 1-2X/Week
Carbonated Sodas or Pops that are Non-Cola (i.e. Dr. Pepper, 7-Up/Sprite, Mountain Dew, Orange Crush, etc.) Less often than once a week
Beer
Beer 5X/Week or more
Beer About 3-4X/Week
Beer 1-2X/Week
Beer Less often than once a week
21
. Which of the following carbonated beverage brands have you drunk in the Past Month?
Which of the following carbonated beverage brands have you drunk in the Past Month?
Coke or Coca-Cola (any type)
Pepsi (any type)
Dr. Pepper
Diet. Dr. Pepper
RC Cola
22
. Which of the following carbonated beverage brands, if any, would you say are one of your favorites?
Which of the following carbonated beverage brands, if any, would you say are one of your favorites?
Coke or Coca-Cola (any type)
Pepsi (any type)
Dr. Pepper
Diet. Dr. Pepper
RC Cola
23
. Among the brands you “rarely or never” drink on this list, which ones are you open to trying or drinking again in the future?
Among the brands you “rarely or never” drink on this list, which ones are you open to trying or drinking again in the future?
Coke or Coca-Cola (any type)
Pepsi (any type)
Dr. Pepper
Diet. Dr. Pepper
RC Cola
24
. What % of all the carbonated soft drinks that you consume are “regular” (full-calorie) colas versus “diet” (reduced-calorie) colas?
TOTAL of the 2 must equal 100%
What % of all the carbonated soft drinks that you consume are “regular” (full-calorie) colas versus “diet” (reduced-calorie) colas? TOTAL of the 2 must equal 100%
“regular” (full-calorie) colas
"diet” (reduced-calorie) colas
25
. In the past month, at which of the following TYPES OF STORES have you purchased carbonated COLAS (Coke, Pepsi, Diet Coke/Pepsi, or RC)?
In the past month, at which of the following TYPES OF STORES have you purchased carbonated COLAS (Coke, Pepsi, Diet Coke/Pepsi, or RC)?
Traditional Grocery Stores (i.e. Kroger, Tom Thumb)
Specialty Grocery Stores (i.e. Whole Foods, Central Market)
Wal-Mart
Target
Club Stores (i.e. Cost-Co, Sam’s)
Convenience Stores (7-11, Tiger Mart)
Drug Stores (i.e. CVS, Walgreens)
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. Which of the following FLAVORS of carbonated beverages do you like? Note that these flavors are NOT specific to a brand – they could be any brand of carbonated drink
LIKE
DISLIKE NEVER TRIED
NEVER TRIED BUT OPEN TO TRYING
NEVER TRIED AND WOULDN’T TRY
Vanilla cola
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Which of the following FLAVORS of carbonated beverages do you like? Note that these flavors are NOT specific to a brand – they could be any brand of carbonated drink Vanilla cola LIKE
Vanilla cola DISLIKE NEVER TRIED
Vanilla cola NEVER TRIED BUT OPEN TO TRYING
Vanilla cola NEVER TRIED AND WOULDN’T TRY
Cherry cola
Cherry cola LIKE
Cherry cola DISLIKE NEVER TRIED
Cherry cola NEVER TRIED BUT OPEN TO TRYING
Cherry cola NEVER TRIED AND WOULDN’T TRY
Lemon or Lime cola
Lemon or Lime cola LIKE
Lemon or Lime cola DISLIKE NEVER TRIED
Lemon or Lime cola NEVER TRIED BUT OPEN TO TRYING
Lemon or Lime cola NEVER TRIED AND WOULDN’T TRY
Orange soda/pop
Orange soda/pop LIKE
Orange soda/pop DISLIKE NEVER TRIED
Orange soda/pop NEVER TRIED BUT OPEN TO TRYING
Orange soda/pop NEVER TRIED AND WOULDN’T TRY
Red soda/pop
Red soda/pop LIKE
Red soda/pop DISLIKE NEVER TRIED
Red soda/pop NEVER TRIED BUT OPEN TO TRYING
Red soda/pop NEVER TRIED AND WOULDN’T TRY
Grape soda/pop
Grape soda/pop LIKE
Grape soda/pop DISLIKE NEVER TRIED
Grape soda/pop NEVER TRIED BUT OPEN TO TRYING
Grape soda/pop NEVER TRIED AND WOULDN’T TRY
Lemon-lime sodas/pop (7-up or Sprite)
Lemon-lime sodas/pop (7-up or Sprite) LIKE
Lemon-lime sodas/pop (7-up or Sprite) DISLIKE NEVER TRIED
Lemon-lime sodas/pop (7-up or Sprite) NEVER TRIED BUT OPEN TO TRYING
Lemon-lime sodas/pop (7-up or Sprite) NEVER TRIED AND WOULDN’T TRY
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