Child Tracking Survey

1. Respondent Name/Contact Info (optional):

Respondent Name/Contact Info (optional): Name:
Address:
Address 2:
City/Town:
State:
ZIP:
Email Address:
Phone Number:

2. Annual household income

	Less than 50,000	50,000-75,000	75,000-100,000	Over $100,000
in USD	*Annual household income in USD Less than 50,000	in USD 50,000-75,000	in USD 75,000-100,000	in USD Over $100,000

*
3. What malls you shop and frequency of visits

	Never	Weekly	Monthly	Quarterly	Annually
Ridgedale	*What malls you shop and frequency of visits Ridgedale Never	Ridgedale Weekly	Ridgedale Monthly	Ridgedale Quarterly	Ridgedale Annually
Southdale	Southdale Never	Southdale Weekly	Southdale Monthly	Southdale Quarterly	Southdale Annually
Rosedale	Rosedale Never	Rosedale Weekly	Rosedale Monthly	Rosedale Quarterly	Rosedale Annually
Mall of America	Mall of America Never	Mall of America Weekly	Mall of America Monthly	Mall of America Quarterly	Mall of America Annually
Minnesota Zoo	Minnesota Zoo Never	Minnesota Zoo Weekly	Minnesota Zoo Monthly	Minnesota Zoo Quarterly	Minnesota Zoo Annually
Valley Fair	Valley Fair Never	Valley Fair Weekly	Valley Fair Monthly	Valley Fair Quarterly	Valley Fair Annually
Other	Other Never	Other Weekly	Other Monthly	Other Quarterly	Other Annually

Other (please specify)

*
4. How often does your child accompany your mall visits

	0%	25%	50%	75%	100%
% of visits	*How often does your child accompany your mall visits % of visits 0%	% of visits 25%	% of visits 50%	% of visits 75%	% of visits 100%

*
5. While shopping, has your child ever wandered off

	Yes	No
select one	*While shopping, has your child ever wandered off select one Yes	select one No

If "Yes", how many times per visit (on average)

*
6. On average how long does it take to locate the child

	5	10	15	20	20+
minutes	*On average how long does it take to locate the child minutes 5	minutes 10	minutes 15	minutes 20	minutes 20+

While shopping, what is the longest time your child was missing (enter amount of time)

*
7. When your child went missing, did anyone or organization assist you

	Store clerk	Mall Security	Law Enforcement	No Assistance
select all that apply	*When your child went missing, did anyone or organization assist you select all that apply Store clerk	select all that apply Mall Security	select all that apply Law Enforcement	select all that apply No Assistance

*
8. We have created a “child tracking service” for malls that will allow you to call a parental assistant center to determine the exact location of a lost child. This service will automatically trigger alarms if a young child is separated from the parent. Another alarm will occur if the child leaves the mall. Mall security will automatically be notified and respond

	Yes	No
would you use this service	*We have created a “child tracking service” for malls that will allow you to call a parental assistant center to determine the exact location of a lost child. This service will automatically trigger alarms if a young child is separated from the parent. Another alarm will occur if the child leaves the mall. Mall security will automatically be notified and respond would you use this service Yes	would you use this service No

if "No", why not

*
9. Would you pay for a “child tracking service”

	$10.00	$15.00	$20.00	$25.00	$50.00	$75.00	$100.00
Yes, PER DAY - please select the fee that you would pay per day for a family of four to use this service.	*Would you pay for a “child tracking service” Yes, PER DAY - please select the fee that you would pay per day for a family of four to use this service. $10.00	Yes, PER DAY - please select the fee that you would pay per day for a family of four to use this service. $15.00	Yes, PER DAY - please select the fee that you would pay per day for a family of four to use this service. $20.00	Yes, PER DAY - please select the fee that you would pay per day for a family of four to use this service. $25.00	Yes, PER DAY - please select the fee that you would pay per day for a family of four to use this service. $50.00	Yes, PER DAY - please select the fee that you would pay per day for a family of four to use this service. $75.00	Yes, PER DAY - please select the fee that you would pay per day for a family of four to use this service. $100.00
Yes, ANNUAL SUBSCRIPTION - please select the fee that you would pay for an annual subscription for a family of four to use this service at all of the locations mentioned above.	Yes, ANNUAL SUBSCRIPTION - please select the fee that you would pay for an annual subscription for a family of four to use this service at all of the locations mentioned above. $10.00	Yes, ANNUAL SUBSCRIPTION - please select the fee that you would pay for an annual subscription for a family of four to use this service at all of the locations mentioned above. $15.00	Yes, ANNUAL SUBSCRIPTION - please select the fee that you would pay for an annual subscription for a family of four to use this service at all of the locations mentioned above. $20.00	Yes, ANNUAL SUBSCRIPTION - please select the fee that you would pay for an annual subscription for a family of four to use this service at all of the locations mentioned above. $25.00	Yes, ANNUAL SUBSCRIPTION - please select the fee that you would pay for an annual subscription for a family of four to use this service at all of the locations mentioned above. $50.00	Yes, ANNUAL SUBSCRIPTION - please select the fee that you would pay for an annual subscription for a family of four to use this service at all of the locations mentioned above. $75.00	Yes, ANNUAL SUBSCRIPTION - please select the fee that you would pay for an annual subscription for a family of four to use this service at all of the locations mentioned above. $100.00

If "No", why not

10. As a parent how serious of a problem is this and do you believe this service will allow you to have a more pleasant shopping experience? (Please answer with 1 being the Least and 5 being the Greatest)

	1	2	3	4	5
Problem seriousness	*As a parent how serious of a problem is this and do you believe this service will allow you to have a more pleasant shopping experience? (Please answer with 1 being the Least and 5 being the Greatest) Problem seriousness 1	Problem seriousness 2	Problem seriousness 3	Problem seriousness 4	Problem seriousness 5
Shopping experience enhancement	Shopping experience enhancement 1	Shopping experience enhancement 2	Shopping experience enhancement 3	Shopping experience enhancement 4	Shopping experience enhancement 5

Please provide additional comments (regarding our child tracking service, experiences with loosing a child, suggestions for a service like this, concerns, etc.) or Questions regarding this service.

Child Tracking Survey

1. Default Section

1. Respondent Name/Contact Info (optional):

2. Annual household income

*3. What malls you shop and frequency of visits

*4. How often does your child accompany your mall visits

*5. While shopping, has your child ever wandered off

*6. On average how long does it take to locate the child

*7. When your child went missing, did anyone or organization assist you