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1. Please provide the following information so that we may contact you:

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2. Are you a current citizen of the USA living in the United States?

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3. What is your gender?

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4. When was the last time, if ever, you participated in a market research study?

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5. Approximately how many panel discussions have you ever attended?

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6. What were the topics of the market research studies you participated in?

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7. What is your age?

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8. Which of the following best describes your marital status?

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9. If you have children under 18 currently living with you at home, what are their AGE(s)/GENDER(s)?

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10. FEMALES: Are you currently pregnant?

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11. Are you currently employed....

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12. What is your Occupation & Industry?

If a student, what is your subject of study?

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13. IF MARRIED OR LIVING WITH PARTNER:

And your spouse/partner, are they currently employed....

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14. What is your spouse/partner's Occupation & Industry?

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15. Have you, or anyone in your household, currently or in the past ever worked in the following industries?

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16. What was the last grade of school you completed?

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17. Which of the following best describes your ethnic background?

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18. Which best describes your total household income, before taxes?

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19. Which of the following describes your current living situation?

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20. Which of the following statements best describes the role you play in your household’s grocery shopping including beverages?

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21. Do you yourself follow any of the following special dietary approaches or do you have any of the following food requirements?

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22. Which of the following have you purchased in the past month, if any?

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23. How frequently, if at all, do you personally drink each of the following?

  4 or more times per week 2-3x per week Once a week 2-3x month Once a month Less often
Tea, specify variety like Back, Green, Matcha, Herbal, etc.
Coffee that is brewed at home(e.g., ground/whole bean/pods, instant, etc.)
Ready To drink Coffee like cold brew/iced/lattes in cans, bottles, etc.
Energy Drinks like RedBull, Monster, Celsius, Alani Nu, C4, etc.

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24. Now I will list a few varieties of packaging of coffee....

Thinking of the past three months, please tell us which if any, did you personally purchase and consume on a regular basis?

Select all that apply....

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25. On a scale of 1-10, where 10 implies you really like this variety of coffee, how much do you rate each of the following?

  1-Dislike 2 3 4 5 6 7 8 9 10-Love
Light roast
Medium roast
Dark roast
Espresso roast
Flavored coffee

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26. In the past 3 months, which stores did you buy your coffee and/or energy drinks on a regular basis?
(Name the store/website)

Please specify brick & mortar vs. online

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27. Which of the following statements best describes who in your household decides the brands and types of beverages that are purchased and consumed by you?

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28. Thinking about your consumption of coffee and energy drinks in the past 3 months, which brands and varieties have you purchased for yourself and consumed on a regular basis? and if not purchased in the past 3 months but have purchased in the past ?

  Purchased in past 3 months Purchased Ever
Black Riffle
Bones
Counter Culture
Death Wish Coffee
illy
Lavazza
Peet’s
Starbucks
Stumptown
Alani Nu
Bang
Bloom
C4
Celsius
Ghost
Liquid Death
Monster
Prime Energy
RedBull

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29. Thinking about your consumption of coffee in the past 3 months you selected above please list the Brand variety and packaging as well as often in the past six months you have purchase it.

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30. Thinking about your consumption of Energy Drinks in the past 3 months, which brands and varieties have you purchased for yourself and consumed on a regular basis? and if not purchased in the past 3 months but have purchased in the past ?

  Purchased in pat 3 months Purchased Ever
. Black Riffle
b. Bones
c. Counter Culture
d. Death Wish Coffee
e. illy
f. Lavazza
g. Peet’s
h. Starbucks
i. Stumptown

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31. Thinking about your consumption of Energy Drinks in the past 3 months you selected above please list the Brand variety and packaging as well as often in the past six months you have purchase it.

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32. Is there any brand of coffee you would NEVER be interested in buying in the future?

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33. Now switching gears, I will read a few statements in the context of your beverage consumption. Please tell me how often do you agree with each of them?

  Never Rarely Sometimes Often Always
a) I think of myself as someone who is conscious about my health
b) I enjoy trying a variety of different types and new brands of beverages
c) I am willing to pay more for quality beverage products
d) Price is a key factor when it comes to buying beverages for myself
e) I am open to drinking beverages that contain caffeine
f) I enjoy or am open to using coffee products on a regular basis
g) I lead an active lifestyle and look for beverages that help me sustain my pace of life
h) I seek out products that help me manage my energy level throughout the day
i) I am using or open to using beverages that have a positive impact on my everyday mood

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34. Tell us what was the newest beverage you tried recently, what did you like or not like and why?

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35. Which Dates/Times would you be available for the 2-hour online discussion?

Select all that apply....Times listed in Eastern Time Zone!

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