Beverage Research Question Title * 1. Contact Information Name * Address City/Town * State/Province * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Email Address * Phone Number * Question Title * 2. What is your gender? Male Female Question Title * 3. What is your birthdate? (Please use the following format: MM/DD/YYYY) Question Title * 4. What is your AGE? Question Title * 5. How long have you lived in your current city? Question Title * 6. Which of the following best describes your current employment situation? Employed full time (30 or more hours per week) Employed part time (less than 30 hours per week) Student Retired Unemployed and not looking for work Unemployed and looking for work Stay at home parent Other (please specify) Question Title * 7. Who does the grocery shopping in your household? I do it I do it, either alone or with someone else Someone else does it Question Title * 8. Which of the following brands would you never buy? Coca Cola Pepsi Cola Acqua Panna Nestlè Nike Other (please specify) Next
