Upcoming PAID study on Kids - September 2008

1. Upcoming PAID study on Kids - September 2008

Thank you for taking the time to answer these questions. As always, we appreciate your input as a valuable Plaza Research respondent. We have a new study on Kids that your children maybe interested in.

We are looking for children ages 8-11 who play video games. This study will take place in Downtown San Francisco on Monday, September 15th or Tuesday, September 16th after school hours. This is 90-minute study and has a honorarium of $75.00. NOTE: This study is for the child ages 8 to 11, not the parent.

If your responses fit into the categories we are looking for, recruiters will be calling responses in the order received until the study is full. Note: We would need to speak with your child as well.

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* 1. Contact Information

Full Name

Daytime Phone

Evening Phone

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* 2. Employment information

Job Title

Company Name

Industry

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* 3. What is your gender?

Male

Female

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* 4. What is your age?

under 18

18-29

30-39

40-49

50-59

60-69

70 or older

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* 5. What is your ethnicity?

Caucasian

African American

Hispanic

Asian

Native American

Other (please specify)

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* 6. What is the highest level of your education?

Some High School

High School Graduate

Some college

College degree

Graduate degree

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* 7. What is your current employment status?

Working full-time

Working part-time

Stay-at-home parent

Not working

Retired

Other (please specify)

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* 8. Which describes your marital status?

Single

Living with Significant Other

Married

Separated or Divorced

Widowed

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* 9. Which of the following describes your household total annual income, before taxes?

$30,000 or under

$30-39K

$40-49K

$50-59K

$60-69K

$70-79K

$80-89K

$90-99K

$100K +

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* 10. Do you have children (ages 8-11) living at home?

Yes

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* 11. What are their age(s) and gender(s)? (check all that applies)

	Age	Gender
Child 1	Child 1 Age menu	Child 1 Gender menu
Child 2	Child 2 Age menu	Child 2 Gender menu
Child 3	Child 3 Age menu	Child 3 Gender menu
Child 4	Child 4 Age menu	Child 4 Gender menu
Child 5	Child 5 Age menu	Child 5 Gender menu

Other (please specify)

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* 12. Which video games system does child(ern) age 8-11 own and use? (check all that applies)

Microsoft Xbox

Microsoft Xbox 360

Nintendo DS

Nintendo GameCube

Nintendo Wii

Sony Playstation 2 (PS2)

Sony Playstation 3 (PS3)

Sony PSP

N/A

Other (please specify)

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* 13. How many hours per week does your child spend playing video games DURING THE REGULAR school year?

None

1-2

3-6

7-10

11-15

16-20

More than 20+

N/A

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* 14. What time would it be best to call and talk to BOTH the PARENT and the CHILD? (please write in a time range)

Thank you for participating in our survey. Please note that all responses will be returned on a first come, first served basis until the study is full. You will only be contacted if your responses fit into the categories we are looking for.

*****REFERRALS ARE GREATLY APPRECIATED!*****

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* 1. Contact Information

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* 2. Employment information

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* 3. What is your gender?

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* 4. What is your age?

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* 5. What is your ethnicity?

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* 6. What is the highest level of your education?

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* 7. What is your current employment status?

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* 8. Which describes your marital status?

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* 9. Which of the following describes your household total annual income, before taxes?

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* 10. Do you have children (ages 8-11) living at home?

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* 11. What are their age(s) and gender(s)? (check all that applies)

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* 12. Which video games system does child(ern) age 8-11 own and use? (check all that applies)

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* 13. How many hours per week does your child spend playing video games DURING THE REGULAR school year?

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* 14. What time would it be best to call and talk to BOTH the PARENT and the CHILD? (please write in a time range)

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* 15. ******FOR COMPANY USE ONLY******

* 15. FOR COMPANY USE ONLY