1. Default Section

* 1. What is your name?

* 2. What is your age?

* 3. What is your ethnicity?

* 4. What is your gender?

* 5. What is your current relationship status?

* 6. What is your employment status?

* 7. What is your occupation and title?

* 8. At what level of education did you finish school?

* 9. Are you or any member of your family or household currently employed or have you been employed in the past by:

* 10. Have you ever participated in a focus group or market research interview before?

* 11. When was the last time you participated in a focus group or discussion?

* 12. If you did participate, what was the topic of discussion?

* 13. Do you drink any of the following? (Read the list and mark ALL that apply)

* 14. If you drink Regular or Diet Soda/Pop, when was the last time you drank the following:

  Never 1 time in the last year 1 time in the last 6 months 1 time in the last 1 month 1 time in the last 2 weeks 1 time in the last week
Root Beer
Other fruit flavors

* 15. What are your hobbies and interests?

* 16. You live in a city which has enormous choice & opportunity and a diverse amount of people. What in your opinion makes your city special & unique from any other city?

* 17. Tell me about a brand that you particularly like at the moment and tell me why (please think to all brands, even beyond clothing, and please don't say APPLE).

* 18. Are you willing to allow us to come to your home (2-3 people) and also help us find 2 of your friends to interview as well?

  Yes No
Host us?
Find 2 friends?

* 19. Can you please give us your phone number, email address and best time to reach you?
We will only contact you if you are a perfect fit for our research project.

* 20. Can you please also give us the URL for your myspace page? The URL can be found on your page itself, right under the CONTACT box, rather than the URL in the bar. Please also make sure your page is set to public. We would like to see more of your interests and music preferences.