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Market Research Study
1.
Please provide the following:
(Required.)
First Name
Last Name
Address
City
State
Zip Code
Phone
Email
If you live in the city of Chicago
, what neighborhood do you live in?
2.
Please provide your age
(Required.)
3.
Please provide your gender:
(Required.)
Female
Male
Transgender
Non-binary
Other (please specify)
4.
Please provide your marital status:
(Required.)
Married
Single
Divorced, Separated or Widowed
Living or co-habiting with partner
5.
Do you have any children under the age of 18 living with you?
(Required.)
Yes
No
6.
Please provide your employment status?
(Required.)
Employed full time
Employed part time (30 hours or less per week)
Full time homemaker
Full time Student
Retired
Unemployed/on disability
7.
Please provide your current occupation?
(Required.)
8.
Please provide your annual household income:
(Required.)
Under $20,000
$20,000-$40-000
$40,000-$60,000
$60,000-$80,000
$80,000-$100,000
$100,000 or more
9.
Please provide your highest level of education:
(Required.)
Some high school
High school graduate
Some college
College graduate degree
Post graduate degree
Trade or Technical School
10.
Please provide your ethnicity:
(Required.)
White
Black or African American
Hispanic or Latino
Asian or Asian American
American Indian or Alaska Native
Native Hawaiian or other Pacific Islander
Middle Eastern or North African
Other (please specify)
11.
Do you or anyone in your immediate household work for any of the following?
(Required.)
A news or media company such as television, radio or newspaper
A public relations company
An advertising agency or advertising department within a company
A market research firm or a marketing research department within a company
A company that distills, distributes, and/or sells alcohol
None of the above
12.
Do you consume any of the following beverages? (Select all that apply)
(Required.)
Soda/pop
Beer
Wine
Iced tea
Gin
Vodka
Orange juice
Vitamin Water
Ready to drink cocktails
Hard seltzers
None of the above
13.
If you consume any of these beverages listed, how often do you drink them?
(Required.)
Never
Once a month
Once a week
2-3 times a week
At least 4 times a week
Soda/pop
Never
Once a month
Once a week
2-3 times a week
At least 4 times a week
Beer
Never
Once a month
Once a week
2-3 times a week
At least 4 times a week
Wine
Never
Once a month
Once a week
2-3 times a week
At least 4 times a week
Iced tea
Never
Once a month
Once a week
2-3 times a week
At least 4 times a week
Gin
Never
Once a month
Once a week
2-3 times a week
At least 4 times a week
Vodka
Never
Once a month
Once a week
2-3 times a week
At least 4 times a week
Vitamin water
Never
Once a month
Once a week
2-3 times a week
At least 4 times a week
Hard Seltzer
Never
Once a month
Once a week
2-3 times a week
At least 4 times a week
Tequila
Never
Once a month
Once a week
2-3 times a week
At least 4 times a week
Rum
Never
Once a month
Once a week
2-3 times a week
At least 4 times a week
14.
Please select the following brands your open to drinking:
(Required.)
Pepsi
Sprite
Budweiser
Beefeater
Empathy Wines
Tanqueray
Corona
Empathy Wines
Jack Daniel's
Honest Tea
Red Bull
Kim Crawford
Ketel One
Heineken
Aviation
Monster
Modelo
The Prisoner Wine Company
Tito's Handmade Vodka
Pacifico
Victoria
Meomi
Robert Mondavi
Svedka Vodka
None of the above
15.
Please choose which description describes you best:
(Required.)
I am actively looking for new products, brands and flavors of alcohol to try
I typically like to stick to the alcohol that I know and like
Alcohol is important to my daily routine
Alcohol is important to my social life
I don't drink alcohol
16.
Switching gears, thinking generally about your relationship with new technology, which of the following best describes you?
(Required.)
I do not like new technology; I find it difficult to learn new things and generally try to avoid using technology
I somewhat dislike new technology; it takes me a bit of time to learn it, and I will use it if I have to
I am somewhere in the middle; I do not like or dislike new tech. If it does something useful for me I will use
I enjoy new technology; but I sometimes let others try it first
I love new technology; I am always the first to try something new and enjoy learning about new gadgets
17.
How often do you engage with each of the following?
(Required.)
Daily
At least 4 times a week
2-3 times a week
Once a week
2-3 times a month
Once a month
Never
Live TV news
Daily
At least 4 times a week
2-3 times a week
Once a week
2-3 times a month
Once a month
Never
Live TV other then the news (e.g. movies/shows
Daily
At least 4 times a week
2-3 times a week
Once a week
2-3 times a month
Once a month
Never
Newspapers
Daily
At least 4 times a week
2-3 times a week
Once a week
2-3 times a month
Once a month
Never
Online news (e.g. news outlet, websites such as nytimes.com wsj.com)
Daily
At least 4 times a week
2-3 times a week
Once a week
2-3 times a month
Once a month
Never
Facebook
Daily
At least 4 times a week
2-3 times a week
Once a week
2-3 times a month
Once a month
Never
Instagram
Daily
At least 4 times a week
2-3 times a week
Once a week
2-3 times a month
Once a month
Never
Reddit
Daily
At least 4 times a week
2-3 times a week
Once a week
2-3 times a month
Once a month
Never
Snapchat
Daily
At least 4 times a week
2-3 times a week
Once a week
2-3 times a month
Once a month
Never
TikTok
Daily
At least 4 times a week
2-3 times a week
Once a week
2-3 times a month
Once a month
Never
X (formerly Twitter)
Daily
At least 4 times a week
2-3 times a week
Once a week
2-3 times a month
Once a month
Never
18.
If you use any these social media platforms, how long, on average, do you use them for
in a typical day
?
(Required.)
0 minutes
5-10 minutes
10-30 minutes
30-60 minutes
1 hour
More than 1 hour
Facebook
0 minutes
5-10 minutes
10-30 minutes
30-60 minutes
1 hour
More than 1 hour
Instagram
0 minutes
5-10 minutes
10-30 minutes
30-60 minutes
1 hour
More than 1 hour
Reddit
0 minutes
5-10 minutes
10-30 minutes
30-60 minutes
1 hour
More than 1 hour
Snapchat
0 minutes
5-10 minutes
10-30 minutes
30-60 minutes
1 hour
More than 1 hour
TikTok
0 minutes
5-10 minutes
10-30 minutes
30-60 minutes
1 hour
More than 1 hour
X (Formerly Twitter)
0 minutes
5-10 minutes
10-30 minutes
30-60 minutes
1 hour
More than 1 hour
None of the above
0 minutes
5-10 minutes
10-30 minutes
30-60 minutes
1 hour
More than 1 hour
19.
Do you have access to a computer or laptop with a
working webcam
?
(Required.)
Yes
No
20.
Do you have cable or broadband service with 4G, 5G. or fast wi-fi?
(Required.)
Yes
No
21.
Are you willing to install Zoom, if asked, on to your computer? (installation is free and easy)
(Required.)
Yes
No
