Adult Beverage Research Question Title * 1. Contact Information First and Last Name City State Primary Phone Number Secondary Phone Number Question Title * 2. What is your gender? Female Male Question Title * 3. What is your age? Under 18 18-20 21-25 26-30 31-35 36-40 41-45 46-50 51 or older Question Title * 4. Which of the following beverages have you, yourself, consumed in the past 4 weeks? Beer Bottled water Dark Spirits/ Liquors Hard cider Hard Seltzers, ready-to-drink in a can or bottle Light Spirits/ Liquors Red Wine Soda/ Pop/ Carbonated soft drinks Specialty cocktails with multiple ingredients White Wine None of the above Next
