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Online Beverages Study with Superior Focus
1.
Please fill out the follow
Name
City/Town
State/Province
Email Address
Phone Number
2.
Which best describes your gender?
Male
Female
Transgender
Something other than male/female/transgender
Prefer not to answer
3.
What is your age?
Under 25
25-29
30-34
35-39
40-44
45-49
50 and over
4.
Which of the following best describes your ethnic background?
Caucasian/White
African American
Hispanic/Latino
Asian
Other (please specify)
5.
What best describes your marital status?
Married
Living with significant other
Single
Divorced
Widowed
Other (please specify)
6.
We know from past research people drink coffee at home, at coffee shops and at work. How many times a week do you personally drink coffee at home or away from home?
Less than one a week
1-2 times a week
3-4 times a week
5-10 times a week
11+ times a week
I don't drink coffee
7.
How often, if at all, do you drink iced coffee, either at home or away from home?
Never
Once every 3 to 6 months
Once per month
1 time every two weeks
One time per week
2-3 times per week
3+ times per week
8.
What are all the types of coffee makers that you own and use regularly at home? (please select all that apply)
Automatic drip coffee maker
Single cup coffee maker such as a Keurig
French Press
Percolator
Pourover coffee maker
Espresso maker
None
9.
What brand or brands do currently consume regularly for your single cup coffee maker? (please select all that apply)
Café Bustelo
Caribou Coffee
Donut House
Dunkin’
The Original Donut Shop
Eight O’Clock
Folgers
Gevalia
Green Mountain Coffee Roasters
Maxwell House
Peet’s Coffee
Seattle’s Best
Starbucks
Tully’s
Other (please specify)
10.
What time of day do you consume coffee beverages? (please select all that apply)
In the morning
In the afternoon
In the evening
I do not drink coffee beverages
Current Progress,
0 of 10 answered