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Alcohol Advertising Placement Survey
Thanks for your help with our survey about how alcohol is advertised in our community. Please be respectful of shoppers and employees as you scan each location and ask an adult to accompany you if possible.
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1.
Please enter your first and last name
(Required.)
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2.
What's the name of this location? (Examples: QT, Schnucks, ABC Liquor, Dollar General, etc.)
(Required.)
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3.
What's the address of this location? (street name and town is ok)
(Required.)
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4.
Date of this visit
(Required.)
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5.
What type of store is this? (choose one)
(Required.)
Gas station
Grocery store (Schnucks, Whole Foods, etc.)
Liquor store (Smoker Friendly, Xpress, Friar Tuck, etc.)
Discount department store (Walmart, Dollar General, Target, etc.)
Other (please specify)
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6.
Are there alcohol signs/ads outside the store?
(Required.)
Yes
No
7.
If yes, where were the signs placed? (check all that apply)
Front windows
Doors
Gas pumps
Sidewalk
Parking lot
Other (please specify)
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8.
Total number of alcohol signs outside this location.
(Required.)
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9.
Are there alcohol signs/ads/displays inside the store?
(Required.)
Yes
No
10.
If yes, where are the ads/signs placed? (choose all that apply)
Near the candy
Near soda/energy drinks
Near the snacks/chips
Near the checkout counter
Eye-level for kids (lower shelves, cooler doors, etc.)
Other (please specify)
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11.
Is there alcohol displayed in standalone containers (like tubs, coolers, display trees, shelving units) in aisles or walkways?
(Required.)
Yes
No
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12.
Total number of alcohol signs/ads/displays inside this location
(Required.)
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13.
Are there signs for alcohol price discounts? (2 for 1 deals, %off, buy one/get one, etc.)
(Required.)
Yes
No
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14.
Are the alcohol signs brighter, larger, or more noticeable than other ads?
(Required.)
Yes
No
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15.
Do any alcohol ads use characters, bright colors, or designs that look like they could appeal to kids/teens?
(Required.)
Yes
No
16.
Please provide a brief description of some examples.
17.
Please add anything else you noticed at this location. (Is the alcohol easy for shoppers to access? Was it behind the counter? In a separate "cooler room"? Did you notice the clerk asking for IDs?, etc.)
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18.
Would you like to be entered into our gift card drawing?
(Required.)
Yes
No
19.
Please provide a phone number and email address where we can reach you if your name is drawn!
Thank you so much! We'll let you know when the survey closes so we can check out the results. Remember--the more surveys you complete, the more likely you are to win a gift card! Be sure to hit DONE so you can use this link to do another survey!
