1.Gender

Male

Female

I would rather not identify

2.Age

Under 50 years old

50-60 years old

60-70 years old

71-80 years old

80 years+

3.Do you experience any of the following symptoms on a regular basis? Check all that apply.

Extreme thirst

Less frequent urination

Dark colored urine

Fatigue dizziness

Confusion

4.What is your favorite beverage?

Water

Coffee

Tea

Soft Drink

Other

5.Which of the following do you drink most frequently?

Water

Coffee

Tea

Soft Drink

Other

6.On a scale of 1-5 How important is it to you to make sure you are hydrated throughout the day?

1 - Not important at all

2

3 - Somewhat important

4

5 - Very important

1 - Not important at all

2

3 - Somewhat important

4

5 - Very important

7.On a scale of 1-5 how would you rate your current level of hydration?

1 - Very dehydrated

2

3 - Somewhat hydrated

4

5 - Very hydrated

1 - Very dehydrated

2

3 - Somewhat hydrated

4

5 - Very hydrated

8.On a scale of 1-5 how satisfied are you with your current level of hydration?

1 - Very unsatisfied

2

3 - Somewhat satisfied

4

5 - Very satisfied

1 - Very unsatisfied

2

3 - Somewhat satisfied

4

5 - Very satisfied

9.On a scale of 1-5 how interested would you be in a product that would improve your hydration without increasing the amount of liquid you have to drink?

1 - Not interested at all

2

3 - Somewhat interested

4

5 - Very interested

1 - Not interested at all

2

3 - Somewhat interested

4

5 - Very interested

10.How much would you expect to pay for such a product?

$1.00 or less per serving

$1.00 - $2.00 per serving

$2.00 - $3.00 per serving

$3.00 or more per serving

I don’t know

11.Which of the following types of hydration multipliers would you be interested in?

A premade bottled drink

A powder in a packet that you open and pour into water

A dissolvable pouch that you drop into a bottle of water

None of the above

12.Would you prefer a hydration multiplier to be flavored or flavorless?

Flavored

Flavorless

13.Is there anything that deters you from drinking fluids to properly hydrate throughout the day?

14.Which of these hydration products have you heard of, please select all that apply?

Liquid IV

Drip Drop

Gatorade

Pedialyte

None

15.Have you used any of the following products in the past?

Liquid IV

Drip Drop

Ultima

Pedialyte

None