Consumption Habits Study Video Task Pre-screener to be considered Question Title * 1. Contact Information Name City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Social Media Link Email Address Phone Number OK Question Title * 2. For this study, we are working with a well-known brand that is looking for people to take part in self-filmed video task. In return, you will be given US$100. Is this something you would be interested in? Yes No OK Great news! We are going to ask you some questions now to see if you qualify... OK Question Title * 3. We are conducting a research survey and would like to ask you some questions to possibly invite you to participate in a market research interview. Can you tell me if you, or any member of your family or close friends, currently work or have ever worked in Market Research? Yes No OK Question Title * 4. What is your gender? Male Female Other (please specify) OK Question Title * 5. What is your ethnicity? American Indian/ Alaska Native Black/ African American Native Hawaiian / Other Pacific Islander White / Caucasian Prefer not to say Other (please specify) OK Question Title * 6. Please tell us your age OK Question Title * 7. Which of the following marital statuses bests reflect you? Single Married/ civil partnership Co-habiting Divorced Widowed Other (please specify) OK Question Title * 8. Do you have any children? Yes No OK NEXT
