Consumer shopalong

1.

Hagen/Sinclair Research Recruiting is looking for consumers to participate a PAID in-depth SHOP-ALONG INTERVIEW. The topic is HOUSEHOLD WATER FILTERS like pour through pitchers or filters mounted directly on water faucets. Our client is interested in speaking with both people that already have a water filter and those that do not.

On the day of your interview, you will meet the interviewer at a designated store in your shopping neighborhood and will spend about 35-45 minutes going through the store and discussing your shopping habits.

Please fill out the survey below. If your answers meet the study requirements, a recruiter will call you to complete the screening process.

Question Title

* 1. Please fill in your contact information

Name:

Email Address:

Phone Number Day:

Phone Number Eve:

City you live in:

State

ZIP:

Latest we can call in the evening

Question Title

* 2. Which of the following retailers do you shop most often for household products? (Select all that apply)

Target

Costco

Walmart

CVS

Meijer

Fred Meyer

Walgreens

Wakefern (ShopRite)

None of these

Question Title

* 3. When was the last time you shopped at Walmart?

In the last month

In the last 3 months

In the last 6 months

In the last year

More than a year ago

Question Title

* 4. When was the last time you shopped at ShopRite?

Within the past month

Within the past three months

Within the past six months

Within the past year

More than one year ago

Question Title

* 5. Q3. Do you currently own a water filter system? (Water filtration system = a pour through or faucet mount system)

Yes

No (If you don't have a water filter, skip to Question 10)

Question Title

* 6. What kind of water filtration system do you own?

A pour through system, in a pitcher.

A faucet mount system

All others

Question Title

* 7. When did you purchase your water filtration system?

Last 6 months

Last year

Last year and a half

2 years ago

3 years ago

5 years ago

Other (please specify)

Question Title

* 8. At which of the following retailers did you purchase your water filtration system?

Target

Costco

Walmart

CVS

Meijer

Fred Meyer

Walgreens

Wakefern (ShopRite)

Other (please specify)

Question Title

* 9. Have you purchased a water filter for your water filtration system in the past year?

Yes

Question Title

* 10. When do you anticipate purchasing a new water filtration system?

Within 1-3 months

Within 4-6 months

Within 7-12 months

In a year or more

The following questions are only for people that don't own a water filter device or system.

Question Title

* 11. [For participants who do not own a water filtration product] Do you anticipate purchasing a water filter device or system in the near future?

Yes

Question Title

* 12. When do you anticipate purchasing a water filter device or system?

Within 1-3 months

Within 4-6 months

Within 7-12 months

In a year or more

Thank you for filling out the survey. If your answers meet the pre-qualifications for the study, a recruiter will call you to complete the screening process.

Hagen/Sinclair Research Recruiting is a legitimate research recruiting company. We ask nothing of you besides your interest in the topic and opinions. If you want to verify our company, go to our website: www.hagensinclair.com or contact me personally.

Anita Sinclair, CEO
HAGEN/SINCLAIR RESEARCH RECRUITING, INC. OAKLAND
sinclaira@hagensinclair.com
TOLL-FREE: (866) 639-1290
http://www.linkedin.com/in/anitasinclairhsrr