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* 1. Please provide the following information so that we may contact you:

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* 2. What is your age?

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* 3. What is your gender?

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* 4. What are the Age/Gender of each member of your household, including children and yourself?

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* 5.   Are  you, or any member of your household, employed in any of the following…?

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* 6.  Are you or anyone in your household working for/laid off/retired from any of the following companies?

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* 7. Which of the following do you own and use?

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* 8. What is the operating system of your SmartPhone?

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* 9. Thinking about your current experience with your cell phone provider, how would you rate the cellular reception inside your home?

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* 10. If selected for the study, are you willing to download an app to complete video activities on your mobile  device?

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* 11.   How would you classify yourself regarding technology specifically when using laptop/desktop and smartphone?

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* 12. During your participation, you will be asked to share your thoughts and experiences by recording videos of yourself and/or the environment around you. How comfortable are you with sharing your image and voice in this manner?

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* 13. How much of your household’s shopping for groceries and household goods, such as food, cleaning, paper, and personal care products, do you do?

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* 14. Which products have you bought in the past 6 months?  Select all that apply....

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* 15. Which types of paper towel dispensers, if any, do you currently own and use in your home?

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* 16. Please select all the areas where paper towels are on a dispenser (eg vertical dispenser on a counter top, horizonal dispenser mounted to a cabinet or wall, etc) in your household.

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* 17. What stores have you or anyone in the household bought household goods in the past 6 months?  (including online retailers)

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* 18. In the past 6 months, what are the names of all the stores where you or anyone in your household have bought paper towels (including online retailers)?

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* 19. In the past 6 months, what are all the brands of paper towels that you have bought?

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* 20. In the past 3 months, what 1 brand of paper towels did you, yourself, purchase most often?

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* 21.    

   Please think about your next 10 purchases of paper towels. Please indicate below how many times you plan to buy each brand in the future, assuming all brands will be available where you shop. Please enter a number from 0-10 for each brand. Your total must equal 10....


 

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* 22.      Please indicate, on average, how long it takes your household to use an entire standard roll of paper towels in the kitchen.  

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* 23.    Which one statement best describes how you think about the price and value of paper towel products in general?

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* 24. Which of the layouts below best represents your kitchen?

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* 25.   How would you rate you use of coupons when you shop?

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* 26. Do you subscribe to any retailer shopping emails?

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* 27. Do you have any of the below pets in your home?

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* 28.    Please rank the issues listed below in order from what you feel most concerned to least concerned about:  # them from 1 (most concerned) to 8 (least concerned)

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* 29.   Please select all of the statements about paper towels that are relevant to you: 

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* 30. What is the last grade of education you have completed?

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* 31. What statement best describes your marital status?

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* 32. What is your total annual household income, before taxes?

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* 33. What is your employment status?

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* 34. If you work, in a typical week how much of the your time do you spend physically at the office?

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* 35. What is your percent of time spent in school vs. home for all children in your home, on average?

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* 36. What is your ethnicity?

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* 37. What part of the USA do you live in?

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* 38. We are looking for individuals to test paper towel products (which may include a paper towel dispenser) for us.  If you agree to participate and are selected, we will provide paper towel products for you to use in your home over a 20-week period. Over this 20-week period you will get paper towel products to use.  We will provide sufficient paper towel rolls to last you all 20 weeks.

If selected, would you be willing to participate in the study?

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* 39. If selected to participate, we will ship you product and device(s) to use in your home. You will receive the first product and your device(s) the first week of September. Then, at the end of week 20, we will ask you to return, via mail, the paper towel dispenser(s) you may be given to use.  

We ask that you commit to participate only if you are able to complete the entire 20-week study. Would you be willing to take part in this study?

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* 40. During the 20 weeks (August-Dec), do you expect everyone in your household to be away from home for 10 or more consecutive days?

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* 41. During the 20 weeks (August-Dec), do you expect everyone in your household to be away from home for 10 or more consecutive days?

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