Liquor study

Austin Market Research is looking for Males and Females ages 21-59 for a two hour interview regarding alcoholic beverages. Participants will receive $150. The study will take place in your home and we have a variety of time slots available January 24th-27th. If you drink alcoholic beverages, please fill out the short survey. I will contact qualified respondents.

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* 1. LEAVE BLANK: for office use only-

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* 2. Contact info:

Name:

Employer:

Occupation:

Phone number:

Email Address:

make and model cell phone

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* 3. Employment status: (check all that apply)

Employed full-time

Employed part-time

A part time College or Graduate Student

A full time College or Graduate Student

Retired

A homemaker

Or currently unemployed looking for a job

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* 4. Age:

21-24

25-29

30-39

40-59

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* 5. Gender:

Male

Female

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* 6. Have you ever particpated in an alcohol related market research study?

Yes

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* 7. Which, if any, of the following types of alcoholic beverages have you, personally, had to drink in the past year?

Beer

Cider

Wine

Ready to pour cocktails – premade cocktails (mojito, margarita, etc) in a large bottle

Spirits – straight up, frozen, on the rocks or in mixed drinks – such as Vodka, Gin, Rum, Whiskey/Bourbon, Tequila, Cordials or Liqueurs

None of the above