SF Upcoming PAID study on Toys - May 2011

1. Toys - May 2011

Thank you for taking the time to answer these brief questions. As always, we appreciate your input as a valuable Plaza Research respondent. We have a new study on Toys that you and your son might be interested in.

Please take note that you are ineligible to participate if you have taken part in any research study in the last 6 months.

We are looking for boys 5-10 years old and their moms to participate together. This is a 2.5-hour in-home interview or a 1.5-hour focus group discussion in downtown San Francisco taking place between May 14 - May 17. Mothers of 5 & 6 years olds are not required to attend with their child. The honorarium ranges from $100.00 to $150.00 if you qualify and participate.

IF you qualify based on the answers provided THEN you will receive a call back. However due to the popularity of our surveys and groups, we can't contact everyone.

Please note that all responses will be returned on a first come, first served basis until the studies are full.

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* 1. Contact Information

Name

Cell Phone

Home Phone

Work Phone

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* 2. Employment Information

Job Title

Company Name

Industry

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* 3. What is your gender?

Female

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* 4. What is the sex/age/grade of each child living in your home? Fill in all that apply.

Child #1

Child #2

Child #3

Child #4

Child #5

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* 5. What type of school does your son attend?

Public School

Private School

My child is home-schooled

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* 6. Do you have cable or satellite TV in your home?

Yes

Other (please specify)

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* 7. So we can get a representative mix, how would you describe your ethnic background?

Caucasian

African-American

Hispanic/Latino

Asian-American

Native American

Mixed Race

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* 8. Do you have a computer with high speed internet access in your home (DSL, wifi, cable modem)?

Yes

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* 9. Which of the following best describes your household income?

Less than $25k

$25k-$40k

$41k-$59k

$60k-$75k

$76k-$99k

$100k+

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* 10. Please tell us how often your son uses the following devices?

	Every day	Several times a week	Once a week	Twice a month	Once a month	A few times a year	Never
Internet	Internet Every day	Internet Several times a week	Internet Once a week	Internet Twice a month	Internet Once a month	Internet A few times a year	Internet Never
MP3 Player (iPod or any brand)	MP3 Player (iPod or any brand) Every day	MP3 Player (iPod or any brand) Several times a week	MP3 Player (iPod or any brand) Once a week	MP3 Player (iPod or any brand) Twice a month	MP3 Player (iPod or any brand) Once a month	MP3 Player (iPod or any brand) A few times a year	MP3 Player (iPod or any brand) Never
Digital Camera (still or video)	Digital Camera (still or video) Every day	Digital Camera (still or video) Several times a week	Digital Camera (still or video) Once a week	Digital Camera (still or video) Twice a month	Digital Camera (still or video) Once a month	Digital Camera (still or video) A few times a year	Digital Camera (still or video) Never
Smart Phone	Smart Phone Every day	Smart Phone Several times a week	Smart Phone Once a week	Smart Phone Twice a month	Smart Phone Once a month	Smart Phone A few times a year	Smart Phone Never
iPad	iPad Every day	iPad Several times a week	iPad Once a week	iPad Twice a month	iPad Once a month	iPad A few times a year	iPad Never
eReader	eReader Every day	eReader Several times a week	eReader Once a week	eReader Twice a month	eReader Once a month	eReader A few times a year	eReader Never
iPod Touch	iPod Touch Every day	iPod Touch Several times a week	iPod Touch Once a week	iPod Touch Twice a month	iPod Touch Once a month	iPod Touch A few times a year	iPod Touch Never

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* 11. On a scale of 1 to 10, where 10 is totally engaged in technology, computers, the internet, and digital media and 1 is not at all engaged in those things, where would you say your son falls?

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* 12. How many of the following toys has your son bought or recieve in the past 12 months?

	1-3	4+	None
Matchbox Cars	Matchbox Cars 1-3	Matchbox Cars 4+	Matchbox Cars None
Nintendo Video Games	Nintendo Video Games 1-3	Nintendo Video Games 4+	Nintendo Video Games None
LEGO building sets	LEGO building sets 1-3	LEGO building sets 4+	LEGO building sets None
Nerf Guns	Nerf Guns 1-3	Nerf Guns 4+	Nerf Guns None

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* 13. Which of the following represents your completed level of formal education?

Have complted some high school

Have a high school diploma

Have complted some college

Have a college degree

Have completed some graduate work

Have a graduate degree or more

**IMPORTANT: PLEASE PUSH THE "DONE" BUTTON AT THE BOTTOM OF THIS SCREEN. YOUR ANSWERS WILL NOT BE SAVED WITHOUT DOING SO!**

Thank you for participating in our survey. IF you qualify based on the answers provided THEN you will receive a call back. However due to the popularity of our surveys and groups, we can't contact everyone. Please note that all responses will be returned on a first come, first served basis until the studies are full.

*****REFERRALS ARE GREATLY APPRECIATED!*****

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* 1. Contact Information

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* 2. Employment Information

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* 3. What is your gender?

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* 4. What is the sex/age/grade of each child living in your home? Fill in all that apply.

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* 5. What type of school does your son attend?

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* 6. Do you have cable or satellite TV in your home?

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* 7. So we can get a representative mix, how would you describe your ethnic background?

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* 8. Do you have a computer with high speed internet access in your home (DSL, wifi, cable modem)?

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* 9. Which of the following best describes your household income?

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* 10. Please tell us how often your son uses the following devices?

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* 11. On a scale of 1 to 10, where 10 is totally engaged in technology, computers, the internet, and digital media and 1 is not at all engaged in those things, where would you say your son falls?

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* 12. How many of the following toys has your son bought or recieve in the past 12 months?

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* 13. Which of the following represents your completed level of formal education?

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