SF Upcoming PAID study on Beverages --December 16, 2010

1. SF Upcoming PAID study on Beverages - December 16, 2010

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 Beverages that you maybe in 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 participants ages 18-45. This study is a 2 hour group and will take place in downtown San Francisco on Thursday, December 16, 2010. The honorarium is $125.00+ 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.

Question Title

* 1. Contact Information

Name

Cell Phone

Home Phone

Work Phone

Question Title

* 2. Employment Information

Job Title

Company Name

Industry

Question Title

* 3. What is your gender?

Male

Female

Question Title

* 4. Which of the following groups best fits your age?

Under 18

18-24

25-35

36-45

56-65

66+

Question Title

* 5. What is your EXACT age?

Question Title

* 6. What is your current employment status?

A full-time employee

Working part-time

Unemployed

Student

A stay-at-home mom

Retired

Question Title

* 7. In the last 30 days, how many times have you purchased food and/or beverages from each of the following types of places?

	0	1	2	3	4	5+
A fast food place (like McDonald's, etc.)	A fast food place (like McDonald's, etc.) 0	A fast food place (like McDonald's, etc.) 1	A fast food place (like McDonald's, etc.) 2	A fast food place (like McDonald's, etc.) 3	A fast food place (like McDonald's, etc.) 4	A fast food place (like McDonald's, etc.) 5+
A fast casual place (like Panera Bread, etc.)	A fast casual place (like Panera Bread, etc.) 0	A fast casual place (like Panera Bread, etc.) 1	A fast casual place (like Panera Bread, etc.) 2	A fast casual place (like Panera Bread, etc.) 3	A fast casual place (like Panera Bread, etc.) 4	A fast casual place (like Panera Bread, etc.) 5+
A full-service restaurant (like Chili's, etc.)	A full-service restaurant (like Chili's, etc.) 0	A full-service restaurant (like Chili's, etc.) 1	A full-service restaurant (like Chili's, etc.) 2	A full-service restaurant (like Chili's, etc.) 3	A full-service restaurant (like Chili's, etc.) 4	A full-service restaurant (like Chili's, etc.) 5+
A convenience store (like 7-Eleven, etc.)	A convenience store (like 7-Eleven, etc.) 0	A convenience store (like 7-Eleven, etc.) 1	A convenience store (like 7-Eleven, etc.) 2	A convenience store (like 7-Eleven, etc.) 3	A convenience store (like 7-Eleven, etc.) 4	A convenience store (like 7-Eleven, etc.) 5+
A food court (like at a mall, etc.)	A food court (like at a mall, etc.) 0	A food court (like at a mall, etc.) 1	A food court (like at a mall, etc.) 2	A food court (like at a mall, etc.) 3	A food court (like at a mall, etc.) 4	A food court (like at a mall, etc.) 5+
A coffee house/juice bar (like Jamba Juice, etc.)	A coffee house/juice bar (like Jamba Juice, etc.) 0	A coffee house/juice bar (like Jamba Juice, etc.) 1	A coffee house/juice bar (like Jamba Juice, etc.) 2	A coffee house/juice bar (like Jamba Juice, etc.) 3	A coffee house/juice bar (like Jamba Juice, etc.) 4	A coffee house/juice bar (like Jamba Juice, etc.) 5+

Question Title

* 8. How many of the following types of beverages have you personally consumed in the last 30 days?

Have you consumed any of the following beverages in the last week?

	# in last 30 days	in last week
A made-to-order blended frozen or iced coffee beverage (like a Starbucks Frapuccino, etc.)	A made-to-order blended frozen or iced coffee beverage (like a Starbucks Frapuccino, etc.) # in last 30 days menu	A made-to-order blended frozen or iced coffee beverage (like a Starbucks Frapuccino, etc.) in last week menu
A blended ice cream beverage, shake or malt (like a Dairy Queen Blizzard, etc.)	A blended ice cream beverage, shake or malt (like a Dairy Queen Blizzard, etc.) # in last 30 days menu	A blended ice cream beverage, shake or malt (like a Dairy Queen Blizzard, etc.) in last week menu
An icy artificially flavored frozen beverage (like a Slurpee, etc.)	An icy artificially flavored frozen beverage (like a Slurpee, etc.) # in last 30 days menu	An icy artificially flavored frozen beverage (like a Slurpee, etc.) in last week menu
A ready-to-drink fruit juice or smoothie in a bottle (like from Odwalla, etc.)	A ready-to-drink fruit juice or smoothie in a bottle (like from Odwalla, etc.) # in last 30 days menu	A ready-to-drink fruit juice or smoothie in a bottle (like from Odwalla, etc.) in last week menu
A blended fruit smoothie that was made while you waited from a juice bar (like from Jamba Juice, etc.)	A blended fruit smoothie that was made while you waited from a juice bar (like from Jamba Juice, etc.) # in last 30 days menu	A blended fruit smoothie that was made while you waited from a juice bar (like from Jamba Juice, etc.) in last week menu
A homemade blended fruit smoothie that was made by you or someone in your household	A homemade blended fruit smoothie that was made by you or someone in your household # in last 30 days menu	A homemade blended fruit smoothie that was made by you or someone in your household in last week menu

Question Title

* 9. How many blended fruit smoothies have you purchased at a Jamba Juice in the last 30 days?

1-2

3-7

Question Title

* 10. How many blended fruit smoothies have you purchased at a Jamba Juice in the last 90 days?

Question Title

* 11. Are you currently....?

Single

Married

Living with a significant other

Separated/Divorced

Widowed

Question Title

* 12. Which of the following ranges includes your total annual household income?

Under $15K

$15-25K

$25-50K

$50-75K

$75-100K

$100K+

Question Title

* 13. How many children under 18 do you have currently living at home?

(If none, input 0.)

Question Title

* 14. What is the highest level of education that you have completed?

Some high school

High school graduate

Some college

College graduate

Post-graduate work or degree

Question Title

* 15. In order to represent all groups equally, which of the following best describes your ethnic background?

African-American

Asian

Caucasian

Hispanic

Other (please specify)

**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!*****

Question Title

* 1. Contact Information

Question Title

* 2. Employment Information

Question Title

* 3. What is your gender?

Question Title

* 4. Which of the following groups best fits your age?

Question Title

* 5. What is your EXACT age?

Question Title

* 6. What is your current employment status?

Question Title

* 7. In the last 30 days, how many times have you purchased food and/or beverages from each of the following types of places?

Question Title

* 8. How many of the following types of beverages have you personally consumed in the last 30 days?Have you consumed any of the following beverages in the last week?

Question Title

* 9. How many blended fruit smoothies have you purchased at a Jamba Juice in the last 30 days?

Question Title

* 10. How many blended fruit smoothies have you purchased at a Jamba Juice in the last 90 days?

Question Title

* 11. Are you currently....?

Question Title

* 12. Which of the following ranges includes your total annual household income?

Question Title

* 13. How many children under 18 do you have currently living at home?(If none, input 0.)

Question Title

* 14. What is the highest level of education that you have completed?

Question Title

* 15. In order to represent all groups equally, which of the following best describes your ethnic background?

Question Title

* 16. ******FOR COMPANY USE ONLY****** (Please press next)

* 8. How many of the following types of beverages have you personally consumed in the last 30 days?

Have you consumed any of the following beverages in the last week?

* 13. How many children under 18 do you have currently living at home?

(If none, input 0.)

* 16. FOR COMPANY USE ONLY
(Please press next)