SF Upcoming PAID Study on Seafood and Meat - January 23, 2012

Seafood and Meat - January 23, 2012

Thank you for taking the time to answer these brief questions. As always, we appreciate your input as a valuable Plaza Research respondent. Plaza Research San Francisco is currently looking for males and females ages 25-65 for a 2-hour focus group discussion about certain foods. You will receive a $85 honorarium for your time.

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:

Company:

Email Address:

Phone Number:

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* 2. What age range do you fall into?

24 or younger

25-45

46-65

66 or older

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* 3. What is your gender?

Male

Female

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

Some high school

High school graduate

Some college or trade school

College graduate

Post graduate education

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* 5. Please indicate your current employment status:

Full-time

Part-time

Retired

Homemaker

Student

Unemployed

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* 6. Employment Information (if not employed, please write "n/a")...

Job Title

Company

Industry

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* 7. In what range does your total household income fall?

$39k or less

$40k-$49k

$50k-$59k

$60k-$69k

$70k+

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* 8. Ethnic background

African American

Asian

Caucasian

Hispanic

Other (please specify)

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* 9. Do you have children under the age of 19 living at home?

Yes

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* 10. Which of the following foods, if any, are NEVER eaten in your household?

Shrimp

Scallops

Crab

Calamari

Bacon

Pork

Beef

All of the above foods ARE eaten in my household

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* 11. Are you or anyone in your house hold allergic to any of the following foods and/or choose not to eat them for another reason?

Shrimp

Scallops

Crab

Calamari

Bacon

Pork

Beef

No one in my household is allergic to any of the above foods and no one chooses to not eat them

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* 12. Please indicate how often each of the following foods has been eaten in your household in the past year?

	Not in the past year	1-2 times	3-6 times	7-9 times	10 or more times
Shrimp	Shrimp Not in the past year	Shrimp 1-2 times	Shrimp 3-6 times	Shrimp 7-9 times	Shrimp 10 or more times
Scallops	Scallops Not in the past year	Scallops 1-2 times	Scallops 3-6 times	Scallops 7-9 times	Scallops 10 or more times
Crab	Crab Not in the past year	Crab 1-2 times	Crab 3-6 times	Crab 7-9 times	Crab 10 or more times
Calamari	Calamari Not in the past year	Calamari 1-2 times	Calamari 3-6 times	Calamari 7-9 times	Calamari 10 or more times
Bacon	Bacon Not in the past year	Bacon 1-2 times	Bacon 3-6 times	Bacon 7-9 times	Bacon 10 or more times
Pork	Pork Not in the past year	Pork 1-2 times	Pork 3-6 times	Pork 7-9 times	Pork 10 or more times
Beef	Beef Not in the past year	Beef 1-2 times	Beef 3-6 times	Beef 7-9 times	Beef 10 or more times

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* 13. Do you buy fresh or frozen seafood or both?

Fresh seafood only

Frozen seafood only

Fresh and Frozen seafood

**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. What age range do you fall into?

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* 3. What is your gender?

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

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* 5. Please indicate your current employment status:

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* 6. Employment Information (if not employed, please write "n/a")...

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* 7. In what range does your total household income fall?

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* 8. Ethnic background

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* 9. Do you have children under the age of 19 living at home?

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* 10. Which of the following foods, if any, are NEVER eaten in your household?

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* 11. Are you or anyone in your house hold allergic to any of the following foods and/or choose not to eat them for another reason?

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* 12. Please indicate how often each of the following foods has been eaten in your household in the past year?

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* 13. Do you buy fresh or frozen seafood or both?

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

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