Transportation - October 2011

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 & Females ages 18-64 for a 90-minute interview regarding transportation. 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

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* 2. Exact Age

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

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* 6. Ethnic background

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* 7. Which of the following statements describes you?

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* 8. Are you a current resident of the San Francisco Bay Are and have lived in the area for six months or more?

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* 9. Please indicate which of the following you own (check all that apply).

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* 10. Of the total percent of beer you consume, what percent of your consumption falls into the following categories (Note: total must equal 100%, if you do not drink beer please enter n/a into all three boxes below):

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* 11. What is your favorite brand of beer?

**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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* 12. ******FOR COMPANY USE ONLY******
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