1. SF Upcoming PAID study on Food and Beverages - August/September 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 Food and Beverages that you may be interested in.

We are currently looking for males and females ages 25-64 years old interested in Food and Beverages. This study is a 2-hour focus group that pays a $85-$100 honorarium for your participation. This study is taking place in downtown San Francisco on Wednesday, August 31st and Thursday, September 1st.

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. Employment Information

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* 2. What is your gender?

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* 3. Which of the following categories include your age?

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* 4. Which of the following categories includes your total annual household income?

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* 5. Contact Information

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* 6. When it comes to grocery shopping for your household, would you say you are primarily responsible, you share the responsibility, or someone else is responsible for grocery shopping?

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* 7. Are you allergic to nuts?

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* 8. Are you lactose intolerant or sensitive to dairy products?

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* 9. Which of the following types of products have you purchased for your family within the past 6 months?

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* 10. Which of the brands of nuts have you purchased and eaten in the past 12 months?

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* 11. What brands of non-dairy milk have you heard of?

**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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