SF Upcoming PAID study on Supermarkets--December 13-15, 2010

1. SF Upcoming PAID study on Supermarkets - December 13-15, 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 Supermarkets 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 males and females, ages 25-64. This study consists of a shopping exercise at a pre-determined store followed by a 30-minute individual interview. The study will take on Monday, December 13-Wednesday, December 15, 2010. The honorarium is$100.00 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?

Male

Female

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

Under 24

25-34

35-44

45-54

55-64

65+

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* 5. What is your EXACT age?

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

African-American

Asian

Caucasian

Hispanic

Other (please specify)

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* 7. What is your current employment status?

A full-time employee

Working part-time

Unemployed

Student

A stay-at-home mom

Retired

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* 8. Do you have any children that currently live in your household?

Yes

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* 9. How many children do you have and what are their ages?

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* 10. Are you currently....?

Single

Married

Living with a significant other

Separated/Divorced

Widowed

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

Under 25K

$25K-$50K

$50,001K-$75K

$75,001K-$100K

$100,001K-$125K

$125,001K+

Other (please specify):

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* 12. 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

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* 13. Which of the following types of places do you grocery shop at?

Warehouse clubs (like Costco, Sam's Club)

Mass merchandisers (like Wal-Mart, Target, etc.)

Small format supermarkets (like Trader Joe's)

Traditional supermarkets (like Safeway)

Upscale or fresh format supermarkets (like Whole Foods, Bristol Farms)

Other/None of these

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* 14. Which ONE type of place do you grocery shop at MOST OFTEN?

Warehouse clubs (like Costco, Sam's Club)

Mass merchandisers (like Wal-Mart, Target, etc.)

Small format supermarkets (like Trader Joe's)

Traditional supermarkets (like Safeway)

Upscale or fresh format supermarkets (like Whole Foods, Bristol Farms)

Other/None of these

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* 15. How much are you typically spending on a grocery trip to this type of store (Your MOST OFTEN type of store)?

Less than $25

$25-$50

$51-$75

$76-$100

$101-$125

$126-$150

$151-$175

$176-$200

$200 or more

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* 16. Which of the following items do you purhcase on a regular basis when grocery shopping?

Chilled entrees (pastas, meats, not frozen)

Chilled sides (mashed potatoes, macaroni and cheese; not frozen)

Pre-packaged “grab-and-go” green salads

Prepackaged sandwiches

Rotisserie chicken or other rotisserie meats

Fried chicken or chicken fingers from the deli area (this does not include frozen items)

Sushi

Fresh pizza or refrigerated pizza (does not include frozen pizza)

Prepared salads (e.g., coleslaw, macaroni salad)

Breads, cookies, muffins, desserts or other baked goods from the in-store bakery area

None of these

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

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* 5. What is your EXACT age?

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

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* 7. What is your current employment status?

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* 8. Do you have any children that currently live in your household?

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* 9. How many children do you have and what are their ages?

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* 10. Are you currently....?

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

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

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* 13. Which of the following types of places do you grocery shop at?

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* 14. Which ONE type of place do you grocery shop at MOST OFTEN?

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* 15. How much are you typically spending on a grocery trip to this type of store (Your MOST OFTEN type of store)?

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* 16. Which of the following items do you purhcase on a regular basis when grocery shopping?

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

* 17. FOR COMPANY USE ONLY
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