SF Upcoming PAID study on Shopping - January 24, 2011 - January 27, 2011

1. SF Upcoming PAID study on Shopping- January 24, 2011 - January 27, 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 Shopping that you may be interested in.

We are conducting a study with consumers regarding shopping habits. This study is a 3-hour at home interview in the morning, afternoon or evening that pays an honorarium between $200 - $300 for your time. The study will take place between Monday, January 24 and Thursday, January 27.

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. In which age range do you fall?

Under 22

22-34

35-44

45 and Above

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* 5. What is your exact age? (e.g. 32)

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* 6. Do you have any children under 18 currently living at home with you?

Yes

Other (please specify)

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* 7. What is your marital status or living situation?

Married/Living with Significant Other

Single

Divorced/Seperated

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* 8. What is the highest level of education you've had the opportunity to complete?

High school graduate or less

Some college/technical school

College graduate

Some post graduate/post graduate degree

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* 9. Are you currently employed full time, part time or not employed outside of the home at this time?

Full time

Part time

Not employed

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* 10. Do you or your spouse/significant other sometimes work at home?

Yes

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* 11. If so, how often do you or your spouse/significant other work at home?

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* 12. Which of the following categories includes your household income?

Less than $30,000

$30,000 - $44,999

$45,000 - $59,999

$60,000 - $79,000

$80,000 - $99,999

$100,000 - $150,000

Over $150,000

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* 13. Which of the following best describes your current living situation?

Rent an apartment/condo

Own an apartment/condo

Rent a single-family home

Own a single-family home

Rent a townhouse

Own a townhouse

Other

Other (please specify)

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* 14. How many bedrooms does your home have?

1-1.5

More than 3

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* 15. Does your home have a combined living room and dining area or are these separate rooms?

Combined

Separate

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* 16. How long have you lived in your current home?

Less than 3 months

3-12 month

1-3 years

3-5 years

5 years or more

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* 17. When you moved into your current home, was it already furnished?

Yes

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* 18. Do you ever entertain friends or family in your home?

Yes

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* 19. If so, how often do you entertain friends or family in your home?

Weekly or more

A few times a month

Monthly

Every couple of months

A couple times a year or less

Not applicable

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* 20. As you purchased or acquired items for your home, thinking about things you need to organize and decorate your home (your bedroom, living room, bathroom), what stores did you shop/buy from?

J.C. Penny

Sears

Wal-Mart

Target

Bed, Bath & Beyond

K-Mart

Macy's

Crate & Barrel

Ross for Less

Marshalls

TJ Maxx

Home Goods

Ikea

West Elm

High-end department store (Nordstrom, Bloomingdale's, Neiman Marcus)

Second Hand Shops/Flea Markets

Given as a gift/Hand-me-down

Other

Other (please specify)

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* 21. Do you do your own laundry or send it to a laundry service?

Do your own laundry

Send laundry to service

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* 22. Do you cook at home some of the time for your main meal?

Yes

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* 23. Do you cook your main meal at home some of the time?

Yes

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* 24. On a scale of 1 to 10, how would you rate your living space in terms of feeling cramped or crowded? A "1" would mean you are not at all cramped/crowded and a "10" would mean you are very cramped/crowded.

**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. In which age range do you fall?

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* 5. What is your exact age? (e.g. 32)

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* 6. Do you have any children under 18 currently living at home with you?

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* 7. What is your marital status or living situation?

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* 8. What is the highest level of education you've had the opportunity to complete?

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* 9. Are you currently employed full time, part time or not employed outside of the home at this time?

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* 10. Do you or your spouse/significant other sometimes work at home?

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* 11. If so, how often do you or your spouse/significant other work at home?

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* 12. Which of the following categories includes your household income?

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* 13. Which of the following best describes your current living situation?

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* 14. How many bedrooms does your home have?

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* 15. Does your home have a combined living room and dining area or are these separate rooms?

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* 16. How long have you lived in your current home?

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* 17. When you moved into your current home, was it already furnished?

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* 18. Do you ever entertain friends or family in your home?

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* 19. If so, how often do you entertain friends or family in your home?

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* 20. As you purchased or acquired items for your home, thinking about things you need to organize and decorate your home (your bedroom, living room, bathroom), what stores did you shop/buy from?

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* 21. Do you do your own laundry or send it to a laundry service?

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* 22. Do you cook at home some of the time for your main meal?

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* 23. Do you cook your main meal at home some of the time?

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* 24. On a scale of 1 to 10, how would you rate your living space in terms of feeling cramped or crowded? A "1" would mean you are not at all cramped/crowded and a "10" would mean you are very cramped/crowded.

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