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Questions marked with a * are required Exit Survey
 
 
* Our market research company in Doral, Florida, is hosting several groups about beverages.  We are recruiting participants that love to taste test new beverages(non-alcoholic for this series of studies) and give their opinions in a group setting.  During the groups, since this is a taste test, participants will be asked to taste test several beverages, so please take that into consideration when planning what you might eat or drink before the group; also, keep this in mind if you have a food/drink allergies or any conditions that may prohibit you from full participation. 

There will never be an offer to buy anything, as we are only interested in your opinions, that help companies better products and services.  The groups will take place on Tuesday, June 6th, Wednesday, June 7th & Thursday, June 8th, between the hours of 9:00am and 4:00pm.  The groups will last 3 hours each and each selected participant will receive $175.  Are you interested in participating and would be available on either of these dates to participate in a taste test focus group in Doral, FL? 
 
Yes
 
No
 
No, keep me in mind for other groups; fill out the screener and we will add you to the database for future studies.
 
 
Contact Information
* First Name : 
* Last Name : 
* Address Line 1 : 
   Apt (Put NONE if not an apartment) : 
* City : 
* State : 
* Zipcode : 
* Phone : 
* Email Address : 
 
 
 
* What is your age:
   
 
 
 
* Which of the following groups would you be available for? You will only be selected for one, but please select all dates and times that you would be available for:
 
Tuesday, June 6 from 9am-12pm
 
Tuesday, June 6 from 1pm-4pm
 
Wednesday, June 7 from 9am-12pm
 
Wednesday, June 7 from 1pm-4pm
 
Thursday, June 8 from 9am-12pm
 
Thursday, June 8 from 1pm-4pm
 
I am not available for any of these dates or times

 
 
 
* Please answer the following questions completely:
How many times have you participated in a market research in the past 2 years?
When was the last time you participated in a focus group or in-depth discussion?

What were the topics of discussion?

If you have never participated, please put never and continue. 



   
 
 

          Do you, or do any of your immediate family members or close friends
work for any of the following kinds of companies?  

Yes No
* Market Research firm
* Advertising Agency
*

A beverage manufacturer, wholesaler, or distributor

* Food store
* Food processing-sales, advertising or manufacturer
 
 
 
*


       What is your total annual household income
(before taxes)?  This includes total income of all members of the household combined: (for research purposes only) 

 
Under $30,000
 
$30,000-$49,999
 
$50,000-$74,999
 
$75,000-$99,999
 
$100,000-$124,000
 
$125,000-$149,999
 
$150,000 or more
 
 
 
* What is your highest level of education completed?
 
Some High School or less
 
Completed High School
 
Some College or Technical School
 
Completed College or Technical School
 
Some post-graduate study or more
 
 
 
*

            Thinking about
all the grocery shopping and food decision making that is done for
your household, about how much do you personally do?  

 
All of it
 
Most of it
 
At least half of it
 
Less than half of it or None
 
 
 
*

             Which,
if any, of the following
types
of beverages have you purchased for your personal consumption or use
in the past month?  Select all that apply:

 
Ready-to-drink bottled teas
 
Ready-to-drink cold coffees
 
Juice or juice drinks
 
Carbonated soft drinks, soda or pop
 
Milk or other dairy beverages
 
Non-Dairy Milk Alternatives (like Almond Milk, Soy Milk, Cashew Milk, etc.
 
Unflavored, non-carbonated bottled waters
 
Nutrient-enhanced o flavored waters
 
None of the above
 

 
If your answers qualify and space is still available, one of our recruiters will contact you.