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D09-021 Pre-Qual


 
 
Thank you for taking the time to pre-qualify for our upcoming survey at Bryles Research. Please answer all of the questions within the survey that follows. This should take you approximately 3-5 minutes.
 
 
 
* 1.Please select your gender.
 
Male
 
Female
 
 
 
* 1A.Are you currently pregnant or nursing?
 
YES
 
NO
 
 
 
* 2. Which of the following categories best describes your current age?
 
17 or younger
 
18 – 35
 
36 - 54
 
55 and older
 
 
 
* 3. When was the last time you participated in any type of marketing research?
 
more than 6 months ago
 
between 3 – 6 months ago
 
less than 3 months ago
 
 
 
* 3B. What was the topic of the marketing research?
 
Food Products
 
Health and Beauty Products
 
Childrens Toys
 
 
 
* 4. Including yourself, is any member of your household, or are any of your close friends employed by any of the following industries or companies.
 
Banking or financial services
 
Newspaper, magazine, television or radio station
 
Market research, marketing, public relations or advertising
 
Food or beverage sales, manufacturing or distributing
 
Real estate – either commercial or residential
 
A restaurant, fast-food place, or sandwich shop
 
A coffee house, juice bar, or ice cream shop
 
None of the above
 
 
 
* 5. Please tell me what companies you and any other members of your household work for?
   
 
 
 
* 6. Do you have any food allergies or food sensitivities such as to peanuts, almonds, walnuts, pecans, dairy products, eggs, shellfish, grains or any other food, or are you vegan or vegetarian?
 
YES
 
NO
 
 
 
* 7. Which of the following products have you, yourself purchased and consumed since June, 2011?
 
Nutrition bars
 
A blended smoothie that was made at a juice bar or smoothie shop
 
An icy artificially flavored beverage
 
A made to-order frozen or ice coffee beverage
 
Soft drinks
 
Bottled water
 
A blended ice cream beverage, shake, or malt
 
None of these

 
 
8. You indicated you have purchased the following products within the last 30 days. please indicate how many you have purchased and consumed of each item within the past 30 days.
 
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