Folk Questionnaire CL

Welcome!

Thank you for volunteering to take our quick one minute survey on behalf of Jim Shore.

All information will be kept confidential and is for learning purposes only.

Please start by clicking on the CONTINUE button below.

* Please select your gender.

Female

Male

* Please indicate your age.

* Which race /ethnicity best describes you? (Please choose one.)

American Indian or Alaskan Native

Asian / Pacific Islander

Black or African American

Hispanic American

White / Caucasian

Other

* Do you work in any of the following areas? (Please choose one.)

* In what state or US territory do you currently reside?

* Do you currently reside within a 1 hour drive of one of the following cities? (Please select which city.)

Charlotte

Chicago

Dallas

Other

* Which category best describes your annual income?

* Do you have an interest in any of the following areas? (Please select all that apply.)

* Have you ever purchased any of the following items? (Please select all that apply.)

* Are you familiar with folk artist Jim Shore?

Yes

No

* Have you bought a piece made by the artist Jim Shore within the past year?

Yes

No

* How many Jim Shore pieces do you currently own and / or have purchased as a gift for others?

* Congratulations! You have qualified to participate in an upcoming research session for Jim Shore. All participants will be compensated for their valued time and opinions. Would you be interested in joining us?

Yes

No

* We really appreciate you taking the time to fill out this survey, but unfortunately you do not meet the criteria for our study at this time. Would you consider participating in future research surveys or studies on behalf of Jim Shore?

Yes

No

Please provide us with your contact information.

* First Name :
* Last Name :
* Phone :
* Email Address :