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M10-009 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. Who does most of the grocery shopping and food preparation for your household?
 
Self
 
Self and other person equally
 
Other person
 
 
 
* 2. Which of the following categories best describes your current age?
 
17 or younger
 
18 – 24
 
25 - 34
 
35 - 44
 
45 - 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
 
 
 
* 4. We are interested in talking with people from a variety of professions. Sometimes the type of work people do influences the products they buy. Do you, any friends, and any member of your household or extended family work for…
 
An advertising agency or market research department/company
 
A public relations firm or executive search firm
 
The Environmental Protection Agency, Food and Drug Administration or Federal Trade Commission
 
A restaurant, grocery store, or caterer
 
The news media, including television, radio or newspaper
 
A company that manufactures, distributes or sells food, beverage and ingredient products
 
None of the above

 
 
 
* 5. Are you allergic to any specific foods or are you on a special or restricted diet that prevents you from eating foods with peanut oil, dairy, sodium, artificial flavorings or any other restrictions?
 
YES
 
NO
 
 
 
* 6. For our research, we prefer a mix of people that may have different income levels. Which of these ranges includes your household’s total annual income before taxes?
 
Less than $30,000
 
$30,000 to $39,999
 
$40,000 to $49,999
 
$50,000 to $59,999
 
$60,000 to $69,999
 
$70,000 to $79,999
 
$80,000 or more
 
Prefer not to answer
 
 
 
* 7. What is the highest level of education you have completed?
 
High school or less
 
Some college
 
College graduate (4yr degree)
 
Attended or completed graduate school
 
Prefer not to answer
 
 
8. Please select when you, yourself last purchased or have eaten each of these products
Within the last Month 1 Month to 3 months ago More than 3 months ago Never
* Potato Chips
* Carbonated Milk
* Soup
* Diet Soda/Soft Drinks
* Spaghetti
 
 
 
* 9. You mentioned you have eaten potato chips recently. On average, how often do you consume potato chips?
 
More than once a day
 
Once a day
 
2-6 times per week
 
Weekly
 
2-3 times per month
 
Once a month
 
Once every 2-3 months
 
 
10. How much do you like the following flavors of potato chips? If you have not tried the flavor please answer with much you think you would like it.
Dislike Extremely Dislike Moderately Dislike Slightly Neither Like nor Dislike Like Slightly Like Moderately Like Extremely
* Roasted Red Pepper & Goat Cheese
* Jalapeno Jack
* Salsa w Mesquite
* Cheddar Beer
* Red Chili
* Parmesan & Black Pepper
* Dill & Sour Cream
 
 
 
Q10A. Which type of potato chip do you prefer?
 
Thick Cut
 
Thin Cut
 
 
 
* 11. Which of the following potato chip brands do you consume at least 2-3 times per month?
 
Pringles
 
Cape Cod
 
Kettle™
 
Lay’s Natural
 
Dirty
 
Lay’s Regular
 
Krunchers
 
Ruffles Regular
 
Vitner’s
 
Jay’s
 
Herr’s Kettle Cooked
 
Boulder
 
Michael’s Seasons
 
Lay’s Kettle Cooked
 
Barcel
 
Potato Juicer
 
Ruffles Natural
 
Terra

 
 
 
* 11A. Please select ALL of the availible option(s) below
 
User Type A
 
User Type B

 
 
 
* 12. How comfortable are you with using a computer and mouse?
 
Extremely comfortable
 
Moderately comfortable
 
Slightly comfortable
 
Not at all comfortable
 
 
 
* 13. Please select your gender.
 
Male
 
Female
 
 
 
* 13A. are you currently pregnant or nursing?
 
Yes
 
No
 
 
 
* Thank you, it looks like you have pre-qualified for this project.

This study would require you to come to our facility in Mokena, IL for 2 days on Tuesday, October 4th and Wednesday, October 5th.

The test will take about 1 hour per day and you will be paid $60 for your time. would you be interested in participating in this test?
 
YES
 
NO
 
 
 
* Please select the time that would work best for you on Tuesday, October 4th and Wednesday, October 5th.
 
10:00 AM
 
11:30 AM
 
Neither time works, but keep me in mind if other times become availible
 
 
Please confirm your contact information so we can call you back at the correct phone number
* First Name : 
* Last Name : 
* Phone XXX-XXX-XXXX : 
 
 
 
* Thank you for signing up for this project. Here is what to expect now:

We will be reviewing your answers from this survey and will be calling back to confirm a few items and your scheduled time. This should happen within 24-72 hours of you completing this pre-qualification survey.

On the day of the study:
Please arrive 20 minutes prior to the session start time in order to check in, as the session will commence on time and any late arrivals will not be admitted and may be turned away without payment.

- Bring a picture ID that verifies your name and age.
- Do not eat a large meal before the study.
- Refrain from smoking, chewing gum or drinking coffee at least 30 minutes before the study.
- Do not CONSUME any alcoholic beverages or drugs at least 6 hours before the study.
- Do not wear any fragrances such as hairspray, lotion, perfume or cologne on this day. (Those that arrive with fragrances on may be asked to leave without compensation.)
- If you need glasses to read, please bring them as you will be reading and answering a questionnaire.
- We are not able to provide child care. If you need to bring children under 12 to the facility, you must bring another responsible adult to supervise them. Children 12 and over will be allowed to wait alone for you at the facility.

If you are unable to attend on the day, please CALL 708.478.4035 to cancel.

Our address and a link to google maps will be displayed on the next page once you select yes below
 
Yes, I agree with the terms of the study
 
No, I do not agree and cannot attend
 
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