$50 Consumer Focus Group - New York area

[pepper60]

Reply to: FocusConsumer@gmail.com

We are looking for individuals to participate in an upcoming research discussion on Tuesday, June 3. Please be assured that we are not selling anything and that the information gathered will remain confidential and will be used for research purposes only. If you are interested in participating and qualify for our study, we will ask you to take part in a group discussion which will last no more than two hours. In recognition for your time, you will receive $50 cash.

If you are interested in participating, please answer the following nine questions by putting an “X” next to the ONE answer that best fits you. There are no “wrong” answers. These questions simply help us get a mix
of different sorts of people.

Remember, please select only ONE answer for each question. If you feel like more than one answer applies to you, please select the one answer that fits you best.

When you are done, please email the information below to: FocusConsumer@gmail.com

1 – Thinking about a typical week, how often would you say you consume meals “on the go”? By on the go, we mean meals that are consumed when you are not at home or at a restaurant.
___ I typically don’t eat meals on the go at all
___ Once or twice in a typical week
___ Three or four times in a typical week
___ Five or six times in a typical week
___ Seven or more times in a typical week

2 – Gender:
___ Female
___ Male

3 - Which of the following ranges includes your age?
___ 19 years old or under
___ 20 to 29
___ 30 to 44
___ 45 to 54
___ 55 to 65
___ 66 or over

4 – Which of the following best describes your highest level of education?
___ Less than high school graduate
___ High school graduate
___ Some college
___ College graduate
___ Post graduate degree

5 – Do you currently have any children under the age of 18 living with you?
___ Yes
___ No


6 – What is your marital status?
___ Married
___ Single
___ Divorced/Separated/Widowed
___ Cohabitating with a significant other

7 - What is your current employment status?
___ Employed Full time
___ Employed Part time
___ Unemployed
___ Homemaker
___ Retired

8 - Which of the following ranges includes your household annual income?
___ Under $20,000
___ $20,000 but less than $30,000
___ $30,000 but less than $50,000
___ $50,000 but less than $100,000
___ Over $100,000

9 – This study takes place on Tuesday, June 3. The discussion will take place in the afternoon or evening. Are you available at these times?
___ Yes
___ No
___ Available afternoon only
___ Available evening only

Name: ______________________________________________
Home Phone: _________________________________________
Work Phone: _________________________________________
Cell Phone: __________________________________________
Email address: ________________________________________
Which city / borough and neighborhood do you work in? _____________________________________________
Which city / borough and neighborhood do you live in? ______________________________________________

What is the best time to reach you? _______________________
What is the best phone number? __________________________

Thank you very much for your potential help with this study! We will contact you in the next few days if you qualify. If you do not hear from us, it means the discussions are already filled.

Please email your answers to: FocusConsumer@gmail.com