MHNC-2011 Consumer Choices Question Title * 1. MURRAY HILL NATIONAL, A NATIONAL MARKET RESEARCH COMPANY HAS BEEN COMMISSIONED TO INTERVIEW PARTICIPANTS FOR AN UPCOMING PROJECT. IF YOU ARE INTERESTED PLEASE ANSWER ALL OF THE QUESTIONS Name: Company: Address: Address 2: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: Country: Email Address: Phone Number: Question Title * 2. Gender Male Female Question Title * 3. What is your ethnicity? White, Non-Hispanic African American or Black, Non-Hispanic Hispanic/Latino/Latina American Asian/Pacific Islander/Filipino Other Question Title * 4. In which of the following ranges does your age fall 18-24 25-29 30-34 35-39 40-44 45-49 50-54 Over 55 Question Title * 5. Are you currently pregnant or nursing? Yes No Question Title * 6. Do you have any food allergies, sensitivities or dietary restrictions of any kind to any of the following products? Yes No Question Title * 7. Are you responsible for purchasing the following categories. Drip Coffee Nut Butters (Peanut butter, Almond Butter, Cashew Butter, etc) Cereals I am the main responsible for purchasing I am the main responsible for purchasing Drip Coffee I am the main responsible for purchasing Nut Butters (Peanut butter, Almond Butter, Cashew Butter, etc) I am the main responsible for purchasing Cereals I share equally responsibility for purchasing with someone else in the family I share equally responsibility for purchasing with someone else in the family Drip Coffee I share equally responsibility for purchasing with someone else in the family Nut Butters (Peanut butter, Almond Butter, Cashew Butter, etc) I share equally responsibility for purchasing with someone else in the family Cereals Someone else in the family is the main responsible for purchasing Someone else in the family is the main responsible for purchasing Drip Coffee Someone else in the family is the main responsible for purchasing Nut Butters (Peanut butter, Almond Butter, Cashew Butter, etc) Someone else in the family is the main responsible for purchasing Cereals Question Title * 8. Which range your household’s annual income before taxes falls into? Less than $24,999 $25,000- $49,999 $50,000- $59,999 $60,000- $69,999 $70,000- $74,999 $75,000- $79,999 $80,000 - $89,999 $90,000- $99,999 $100,000 -$124,999 $125,000 - $149,999 $150,000-$174,999 $175,000 or more Question Title * 9. For informational purposes only could you tell me, what is the highest level of education that you have completed? Some High school Completed High School or equivalent Some College Completed a College degree Some graduate study Completed Graduate degree Question Title * 10. Which of the following products have you personally purchased and/or consumed in the past 6 months? Cereals Chocolate Spreads/Nut Butter Hot coffee Toothpaste Liquid Floor Cleaner Biscuits None of these Question Title * 11. The following is a list of Cereal brands. Can you please tell me which ones you: Cheerios Kellogg's Frosted Flakes Honey Nut Cheerios Honey Bunches of Oats Cinnamon Toast Crunch Have bought in the last 6 months Have bought in the last 6 months Cheerios Have bought in the last 6 months Kellogg's Frosted Flakes Have bought in the last 6 months Honey Nut Cheerios Have bought in the last 6 months Honey Bunches of Oats Have bought in the last 6 months Cinnamon Toast Crunch Usually buy (purchase regularly) Usually buy (purchase regularly) Cheerios Usually buy (purchase regularly) Kellogg's Frosted Flakes Usually buy (purchase regularly) Honey Nut Cheerios Usually buy (purchase regularly) Honey Bunches of Oats Usually buy (purchase regularly) Cinnamon Toast Crunch Don't ever buy Don't ever buy Cheerios Don't ever buy Kellogg's Frosted Flakes Don't ever buy Honey Nut Cheerios Don't ever buy Honey Bunches of Oats Don't ever buy Cinnamon Toast Crunch Question Title * 12. Currently, how often do you (personally) consume Cereal? Daily, 3+ times a week Daily, 2 times a week Daily, once a day 4-6 times a week 2-3 times a week Once a week Once every 2 - 3 weeks Less often Question Title * 13. The following is a list of coffee brands. Can you please tell me which ones you: Caribou Dunkin' Donuts Gevalia Illy Intelligentsia Kicking Horse Lavazza Mc Cafe Peet's Coffee Seattle's Best Coffee Starbucks Have bought in the last 3 months Have bought in the last 3 months Caribou Have bought in the last 3 months Dunkin' Donuts Have bought in the last 3 months Gevalia Have bought in the last 3 months Illy Have bought in the last 3 months Intelligentsia Have bought in the last 3 months Kicking Horse Have bought in the last 3 months Lavazza Have bought in the last 3 months Mc Cafe Have bought in the last 3 months Peet's Coffee Have bought in the last 3 months Seattle's Best Coffee Have bought in the last 3 months Starbucks Usually buy Usually buy Caribou Usually buy Dunkin' Donuts Usually buy Gevalia Usually buy Illy Usually buy Intelligentsia Usually buy Kicking Horse Usually buy Lavazza Usually buy Mc Cafe Usually buy Peet's Coffee Usually buy Seattle's Best Coffee Usually buy Starbucks I don't ever buy I don't ever buy Caribou I don't ever buy Dunkin' Donuts I don't ever buy Gevalia I don't ever buy Illy I don't ever buy Intelligentsia I don't ever buy Kicking Horse I don't ever buy Lavazza I don't ever buy Mc Cafe I don't ever buy Peet's Coffee I don't ever buy Seattle's Best Coffee I don't ever buy Starbucks Other (please specify) Question Title * 14. Thinking about the coffee that you purchase to make at home, which of the following best describes what you mostly buy CANNED FILTER / DRIP COFFEE CANNED ESPRESSO COFFEE BAGGED COFFEE K-CUPS / COFFEE MACHINE PODS Question Title * 15. Currently, how often do you (personally) consume coffee? Daily, 3+ times a week Daily, 2 times a week Daily, once a day 4-6 times a week 2-3 times a week Once a week Once every 2 - 3 weeks Less often Question Title * 16. And where do you (personally) consume coffee? At office/work At home At the restaurant or store where I purchased it (including outdoor seating areas) In the car Coffee shop (Starbucks, Dunkin Donuts, Intelligentsia, Peet's, LA Colombe) Other Coffee shop/Local roasters On the go…while walking, commuting on the train/bus, etc. Question Title * 17. Currently, how often do you (personally) consume coffee at home? Daily, 3+ times a week Daily, 2 times a week Daily, once a day 4-6 times a week 2-3 times a week Once a week Once every 2 - 3 weeks Less often Question Title * 18. Have you visited the following coffee shops in the last week? Intelligentsia Blue Bottle Starbucks LA Colombe Peet’s Other coffee shops None of them Question Title * 19. I’m going to read you a list of Chocolate Spreads/Nut Butter brands. Can you please tell me which ones you: Justin's Nutella JIF Have bought in the last 6 months Have bought in the last 6 months Justin's Have bought in the last 6 months Nutella Have bought in the last 6 months JIF Usually buy Usually buy Justin's Usually buy Nutella Usually buy JIF I don't ever buy I don't ever buy Justin's I don't ever buy Nutella I don't ever buy JIF Question Title * 20. Currently, how often do you (personally) consume Chocolate Spreads/Nut Butter? Daily, 3+ times a week Daily, 2 times a week Daily, once a day 4-6 times a week 2-3 times a week Once a week Once every 2 - 3 weeks Less often Question Title * 21. Do you wear any kind of corrective eye wear? Yes, I wear glasses only Yes, I wear glasses and contacts Yes, I wear contacts only No, I do not wear any type of corrective lenses Done