S Survey | | |SAMPLE: | | | |600 adults aged 18+, primary grocery shopper, who have purchased dairy milk or a milk substitute product in the past six months | I. SCREENING 1. Please indicate your gender. o Male o Female (**SCREEN BREAK**) . Which of the following describes your age? (Select one) o Under 18 (**TERMINATE**) o 18-24 (**CONTINUE**) o 25-29 (**CONTINUE**) o 30-34 (**CONTINUE**) o 35-39 (**CONTINUE**) o 40-44 (**CONTINUE**) o 45-49 (**CONTINUE**) o 50-54 (**CONTINUE**) o 55-59 (**CONTINUE**) o 60-64 (**CONTINUE**) o 65 or older (**CONTINUE**) (**SCREEN BREAK**) 3. Which of the following best describes your role in doing your household’s grocery shopping? (Select one) You do almost all of the grocery shopping for your household (**CONTINUE**) o You and someone else do the grocery shopping, but you do the majority (**CONTINUE**) o You share the household grocery shopping equally with someone else (**CONTINUE**) o You and someone else do the grocery shopping, but someone else does the majority (**TERMINATE**) o Someone else does almost all of the grocery shopping for your household (**TERMINATE**) (**SCREEN BREAK**) 4. Which of the following, if any, have you ever purchased? Select as many as apply) ? Eggs ? Cheese ? Milk ? Rice Milk ? Soymilk ? Yogurt ? None of these (**NO SCREEN BREAK**) 5. And which of the following, if any, have you purchased in the past six months? (Select as many as apply) ? Eggs ? Cheese ? Milk ? Rice Milk ? Soymilk ? Yogurt ? None of these (** “MILK”, “RICE MILK” OR “SOYMILK” MUST BE MENTIONED IN ORDER TO CONTINUE. OTHERWISE, TERMINATE – DOES NOT COUNT TOWARDS QUOTA **) (**SCREEN BREAK**) 6. Which of the following best describes you regarding milk substitutes like rice milk or soymilk? Select one) o I have been buying milk substitutes for at least six months (**MAINTENANCE**) o I just started buying milk substitutes within the past six months (**ACTION**) o I’ve been thinking about buying milk substitutes and likely will within the next month or so (**PREPARER**) o I’ve been thinking about buying milk substitutes but probably won’t for the next 3-six months or so (**CONTEMPLATOR**) o I really have no plans at all to start buying milk substitutes (**PRE-CONTEMPLATOR**) (**SCREEN BREAK**) II. PSYCHOGRAPHIC 7.

How well does each of the following statements describe you? (Select one across for each) Scale: Describes Me Very Well Describes Me Somewhat Well Doesn’t Really Describe Me Doesn’t Describe Me At All Statements: (**RANDOMIZE LIST**) Relaxing in front of the TV is important to me I like to read for pleasure I’m interested in the arts Variety is important to me I consider myself frugal If pressed, I will experiment with something new I try to be healthy, but I eat the things I like even if they aren’t healthy When I find something I like I stick with it

We Will Write a Custom Essay Specifically
For You For Only $13.90/page!


order now

I like it when children express themselves I’m a bargain hunter I always buy organic I like to try new things I always eat a balanced diet I’m always willing to give something a second chance I love to exercise I believe parents know what’s best for their children My refrigerator is always full If I don’t like something once, I won’t go back to it I buy organic when I can I’m a coupon clipper Organic food is just too expensive If I like a household product, its cost isn’t that important (**SCREEN BREAK**)