Beverages
This questionnaire is a pre-screener to seek eligibility for a market research project. You do NOT get compensated for filling out this form. If you pre-qualify, you will receive a text or email from a Recruiter to call our office.  

Online Project via Desktop/Laptop with Webcam and mic (NO CHROMEBOOK/TABLETS/PHONES)

Dates available:
Tuesday, Aug. 24
Wednesday, Aug. 25

Compensation: (if chosen) - $75-125
Total Length – 2 HOURS

Open to ages 18-50

Times are for reference only, booked by available quotas. (All times listed are Eastern Time, login is required 20 minutes prior to start time)
G3: Tues, Aug 24 (3pm-5pm)
G4: Wed, Aug 25 (10am-12pm)
G5: Wed, Aug 25 (12:30pm-2:30pm)
G6: Wed, Aug 25 (3pm-5pm)
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Email *
First Name * *
Last Name *
Your Age * *
Your Age * *
What is your date of Birth? * *
MM
/
DD
/
YYYY
Gender * *
Ethnicity/Race
White - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa

Black or African American - A person having origins in any of the black racial groups of Africa.

Asian - A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

Hispanic or Latino - A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

Native Hawaiian or Other Pacific Islander - A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

American Indian or Alaska Native - A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.
Ethnicity/Race * *
Please use reference description above
Required
Email * (if you have a Gmail account please enter that email address, preferred) *
Best Number to Text * *
Cell Phone Carrier * *
Alternate Number
Advanced Opinions communicates via text may we text to communicate with you? * *
Advanced Opinions communicates via email may we email you to communicate with you? * *
State *
The County you Live in (i.e., Lehigh) * *
The Make/Model of your Cell Phone * *
If you are a Student, are you
Clear selection
What is the highest level of education you have completed? * *
Are you currently * *
Required
If you are currently working, please briefly describe your employment. (IF UNEMPLOYED/HOMEMAKER/RETIRED ENTER PREVIOUS) * If not applicable, enter N/A *
What is your job title? (IF UNEMPLOYED/HOMEMAKER/RETIRED ENTER PREVIOUS) * If not applicable, enter N/A *
What is the name of the company/organization you work for? (IF UNEMPLOYED/HOMEMAKER/RETIRED ENTER PREVIOUS) * If not applicable, enter N/A *
If you are currently working, what industry do you work in? (IF UNEMPLOYED/HOMEMAKER/RETIRED ENTER PREVIOUS) *  If not applicable, enter N/A *
(IF MARRIED OR CO-HABITATING) What is your spouse or partner’s current occupation? What Industry are they currently working in? (IF UNEMPLOYED/HOMEMAKER/RETIRED ENTER PREVIOUS) *Example: FT/Bus Driver/Transportation (If not applicable, enter N/A) *
W. As I read the following broad income categories, please tell me in which range your household income falls before taxes. This is for the combined salary of all the household members who work. Would you estimate your household income to be… *
We are not interested in your exact income, but want to ensure that we include a representative sample of households of all different income levels in our research.  
Which of the following best represents your current marital status? * *
Are you a parent/legal guardian.... *
If yes, how old are they? * *
Required
Sometimes, we are looking for individuals who work in certain industries. Would you please tell me if you or anyone in your household or in your immediate family works in or has ever worked in any of the following industries:   *
Required
A. When did you last participate in a research group discussion or interview? By this, we mean any research study at ANY research facility or conducted online?  And are you currently scheduled to participate in any research studies at ANY facility in the future? *
When was the last time, if ever, you participated in a research group discussion or interview on the topic of beverages or beverage-related? *
G. Who in your household is responsible for the majority of the household grocery shopping? *
H. Do you or any member of your household have any allergies or sensitivities to any food or beverage ingredients? *
I. Now I want to learn how important some specific factors are for you as you shop for foods and beverages for your household. Which of the following factors do you consider, if any? *
Yes, Consider
No
Price (including sales, coupons, etc.)
Value/amount of product for the money
Personal brand and/or flavor preferences
Nutrition (e.g., calories, sugar, vitamins, etc.)
Quality and/or type of ingredients
Interesting/unique packaging
Other
If you said YES to OTHER. please list OTHER specific factor that you consider when shopping for foods and beverages for your household, if you selected NO, please skip
J. Now I am going to read you a list of some different kinds of beverages. After I read each, please tell me the last time, if ever, you purchased that type of product for yourself. After I read each of the following beverage types, please tell me if you purchased it in… *
LAST TIME PURCHASED
Past Week
Past 1 month
Past 3 months
Past 6 months+
NA
Full-calorie carbonated soft drinks/ soda (e.g. Coke, Dr Pepper, Pepsi)
Diet or zero calorie carbonated soft drinks/ soda (e.g. Diet Coke, Diet Dr Pepper, Coke Zero, etc.)
100% Juices (e.g. Mott’s, Tropicana, Minute Maid)
Non-100% fruit juice blends or fruit juice drinks (e.g., V8 Splash, Capri Sun (not the 100% juice variety), etc.)
Bottled flavored water (i.e., Vitamin Water, Propel, etc.)
Bottled non-flavored still or sparkling water
Bottled iced teas (i.e., Arizona, Snapple, Lipton, etc.)
Energy drinks (i.e. Red Bull, Monster)
K. Thinking about your past month which of the following statements describe a need or feeling that you had when selecting the beverages, you have consumed? *
Yes
No
I wanted to indulge/treat myself
I wanted to feel like I was making a healthy choice
I wanted to feel comforted
I wanted to satisfy a craving for a favorite of mine
I wanted to feel happy/boost my mood
I wanted to feel like I was celebrating
I wanted to live in the moment
I want to take a moment for me
L. I’m going to read you another list of statements.   Please tell me which of the following statement best describes you?   *
Carbonated beverages (Diet or zero calorie carbonated soft drinks/ soda (e.g. Coke, Dr Pepper, Pepsi, Diet Coke, Diet Dr Pepper, Coke Zero, etc.)
N. ANSWER ONLY THOSE THAT YOU CONSUME IN THE PAST MONTH/30 Days: Do you consume the regular or diet/zero calorie version of the following MOST OFTEN? *
ONLY CHECK OFF THOSE THAT YOU CONSUME AND PURCHASE INTHE PAST MONTH/30 Days (Please be aware most people will only consume and purchase 0-3 of the list below, we will not be able to consider you if you select too many)
Did not consume PAST MONTH/30 Days
Diet/Zero
Regular
Sprite
7Up
Coke
Coke Cherry
Coke Cherry Vanilla
Coke Orange Vanilla
Coke Zero
Coke Cherry Vanilla Zero
Coke Cherry Zero
Coke Orange Vanilla Zero
Pepsi Mango
Pepsi Zero Sugar Mango
Pepsi Zero Sugar
Pepsi Zero Sugar Wild Cherry
Pepsi Wild Cherry
Pepsi Wild Cherry Vanilla
Pepsi
Mountain Dew
Mountain Dew Zero
Mountain Dew Zero Sugar Major Melon
Mountain Dew Code Red
Mountain Dew Ice Lemon Lime
Mountain Dew Live Wire
Mountain Dew Voltage
Mountain Dew Major Melon
Mountain Dew White Out
Dr. Pepper
Dr. Pepper Cream Soda
Dr. Pepper Cherry Vanilla
Dr. Pepper Cherry
O. ANSWER ONLY THOSE THAT YOU CONSUME IN THE PAST MONTH/30 Days: On how many separate occasions in the past 30 days have you consumed *
Past Month/30 Days Number Consumed (1 serving = 1)  (Please be aware most people will only consume and purchase 0-3 of the list below, we will not be able to consider you if you select too many)
0
1
2
3
4
5
6+
Sprite
7Up
Coke
Coke Cherry
Coke Cherry Vanilla
Coke Orange Vanilla
Coke Zero
Coke Cherry Vanilla Zero
Coke Cherry Zero
Coke Orange Vanilla Zero
Pepsi Mango
Pepsi Zero Sugar Mango
Pepsi Zero Sugar
Pepsi Zero Sugar Wild Cherry
Pepsi Wild Cherry
Pepsi Wild Cherry Vanilla
Pepsi
Mountain Dew
Mountain Dew Zero
Mountain Dew Zero Sugar Major Melon
Mountain Dew Code Red
Mountain Dew Ice Lemon Lime
Mountain Dew Live Wire
Mountain Dew Voltage
Mountain Dew Major Melon
Mountain Dew White Out
Dr. Pepper
Dr. Pepper Cream Soda
Dr. Pepper Cherry Vanilla
Dr. Pepper Cherry
P. ANSWER ONLY THOSE THAT YOU CONSUME IN THE PAST WEEK/7 Days: On how many separate occasions in the past 7 days have you consumed *
Past Week/7 Days Number Consumed (1 serving = 1)  (Please be aware most people will only consume and purchase 0-3 of the list below, we will not be able to consider you if you select too many)
0
1
2
3
4
5
6+
Sprite
7Up
Coke
Coke Cherry
Coke Cherry Vanilla
Coke Orange Vanilla
Coke Zero
Coke Cherry Vanilla Zero
Coke Cherry Zero
Coke Orange Vanilla Zero
Pepsi Mango
Pepsi Zero Sugar Mango
Pepsi Zero Sugar
Pepsi Zero Sugar Wild Cherry
Pepsi Wild Cherry
Pepsi Wild Cherry Vanilla
Pepsi
Mountain Dew
Mountain Dew Zero
Mountain Dew Zero Sugar Major Melon
Mountain Dew Code Red
Mountain Dew Ice Lemon Lime
Mountain Dew Live Wire
Mountain Dew Voltage
Mountain Dew Major Melon
Mountain Dew White Out
Dr. Pepper
Dr. Pepper Cream Soda
Dr. Pepper Cherry Vanilla
Dr. Pepper Cherry
Q Please tell me which brands, if any, you would not consume in the future:   *
Required
R. How comfortable would you say you are expressing your opinions and feelings in a group setting? Would you say you are… *
AO1. When purchasing and consuming carbonated beverages and flavors for myself, I choose to purchase and consume *
AO2. When purchasing and consuming carbonated beverages and flavors for myself, please choose which statement best reflects your purchasing and consuming habits of carbonated beverages and flavors *
Carbonated beverages (Diet or zero calorie carbonated soft drinks/ soda (e.g. Coke, Dr Pepper, Pepsi, Diet Coke, Diet Dr Pepper, Coke Zero, etc.)
AO3. How many TOTAL servings of carbonated beverages have you purchased and consumed in the PAST MONTH/30 DAYS? *
Carbonated beverages (Diet or zero calorie carbonated soft drinks/ soda (e.g. Coke, Dr Pepper, Pepsi, Diet Coke, Diet Dr Pepper, Coke Zero, etc.)
How many Soda/Carbonated Beverages would you say you have in a typical week, by this we mean how many servings? *
Please be aware we are looking for both Light and Heavy Drinkers, if you indicate less than 10 servings in a week, that is good, currently we have a lot of quota open for light drinkers
AO4. How many TOTAL servings of carbonated beverages have you purchased and consumed in the PAST week/7 DAYS? *
Carbonated beverages (Diet or zero calorie carbonated soft drinks/ soda (e.g. Coke, Dr Pepper, Pepsi, Diet Coke, Diet Dr Pepper, Coke Zero, etc.)
AO5. Which ONE brand is your “go to” favorite brand of carbonated beverages? *
AO6. Is that “go to” favorite brand of carbonated beverage? *
AO7. When it comes to your “go to” favorite brand of carbonated beverage, which statement best describes you? *
Research
In order to participate in this study, you will need access to both a computer/laptop with a webcam and a mobile device. You will be required to complete a tech check prior to participating.

There will be two parts to this research. The first part of the study will consist of an evaluation of concepts as part of a larger group, and will last 45 minutes. During this part of the research, you will be using the key pad on your phone to select answers to the questions presented to you via a website on your computer, and will not be required to download any apps onto your phone. If selected, and should you decide to join us, you will receive ($75.00) in appreciation of your time and cooperation.

When the first part of the research is complete, you may be selected to continue with a smaller group discussion.  This second part will last 75 minutes.  If you are selected, you will receive an additional ($50.00) in appreciation of your time and cooperation. You need to be available for this second part just in case you are selected to continue.

You should plan to be logged into the discussion 20 minutes before the start of Part 1 of the research so that our tech partner can get you checked in and set up to participate.  

We ask that you can dedicate your full attention to the research during the time it is taking place, which would require that you do not answer personal phone calls/emails/texts on your mobile phone during the research.


Are you interested in participating? *
Do you have a Smartphone you can access and use during the research session? *
Please confirm you will also use a Computer with working webcam and working mic for the Interview *
The computer with working webcam  and working mic you will use, will this be a... *
This project requires a Computer (Windows/Apple) with working webcam and working mic
What is the year you purchased your Computer *
Are you familiar and comfortable with use of computers *
Will you have access BOTH a desktop or laptop AND a mobile device for the interview *
Is the Computer with working webcam and working mic a PC with Windows, Windows 7 or later, or a MAC with OS X *
Will you be able to use Explorer 8 or later, Firefox,  Safari or Google Chrome *
Do you have Adobe Flash Player 13.0 or higher installed on their computer that they will be using for the interview OR be willing to install it prior to the interview *
Which Dates/Times work best for you (All times listed are Eastern Time, you will also be required to login 20 minutes prior to start time) *
Required
Your Full Legal Name, if selected for Compensation *
Home Address *
Example: 123 Main Street
Apt/FL/Unit
City *
State *
Zip *
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