FocusJr

Name

Telephone number

Address

City

State

Zip code

Email address

What is your job title or position?

Do you have a daughter or son between the ages of 14-17 ?

Yes
No

We are conducting a market research study on beverages. Would it be OK with you if your son or daughter participates in a an interview or friendship group concerning the beverages they consume on a regular basis?

Yes
No

FOR THE FOLLOWING QUESTIONS YOUR TEEN BEVERAGE DRINKER NEEDS TO ANSWER THE FOLLOWING QUESTIONS.

Are you:

Male
Female

Are you or is any member of your household employed by, laid off from or unemployed from, or retired from any of the following types of companies?

Advertising agency or public relations firm.
News media such as TV, radio, newspaper, magazine.
A market research firm or the market research department within a company.
A company that sells, manufactures or distributes any type of consumer beverages.
A retailer or wholesaler of consumer beverages

Have you taken part in any market research studies, including attending focus groups or in-home visits, about consumer beverages in the past 12 months?

Yes
No

What is your current employment status?

Employed full time
Employed part time
Full time student
Stay at home parent
Unemployed – looking for work
Unemployed – not looking for work
Retired

What is your profession? (If student just write in student)

FOR STUDENTS: What is your current grade?

What is your exact age?

Who makes the food/beverage decisions in your household?

I make the decisions, solely.
I share in the decision making with someone else in my household.
My parents are the primary decision maker for beverages in my household.

When it comes to beverages which of the following do you consume on a regular basis?

Milk
Soda (Any brand)
Lemonade
Capri Sun
Iced Tea
Iced Coffee Drinks
Monster
Energy Shot
Fresh fruit juices
Fresh Vegetable juices
Bottled Fresh Fruit Juice
Bottled Vegetable Juice
Coconut Water
Gatorade
Powerade
Filtered or Bottled Water

If you drink Lemonade, Soda, Sports Drinks Iced Coffee Drinks or Energy Drinks, please tell me your FAVORITE BRAND, the brand that you purchase most often.

Lemonade (Favorite Brand/ If do not drink write in "do not drink".

Sports Drinks (Favorite Brand/ If do not drink write in "do not drink"

Soda (Favorite Brand/ If do not drink write in "do not drink"

Iced Coffee (Favorite Brand/ If do not drink write in "do not drink"

Energy Drink (Favorite Brand/ If do not drink write in "do not drink"

Are there any drinks listed below that you would never consider purchasing? Check any that apply.

Lemonade
Sports Drinks
Soda
Iced Coffee
Energy Drinks

How many times a month do you drink your favorite brands (Ex: 1x per month, 2x month, 3x month etc…?

Lemonade

1x week
2x week+
1x per month
2x per month
Do not drink lemonade

Sports Drinks

1x week
2x week+
1x per month
2x per month
Do not drink sports drinks

Soda

1x week
2x week+
1x per month
2x per month

Iced Coffee

1x week
2x week+
1x per month
2x per month

Energy Drinks

1x week
2x week+
1x per month
2x per month

Are there any drinks below that you used to drink in the past BUT do not drink anymore.

Milk
Soda (Any brand)
Lemonade
Capri Sun
Iced Tea
Iced Coffee Drinks
Monster
Energy Shot
Fresh fruit juices
Fresh Vegetable juices
Bottled Fresh Fruit Juice
Bottled Vegetable Juice
Coconut Water
Gatorade
Powerade

Please tell us WHY you choose your favorite brand(s) for the different beverages you consume? If you do not drink a particular beverage listed below, please write in "do not drink".

Lemonade (Please name brand and tells us why you drink this brand)?

Sports Drinks (Please name brand and tells us why you drink this brand)?

Soda (Please name brand and tells us why you drink this brand)?

Iced Coffee (Please name brand and tells us why you drink this brand)?

Energy Drink (Please name brand and tells us why you drink this brand)?

What highest level of education have you, yourself, completed?

Currently in High School
High school graduate
Some college
Graduate of a 2-year college
Graduate of a 4-year college
Currently In Post graduate program

What is your annual household income?

Less than $40K
40K - $64,999
$65K - $74,999
$75K - $99,999
$100K - $149,999
$150K+

Which ethnic group do you most closely identify with?

African-American
Asian
Caucasian
Hispanic/Latino
Native American
Bi-racial
Other

Now I am going to ask you a question that has no right or wrong answer, I would just like to explore your creative side a little more. Imagine you could have dinner with any person either living or not, who would it be and what questions would you ask of them during dinner?

For Parents Only: Do you have any children living at home. If yes, what are their ages?

Do you have any cats living in Household?

Yes
No

Submit Your Responses