FocusJr
Alcohol Study Los Angeles 2017
Name
Telephone number
Address
City
State
Zip code
Email address
What is your job title or position?
What is your exact age?
Are you:
Male
Female
For each product category, please tell me how often you have personally purchased each over the past 12 months, in a liquor store.
VODKA
Once a week
Once every 2 weeks
Once a month
Once every 2 or 3 months
2 or 3 times a year
Once a year
Never
COGNAC
Once a week
Once every 2 weeks
Once a month
Once every 2 or 3 months
2 or 3 times a year
Once a year
Never
WHISKEY/BOURBON
Once a week
Once every 2 weeks
Once a month
Once every 2 or 3 months
2 or 3 times a year
Once a year
Never
COCKTAIL MIXER
Once a week
Once every 2 weeks
Once a month
Once every 2 or 3 months
2 or 3 times a year
Once a year
Never
BEER
Once a week
Once every 2 weeks
Once a month
Once every 2 or 3 months
2 or 3 times a year
Once a year
Never
For each product category, please tell me how often you have personally drank / used each over the past 12 months.
VODKA
Once a week
Once every 2 weeks
Once a month
Once every 2 or 3 months
2 or 3 times a year
Once a year
Never
COGNAC
Once a week
Once every 2 weeks
Once a month
Once every 2 or 3 months
2 or 3 times a year
Once a year
Never
WHISKEY/BOURBON
Once a week
Once every 2 weeks
Once a month
Once every 2 or 3 months
2 or 3 times a year
Once a year
Never
COCKTAIL MIXER
Once a week
Once every 2 weeks
Once a month
Once every 2 or 3 months
2 or 3 times a year
Once a year
Never
BEER
Once a week
Once every 2 weeks
Once a month
Once every 2 or 3 months
2 or 3 times a year
Once a year
Never
Where do you usually drink them?
VODKA
Mainly at home
Mainly in a bar / restaurant
Both at home and in a bar/restaurant
Never drink
COGNAC
Mainly at home
Mainly in a bar / restaurant
Both at Home and in a bar/restaurant
Never drink
WHISKEY/BOURBON
Mainly at home
Mainly in a bar / restaurant
Both at Home and in a bar/restaurant
Never drink
COCKTAIL MIXER
Mainly at home
Mainly in a bar / restaurant
Both at Home and in a bar/restaurant
Never drink
BEER
Mainly at home
Mainly in a bar / restaurant
Both at Home and in a bar/restaurant
Never drink
Tell us the VODKA brands that you PERSONALLY BOUGHT over the past 12 months in a LIQUOR STORE? If never purchase VODKA then say "never purchase".
What VODKA brand you you buy most often? If you never buy VODKA then say "never purchase"
Tell us the COGNAC brands that you PERSONALLY BOUGHT over the past 12 months in a LIQUOR STORE? If never purchase COGNAC then say "never purchase"
What COGNAC brand you you buy most often? If you never buy COGNAC then say "never purchase"
Tell us the WHISKEY/BOURBON brands that you PERSONALLY BOUGHT over the past 12 months in a LIQUOR STORE? If never purchase WHISKEY BOURBON then say "never purchase".
What WHISKEY/BOURBON brand you you buy most often? If you never buy WHISKEY/BOURBON then say "never purchase"
Tell us the COCKTAIL MIXER brands that you PERSONALLY BOUGHT over the past 12 months in a LIQUOR STORE? If never purchase COCKTAIL MXER then say "never purchase".
What COCKTAIL MIXER brand you you buy most often? If you never buy COCKTAIL MIXER then say "never purchase"
Tell us the BEER brands that you PERSONALLY BOUGHT over the past 12 months in a LIQUOR STORE? If never purchase BEER then say "never purchase".
What BEER brand you you buy most often? If you never buy BEER then say "never purchase"
How often do you browse the following sections when you are in a liquor store?
VODKA
EVERY TIME I SHOP IN A LIQUOR STORE
MOST OF THE TIME I SHOP IN A LIQUOR STORE
SOMETIMES
NEVER / ALMOST NEVER
I CAN’T REMEMBER
COGNAC
EVERY TIME I SHOP IN A LIQUOR STORE
MOST OF THE TIME I SHOP IN A LIQUOR STORE
SOMETIMES
NEVER / ALMOST NEVER
I CAN’T REMEMBER
WHISKEY/BOURBON
EVERY TIME I SHOP IN A LIQUOR STORE
MOST OF THE TIME I SHOP IN A LIQUOR STORE
SOMETIMES
NEVER / ALMOST NEVER
I CAN’T REMEMBER
COCKTAIL MIXER
EVERY TIME I SHOP IN A LIQUOR STORE
MOST OF THE TIME I SHOP IN A LIQUOR STORE
SOMETIMES
NEVER / ALMOST NEVER
I CAN’T REMEMBER
BEER
EVERY TIME I SHOP IN A LIQUOR STORE
MOST OF THE TIME I SHOP IN A LIQUOR STORE
SOMETIMES
NEVER / ALMOST NEVER
I CAN’T REMEMBER
Into which of the following categories does your total annual household income fall?
Under $30,000
$30,000 to under $39,999
$40,000 to under $49,999
$50,000 to under $59,999
$75,000 to under $99,999
$100,000 to under $149,999
$150,000 or higher
Which of the following best describes your ethnic background?
Caucasian/White
African American
Hispanic/Latino
Asian
Native American
Other
Bi-racial
How many people live in your household?
1
2
3
4
5 or more
What is the highest level of eduation that you completed?
Some High School
High School Grad
Some College
College Grad
Some Post Grad
Master's Degree
Ph.D.
Please choose what occupation below best describes you?
Professional - middle management
Professional – high level executive
Skilled professional – doctor, lawyers...
Skilled manual labor
Unskilled manual labor
Student
Retired
Homemaker
Disabled
Not currently working
Other
From the list below, please tell us which is your favorite alcoholic beverage?
Vodka
Cognac
Whiskey/Bourbon
Cocktail Mixer
Beer
Submit Your Responses