FocusJr
New Moms Diaper Study
Name
Telephone number
Address
City
State
Zip code
Email address
What is your job title or position?
Are you:
Male
Female
Just to check, are you the female head of the household?
Yes
No
May I have your age please?
What is the name, age, and gender of each person living in your household?
Are you, yourself, the parent and primary caretaker of a child between the ages of 0-9 months OR pregnant with your first child?
Yes
No
Is the child mentioned above your only child?
What is your current employment status? Are you….
Where are all the working members of your household, including yourself, employed? Any others?
Are you or is any member of your household currently employed by, previously employed by, or retired from any of the following types of companies? Please check any that apply.
Ad/market research company or ad/market department
Broadcast/TV/newspaper/other media
Baby care or baby product manufacturer/wholesale/retailer
Sales of baby product in a supermarket or store
As a Manager of a Grocery Store, Supermarket, Mini/Quick Market, Discount Store, Drug Store, or Mass Merchandiser
Have you, yourself, participated in a marketing research study in the past six months, or not?
Yes
No
Please tell me to what degree you, yourself, participate in shopping for your baby care products. Would you say you…
Almost always purchase baby care products for the household
Share about equally the responsibility for purchasing baby care products for the household
Sometimes purchase baby care products for the household
Rarely or never purchase baby care products for the household
In just the past three months, what types of baby care items have you, yourself, purchased for your baby.
Cloth diapers
Disposable Diapers
Baby Bottles
Wipes
Formula
Pacifiers
Shampoo/Lotion
Other
What best describes the type of diaper your child wears?
Disposable diapers only
Mostly disposable diapers, some cloth diapers
Mostly cloth diapers, some disposable diapers
Cloth diapers only
What ONE size of ______________ disposable diaper are you currently using most of the time for your child? Diaper Size: _____________
What one brand of disposable diapers have you, yourself, purchased and used most often in the past 6 months for your child? (CHECK ONE.)
Are there any brands of disposable diapers that you would NEVER consider using?
Huggies
Luvs
Pampers
Store Brand/Private Label
Other
In the past 3 months, have you BOUGHT any of the following brands of baby care products for your baby (products outside of diapers)?
I’m going to read you a list of statements that correspond to how you care for yourself and your baby. After each statement please tell me if you agree or disagree
I make my own baby food because I know how important it is to give my baby fresh and non-processed ingredients.
Agree
Disagree
I am careful about choosing toys for my baby and prefer wood to plastic.
Agree
Disagree
When shopping for products for my baby, one of the first things I do is look at the ingredient list.
Agree
Disagree
I often buy natural products for both my baby and myself.
Agree
Disagree
I don’t regularly compost, but I often think about ways to recycle.
Agree
Disagree
I prefer to purchase products that are organic when possible.
Agree
Disagree
I pay attention to the social impact of brands that I choose to purchase.
Agree
Disagree
Thinking of the times when you purchase disposable diapers, which of the following statements best describes how you, yourself, choose your products. Choose one answer.
*I buy the lowest priced disposable diapers
*I routinely buy the lowest priced disposable diapers from among a limited set of acceptable brands I trust
I found a disposable diaper or pant that is better than other brands and it costs less, so I stick with it
*I occasionally pay a little extra for disposable diapers/pants I like or think are a little better.
I routinely pay a little extra for disposable diapers/pants I like or think are a little better
Price is not something I think about when buying disposable diapers or pants – I buy what *I want and don’t worry about price
I am going to read to you a list of products that you may have purchased. For each product, please tell me how much you approximately spent or that you typically spend in a typical month. Please also tell me the brand name(s).
Baby Stroller (Need amount and brand name)
Baby Car Seat (Need amount and brand)
In order to represent all groups equally, which of the following best describes your ethnic background?
African-American
Asian
Caucasian
Hispanic
Native American
Bi-racial
Other
Please tell me what level of education have you, yourself, have completed?
Attended high school, but did not graduate
High school graduate
Completed some college
College Graduate
Post graduate/study/degree
Other
Which of the following ranges includes your total yearly household income?
Less than $50,000
$50,000 - $74,999
$75,000-$99,000
$100,000 or more
For each of the following, please tell me how much this statement describes you, yourself, if at all using a scale from one to five. 1 means the statement does not describe you at all and 5 means the statement describes you perfectly.
I am a person who enjoys expressing my opinions and ideas
I enjoy doing projects that allow me to be creative
1
2
3
4
5
I am always looking for new, exciting activities to participate in
1
2
3
4
5
I enjoy participating in group discussions and activities
1
2
3
4
5
I am interested in how things work
1
2
3
4
5
I like activities like puzzles, crosswords and games
1
2
3
4
5
I like a good debI like a good debate and exchange of ideasate and exchange of ideas
1
2
3
4
5
I think of myself as a creative person
1
2
3
4
5
I’m comfortable talking with others even if I haven’t met them before
1
2
3
4
5
I have a question that I would like you to have some fun with. There are no right or wrong answers; I encourage you to use your imagination as much as possible. Can you tell me about 2 things you could use a paper clip for, besides holding papers together?
Submit Your Responses