Brian - Question Ordering TEST

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1. During this survey you may be shown confidential information. Do you agree not to disclose to any other person or entity any of the information provided to you in this study? By selecting ‘Accept’ below, you signify that you understand and agree with these terms.

Accept,No thanks

2. What is your 5-digit ZIP code?

Today we will be asking you about places that offer (INSERT PRODUCT/SERVICE).

4. When thinking of places that offer (INSERT PRODUCT/SERVICE), what one place comes to mind first?

5. What other places that offer (INSERT PRODUCT/SERVICE) come to mind?

(Insert Brand One)

(Insert Brand Two)

(Insert Brand Three)

(Insert Brand Four)

(Insert Brand Five)

6. Which of the following online sites that sell (INSERT PRODUCT/SERVICE) have you heard of?

7. Which of the following offline/physical locations that sell (INSERT PRODUCT/SERVICE) have you heard of?

INSERT YOUR PHYSICAL LOCATION

INSERT OPTION

Other, Please specify

Don't know

None of the above

8. Regardless of whether you made a purchase, in the past 3 months, at what online places have you visited for (INSERT PRODUCT/SERVICE)?

9. Regardless of whether you made a purchase, in the past 3 months, at what offline/physical places have you visited for (INSERT PRODUCT/SERVICE)?

INSERT YOUR PHYSICAL LOCATION

INSERT OPTION

Other, Please specify

Don't know

None of the above

10. About how often do you buy (INSERT PRODUCT/SERVICE)?

Daily

Less than daily, but at least once a week

Less than weekly, but at least once a month

Less than monthly, but at least once every 3 months

Less than every 3 months, but at least once every 6 months

Less than once every 6 months, but at least once per year

Less often than once per year

11. In the past 3 months, where have you bought (INSERT PRODUCT/SERVICE)?

INSERT YOUR ONLINE SITE

INSERT YOUR PHYSICAL SITE: INSERT OPTION

INSERT OPTION

Other, Please specify

Don't know

None of the above

12. Please enter the number of (INSERT PRODUCT/SERVICE) you bought at each place in the past 3 months

(Insert Brand One)

(Insert Brand Two)

(Insert Brand Three)

(Insert Brand Four)

(Insert Brand Five)

13. How likely are you to recommend each place for (PRODUCT/SERVICE)?

14. Which one of these do you buy (INSERT PRODUCT/SERVICE) most often?

INSERT YOUR ONLINE SITE

INSERT YOUR PHYSICAL SITE: INSERT OPTION

INSERT OPTION

Other, Please specify

Don't know

None of the above

15. How satisfied are you with (INSERT PLACE MOST in Q12)?

	Very dissatisfied	Very satisfied
INSERT PLACE SHOPPED MOST

16. Would you recommend (INSERT PLACE MOST in Q12)?

	Definitely would NOT recommend	Definitely WOULD recommend
INSERT PLACE SHOPPED MOST

17. Please click on the button in the scale shown to rate (INSERT PLACE MOST in Q12).

18. Please use the scale to tell us how important each attribute is in choosing between places for (INSERT PRODUCT/SERVICE).

We are now interested in hearing about your opinions about a brand called (INSERT YOUR BRAND). This brand has been randomly selected for you. Other participants will be asked about other brands.

20. Have you ever heard of (INSERT YOUR BRAND)?

Yes

No

Don't know

21. How would you describe (INSERT YOUR BRAND) to someone who has never heard of them?

22. How would you describe the type of person that visits (INSERT YOUR BRAND)?

23. Would you say the person you just described is…

24. Based on anything you have seen, heard, read or experienced about (INSERT YOUR BRAND), how likely are you to recommend (INSERT YOUR BRAND) for (INSERT PRODUCT/SERVICE)?

	Definitely would NOT recommend	Definitely WOULD recommend
INSERT YOUR BRAND

25. In the next 3 months, how likely are you to visit (INSERT YOUR BRAND) when shopping for (INSERT PRODUCT/SERVICE)?

	Definitely would NOT visit	Definitely WOULD visit
INSERT YOUR BRAND

26. Have you ever bought (INSERT CATEGORY) at (INSERT YOUR BRAND)?

Yes

No

Don't know

27. Were you aware that (INSERT YOUR BRAND) offered (INSERT CATEGORY)?

Yes

No

Don't know

28. Please click on the button in the scale shown to rate (INSERT YOUR BRAND).

29. What is your age?

30. What is your gender?

Male

Female

Other, Please specify

Refuse to answer

31. In [INSERT LAST YEAR], what was your total annual household income?

Less than $25k

$25k, but less than $50k

$50k, but less than $75k

$75k, but less than $100k

$100k, but less than $125k

$125k, but less than $150k

$150k or more

Don't know

Refuse to answer

32. What is the highest level of education you had the opportunity to complete?

33. What is your current employment status?

34. What language(s) do you primarily speak at home?

35. Please indicate your race.

36. Please indicate your ethnicity.

Hispanic or Latino

Non-Hispanic or Non-Latino

Other, Please specify

Refuse to answer

37. What is your current relationship status?

38. What is your 5-digit ZIP code?