2. Your primary e-mail address:*
(Please enter carefully)
3. The city/town you live in is…
4. The state you live in is…
5. Your gender:*
Male
Female
6.
What is your age?*
Age 17 or less (We
are sorry, you do not qualify.)
18 to 21
22 to 25
26 to 34
35 to 44
45 to 54
55 to 65
66 or older
JUST ABOUT KIDS
7. How many children live in your household with you,
age 17 or less?
1
2
3
4
5 or more
None / No children
(PLEASE SKIP TO QUESTION # 13)
8. How many children do you have in each of the following
age categories:
One
year old or less
1
2
3
4 or more
Age
2 to 4
1
2
3
4 or more
5
to 7
1
2
3
4 or more
8
to 12
1
2
3
4 or more
13
to 17
1
2
3
4 or more
18
to 21
1
2
3
4 or more
Questions #9 through #12 are for female
parents of children age 2 - 7 only.
Otherwise please skip to question #13.
To what degree do you agree or disagree with the following
statements:
9. When shopping for my child, I shop at different stores
for sleepwear and playwear.
Strongly Disagree
Somewhat Disagree
Neither Agree nor
Disagree
Somewhat Agree
Strongly Agree
10. When shopping for my child, one of the most important
things is that the clothes have cute designs.
Strongly Disagree
Somewhat Disagree
Neither Agree nor
Disagree
Somewhat Agree
Strongly Agree
11. When shopping for my child, I prefer to go to stores
that specialize in children’s clothing.
Strongly Disagree
Somewhat Disagree
Neither Agree nor
Disagree
Somewhat Agree
Strongly Agree
12. When shopping for my child, I prefer to go to a
store that has a wide variety of brands in children’s
clothes.
Strongly Disagree
Somewhat Disagree
Neither Agree nor
Disagree
Somewhat Agree
Strongly Agree
ACTIVITIES AND SHOPPING
13. Which of the following products have you used in
the past week? (PLEASE CHECK ALL THAT APPLY.)
Soda or other carbonated
drinks
Sliced deli meats
Salted snacks (such
as potato chips or salted nuts)
Tobacco cigarettes
Bottled water
14. Which of the following activities do you, yourself,
actively engage in? (PLEASE CHECK ALL THAT APPLY.)
Regular exercise
Computer/video games
Go to live theatre/plays
Attend sporting
events
Visit art galleries/museums
Personal investing
other than employment 401Ks
Visit night clubs/bars
Play board games
with friends/family
Frequently travel
out of state for pleasure
Go to the library
Do-it-yourself home
improvement re-decorating (painting, refinishing)
Do-it-yourself home
improvement re-modeling (installing new floors, cabinets)
Gardening
Boating
Hunting
15. When it comes to making decisions about products
and services for the household costing $500 or more,
would you say you are most likely to have…
the most influence
equal influence
with one or more
a little influence
no influence
A FEW LAST QUESTIONS
16. Which of the following best describes your occupation?
Executive/managerial
Salesperson/buyer
Professional/technical
Clerical/administrative
Warehouse/trade/construction
Homemaker
Student
Not currently employed
Retired
Other
17. What was the last grade of school you completed?
Less than HS graduate
HS graduate
Some college
College graduate
or more
18. Which of the following best describes your ethnic
background?
Caucasian
African-American
Hispanic or Latino
Asian
Native American
Other
Thank you very much
for your participation. Your earnings will be paid directly
into your account.
