Grocery Shopping

Market Research

Hello,

Thank you for signing up with the Q-insights database.

We are conducting a market research study in regards to your shopping habits when at your preferred grocery store.

The study will consist of a week long online journal entries.

The online journals will start on August 15th and go through to August 22nd.

Upon completion of ALL entries, you will be sent a check for $125.

If you are interested, please fill out the questionnaire below.

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* 1. What is your gender?

Male

Female

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* 2. What is your exact age? (Numerical Responses Only)

100

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 3. Which of the following best describes your race?

African American

Caucasian

American Indian or Alaskan Native

Asian

Native Hawaiian or Pacific Islander

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* 4. What is your 5 digit zip code?

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* 5. Which of the following best describes your work status?

Employed Full Time

Employed Part Time

Unemployed/Currently looking for work

Retired

Full Time student

Part time student

Homemaker

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* 6. Are you the parent of a any children under the age of 18 who currently live with you?

Yes

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* 7. Which of the following categories does your pre-tax annual household income fall?

Less than $20,000

$20,000 to less than $30,000

$30,000 to less than $50,000

$50,000 to less than $60,000

$60,000 to less than $75,000

$75,000 to less than $100,000

$100,000 to less than $125,000

$125,000 to less than $150,000

$150,000 or more

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* 8. Which of the following stores would you consider your primary, or go-to, grocery store?

BI-LO

Food Lion

Harris Teeter

Ingles

Kroger

Publix

Sedanos

Super Target

WalMart Neighborhood Market

WalMart SuperCenter

Whole Foods

Winn-Dixie

Other

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* 9. If you are unable to go to your primary store, which of the following, if any, would you go to as a secondary store? Select all that apply.

BI-LO

Food Lion

Harris Teeter

Ingles

Kroger

Publix

Sedanos

Super Target

WalMart Neighborhood Market

WalMart SuperCenter

Whole Foods

Winn-Dixie

Other

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* 10. Which of the following best describes your role when it comes to buying groceries for your household?

I am the primary decision maker for these purchases

I share the responsibility for making these purchases

I provide input, but the decisions are made by others in the household

I am not involved in the decision at all

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* 11. On average, how much does your entire household spend on groceries each week?

Less than $60

$60 to less than $115

$115 to less than $200

$200 to less than $300

$300 or more

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* 12. Which of the following best describes your marital status?

Single, never married

Married/Living with a partner

Separated/Divorced

Widowed

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* 13. Which of the following meal options best describes how often you have used each of the following? (select one response per row)

	A few times a year or less	About every month or two	a few times a month	A few times a week or more
Cooked at home using ingredients / groceries purchased	Cooked at home using ingredients / groceries purchased A few times a year or less	Cooked at home using ingredients / groceries purchased About every month or two	Cooked at home using ingredients / groceries purchased a few times a month	Cooked at home using ingredients / groceries purchased A few times a week or more	Cooked at home using ingredients / groceries purchased
Cooked at home using meal-kit purchased in-store ( ie. all of the ingredients for the meal are included and you just need to prep and cook.	Cooked at home using meal-kit purchased in-store ( ie. all of the ingredients for the meal are included and you just need to prep and cook. A few times a year or less	Cooked at home using meal-kit purchased in-store ( ie. all of the ingredients for the meal are included and you just need to prep and cook. About every month or two	Cooked at home using meal-kit purchased in-store ( ie. all of the ingredients for the meal are included and you just need to prep and cook. a few times a month	Cooked at home using meal-kit purchased in-store ( ie. all of the ingredients for the meal are included and you just need to prep and cook. A few times a week or more	Cooked at home using meal-kit purchased in-store ( ie. all of the ingredients for the meal are included and you just need to prep and cook.
Cooked at home using a meal kit ordered online(Ie. Blue Apron, HelloFresh, Green Chef, etc.)	Cooked at home using a meal kit ordered online(Ie. Blue Apron, HelloFresh, Green Chef, etc.) A few times a year or less	Cooked at home using a meal kit ordered online(Ie. Blue Apron, HelloFresh, Green Chef, etc.) About every month or two	Cooked at home using a meal kit ordered online(Ie. Blue Apron, HelloFresh, Green Chef, etc.) a few times a month	Cooked at home using a meal kit ordered online(Ie. Blue Apron, HelloFresh, Green Chef, etc.) A few times a week or more	Cooked at home using a meal kit ordered online(Ie. Blue Apron, HelloFresh, Green Chef, etc.)
Prepared a ready to cook meal (Ie. a complete meal where preparation have been completed, but you need to thoroughly cook it.)	Prepared a ready to cook meal (Ie. a complete meal where preparation have been completed, but you need to thoroughly cook it.) A few times a year or less	Prepared a ready to cook meal (Ie. a complete meal where preparation have been completed, but you need to thoroughly cook it.) About every month or two	Prepared a ready to cook meal (Ie. a complete meal where preparation have been completed, but you need to thoroughly cook it.) a few times a month	Prepared a ready to cook meal (Ie. a complete meal where preparation have been completed, but you need to thoroughly cook it.) A few times a week or more	Prepared a ready to cook meal (Ie. a complete meal where preparation have been completed, but you need to thoroughly cook it.)
Bought ready to eat prepared food from the grocery store, such as from the hot or cold food bar	Bought ready to eat prepared food from the grocery store, such as from the hot or cold food bar A few times a year or less	Bought ready to eat prepared food from the grocery store, such as from the hot or cold food bar About every month or two	Bought ready to eat prepared food from the grocery store, such as from the hot or cold food bar a few times a month	Bought ready to eat prepared food from the grocery store, such as from the hot or cold food bar A few times a week or more	Bought ready to eat prepared food from the grocery store, such as from the hot or cold food bar
Prepare a heat and eat meal (ie. filly cooked frozen meal that you reheat)	Prepare a heat and eat meal (ie. filly cooked frozen meal that you reheat) A few times a year or less	Prepare a heat and eat meal (ie. filly cooked frozen meal that you reheat) About every month or two	Prepare a heat and eat meal (ie. filly cooked frozen meal that you reheat) a few times a month	Prepare a heat and eat meal (ie. filly cooked frozen meal that you reheat) A few times a week or more	Prepare a heat and eat meal (ie. filly cooked frozen meal that you reheat)
Dined in at a restaurant (casual, formal, fast-food)	Dined in at a restaurant (casual, formal, fast-food) A few times a year or less	Dined in at a restaurant (casual, formal, fast-food) About every month or two	Dined in at a restaurant (casual, formal, fast-food) a few times a month	Dined in at a restaurant (casual, formal, fast-food) A few times a week or more	Dined in at a restaurant (casual, formal, fast-food)
Dined in at a grocery store	Dined in at a grocery store A few times a year or less	Dined in at a grocery store About every month or two	Dined in at a grocery store a few times a month	Dined in at a grocery store A few times a week or more	Dined in at a grocery store
Ordered food from a delivery website such as, GrubHub, UberEats	Ordered food from a delivery website such as, GrubHub, UberEats A few times a year or less	Ordered food from a delivery website such as, GrubHub, UberEats About every month or two	Ordered food from a delivery website such as, GrubHub, UberEats a few times a month	Ordered food from a delivery website such as, GrubHub, UberEats A few times a week or more	Ordered food from a delivery website such as, GrubHub, UberEats

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* 14. Please enter your contact information so that one of our recruiters can contact you should you pre-qualify

First Name

Last Name

Phone Number

Email Address