RESPONDENT’S DETAILS : | | Respondent’s Full Name | | | Address | | | City/Town | | Country | | Area | | | Post code | | | Telephone Number | | | Interview Date | | | Interviewer’s Name | | | Interviewer’s I.D. | | | I declare that this interview has been carried out strictly in accordance with your specification and has been conducted within the ESOMAR Code of Conduct with a person unknown to me | Interviewer’s signature | Checked by supervisor |
SCREENER : | | INTRODUCTION :Good morning/afternoon/evening. I am ______________(FULL NAME) from _____, a market research agency that asks people’s opinions on many different products, so that manufactures can offer what consumers needAt present, we are conducting a survey on people’s opinions about products. Would you be willing to answer some questions for me? | | QS 1. We are looking for people who work in specific industries. Do you or does any of your close friends or relatives work in any of the following occupations? READ OUT | | C111 TERMINATE | Marketing/Market Research | 1 | | | TERMINATE | Advertising or Public Relations Agency | 2 | | | TERMINATE | Newspaper, magazine, radio or TV station | 3 | | | TERMINATE | Manufacturer, wholesaler or distributor of Chewing Gums | 4 | | | CONTINUE | None of these | 5 | | | IF ANY OF 1, 2, 3 OR 4 CODED, THEN TERMINATE INTERVIEW, ELSE CONTINUE | | QS 2. Have you been interviewed for any Chewing Gum products in the past 3 months? | | C112 TERMINATE | Yes | 1 | | | CONTINUE | No | 2 | | | QS 3. Would you please tell me in which of the following age range are you? SHOW CARD. READ OUT | | C113 TERMINATE | Younger than 13 years | 1 | | | CONTINUE | 13-15 years | 2 |