Milk Survey Paper

S Survey

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|SAMPLE: |
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|600 adults aged 18+, primary grocery shopper, who have purchased dairy milk or a milk substitute product in the past six months |

I. SCREENING

1. Please indicate your gender.

o Male o Female

(**SCREEN BREAK**)

2. Which of the following describes your age? (Select one)

o Under 18 (**TERMINATE**)
Which of the following best describes your role in doing your household’s grocery shopping? (Select one)

o You do almost all of the grocery shopping for your household (**CONTINUE**) o You and someone else do the grocery shopping, but you do the majority (**CONTINUE**) o You share the household grocery shopping equally with someone else (**CONTINUE**) o You and someone else do the grocery shopping, but someone else does the majority (**TERMINATE**) o Someone else does almost all of the grocery shopping for your household (**TERMINATE**)

(**SCREEN BREAK**)

4. Which of the following, if any, have you ever purchased? (Select as many as apply)

□
And which of the following, if any, have you purchased in the past six months? (Select as many as apply)

□ Eggs □ Cheese □ Milk □ Rice Milk □ Soymilk □ Yogurt □ None of these

(** “MILK”, “RICE MILK” OR “SOYMILK” MUST BE MENTIONED IN ORDER TO CONTINUE. OTHERWISE, TERMINATE – DOES NOT COUNT TOWARDS QUOTA **)

(**SCREEN BREAK**)

6. Which of the following best describes you regarding milk substitutes like rice milk or soymilk? (Select one)

o I have been buying milk substitutes for at least six months (**MAINTENANCE**) o I just started buying milk substitutes within the past six months (**ACTION**) o I’ve been thinking about buying milk substitutes and likely will within the next month or so (**PREPARER**) o I’ve been thinking about buying milk substitutes but probably won’t for the next 3-six months or so (**CONTEMPLATOR**) o I really have no plans at all to start buying milk substitutes (**PRE-CONTEMPLATOR**)

(**SCREEN BREAK**)

II. PSYCHOGRAPHIC

7. How well does each of the following statements describe you? (Select one across for each) Scale:

Describes Me Very Well
Describes Me Somewhat