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2014
November
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Focus Group Recruitment Questionnaire Survey - COP
Focus Group Recruitment Questionnaire Survey - COP
0%
Hi:
I am with [MARKET_RESEARCH_COMPANY], a market research company based in [LOCATION]. We are conducting a survey about [SUBJECT] that might be of interest to you. We would like to include your opinions in this study. This is a marketing research study only, and we will not attempt to sell you anything at all today or in the future.
Thank you for your participation
Do you or does any member of your household work for:
An advertising or public relations agency
A market research, strategic marketing or opinion company
The marketing or market research department of any company
A telemarketing firm
A food manufacturer or retailer
A software, hardware or multimedia company
Developer or manufacturer
Online retailer
E-commerce or web development company
Age
Which of the following best describes your age?
Under 18
18-24
25-36
37-48
49-64
65+
Employment
Do you work full time or part time,
outside
the home?
Full-time [35+ Hours per week]
Part-time [15-20 Hours per week]
Full-time homemaker
Retired
Education
Which of the following best describes the highest level of education completed?
Some High School
High School Graduate
Some College
Graduated College
Post Graduate
Family Status
Which of the following statements applies to you:
I have children under the age of 6 living at home
I have children between the ages of 6 and 17 living at home
I have no children under the age of 18 living at home
Oral Home Care
a. How many times a day do you brush your teeth?
Once
Twice
Three times or more
b. What brand of toothpaste are you currently using?
Crest
Colgate
Aquafresh
Tom's of Maine
Other
c. Are you aware of ingredients in the toothpaste you are currently using that may cause cancer?
Yes
No
d. Which of the following is most important to you when purchasing toothpaste?
Taste
Smell
Appearance
Texture
Ingredients
Mouthwash
Do you use mouthwash?
Yes
No
If you do use mouthwash, what do you use it for?
Fresh breath
Decrease plaque
Minimize gingivitis
To kill bad bacteria in my mouth
I use it instead of brushing
Other
*
Name
Phone
*
Email Address
Thank You for completing the Questionnaire... Your honest responses are truly appreciated.
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