Fresher Insights, Better Marketing.
United States Mint: Tracking Questionnaire Q3 |
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Client |
CE |
Client Contact |
Laura Dennison laura.dennison@c-e.com |
Account Team
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Alex Hunt alex.hunt@brainjuicer.com Tel : +1 917 293 7484 Mandolin Lextrait mandolin.lextrait@brainjuicer.com Tel : +1 646-322-7553 Katie O’Connor katie.oconnor@brainjuicer.com Tel: +1 917 225 5483 |
Date |
February 4, 2011 |
Target Audience
Markets: US
Blended Incidence Level: 30%
Length of Juicer: 25 minutes
Sample Design: 3,000 interviews per wave
500 General Market
500 Purchases/Collectors of Competitive products
500 Pocket change collectors
500 Purchases of keepsake products as gifts (watches, pens, coins, jewellery)
250 National Parks Enthusiasts
250 New US Mint Customers (email list)*
250 Lapsed US Mint Customers (email list)*
250 Existing US Mint Customers who have purchased in the past 2 years (email list)*
*Customers will be best efforts only.
Survey Flow
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Email invitation from Panel |
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Instructions: |
Email inviting respondents to take part in the BrainJuicer®, URL link to the survey |
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Start |
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Hello! May
I take a moment to juice your brain? Click
here to start (takes about 25 mins) |
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Freeform |
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Freeform |
This survey is strictly voluntary. We are also required, by law, to report to you the OMB Control Number for this public information request. That number is OMB# 1525-0012-1048. |
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Explanation & Confidentiality |
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Just
before we get started (particularly if you’re new to
BrainJuicer), a quick explanation of how a Juicer works... |
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Freeform |
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Freeform |
BrainJuicer uses an innovative approach to asking questions; rather than restrict you to choosing from a list of possible answers compiled by us we'd like you to give us your own answers - whatever they may be! |
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Freeform |
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Freeform |
Before you continue, please confirm the following: I agree not to disclose the contents of the survey to anyone else. I agree that any ideas discussed or generated as a result of your participation will belong to our client. |
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Radio button |
Mandatory |
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Question: |
Do you accept the terms above? |
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Answers: |
Yes |
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No |
Reject |
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Sample Filter and Respondent Profiling |
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Thanks.
First, a few questions about you… |
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Dropdown |
Mandatory |
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Question: |
Your age? |
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Answers: |
17 or younger |
Screenout |
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18 |
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19 |
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… |
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63 |
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64 |
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65 or older |
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Radio button |
Mandatory |
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Question: |
Your gender? |
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Answers: |
Male |
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Female |
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Checkbox |
Mandatory |
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Question: |
Please indicate if you or a member of your household works in any of these professions. |
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Answers: |
Accounting |
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Advertising, Media, Publishing |
Screenout |
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Beverage Manufacture or Distribution |
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Education |
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Health, Nursing, Social Services |
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IT/Telecoms |
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Journalism |
Screenout |
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Legal |
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Marketing |
Screenout |
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Market Research |
Screenout |
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Not for Profit/Charities |
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Public Relations |
Screenout |
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Recruitment |
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Retail |
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Travel, Leisure, Tourism |
Screenout |
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U.S. Government employee |
Screenout |
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None of the above |
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Dropdown |
Mandatory |
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Question: |
What state do you live in? |
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Answers: |
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Menu of all US states. Ensure Wash. D.C. is included in list |
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Text box |
Mandatory |
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Question: |
What is your first name? This is simply to personalize the study for you. |
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Answers: |
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Tech note: |
[FirstName] |
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Profiling - National Park Enthusiasts |
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Have
you visited a national park in the past
3 years? |
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Radio button |
Mandatory |
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Question: |
Have you visited a national park in the past 3 years? |
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Answer: |
Yes |
National Park Enthusiast |
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Answer: |
No |
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Profiling - National Park Enthusiasts |
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Have
you watched any TV shows / documentaries or read any books about
the national parks in the past 3 years?
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Radio button |
Mandatory |
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Question: |
Have you watched any TV shows / documentaries or read any books about the national parks in the past 3 years? |
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Answer: |
Yes |
National Park Enthusiast |
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Answer: |
No |
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Profiling – Keepsake Purchaser |
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In
the past
two years
have you purchased any of the following types of products as a
gift for someone?
(Please check all that apply) |
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Check box |
Mandatory |
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Question: |
In the past two years have you purchased any of the following types of products as a gift for someone? (Please check all that apply) |
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Randomize |
Collectable Coin |
Keepsake Purchaser |
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Jewelry |
Keepsake Purchaser |
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Pen |
Keepsake Purchaser |
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Watch |
Keepsake Purchaser |
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Anchor: |
Other collectable item |
Keepsake Purchaser |
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Anchor: |
None of the above |
Exclusive |
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Profiling – Coin Purchaser |
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In
the past
two years
have you…(Please
check all that apply) |
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Check box |
Mandatory |
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Question: |
In the past two years have you…(Please check all that apply) |
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Randomize |
Purchased a collectable coin or coin set for yourself |
Coin collector/purchaser |
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Come across a collectable coin in circulation that you intentionally set aside and didn’t spend |
Pocket change collector |
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Purchased a collectable coin or coin set for someone as a gift |
Coin collector/purchase |
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Anchor |
None of the above |
Exclusive |
Tech Note: Skip ‘Purchaser of Competitor Products’ if select ‘None of the above’
Tech Note: All respondents qualify as General Market – please fill this quota first. Once General Market quota is filled, please fill other quotas in order of least filled.
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Profiling – Coin Purchaser Next 12 Months |
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In
the next
12 months
would you consider…(please
check all that apply) |
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Check box |
Mandatory |
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Question: |
In the next 12 months would you consider…(please check all that apply) |
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Answer: |
Purchasing a collectable coin or coin set for yourself |
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Answer: |
Setting aside a collectible coin that you came across in circulation and not spending it |
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Answer: |
Purchasing a collectable coin or coin set for someone as a gift |
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Answer: |
None of the above |
Exclusive |
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Profiling – Purchaser of Competitor Products |
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Thanks!
In the past
two years
have you collected or purchased…
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Grid – Radio Button Across |
Mandatory |
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Answer |
I have collected, but not purchased, this coin (e.g. received as a gift or pulled from circulation). |
I have purchased this coin either as a gift or for my own collection. |
I have both collected and purchased this coin. |
I have neither collected nor purchased this coin. |
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Question: |
Obama Coin |
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Question: |
9/11 Coin |
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Question: |
Painted or colorized quarters |
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Question: |
Presidential $1 coins in display frame, wooden box or safe |
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Question: |
Full set of all 50 state quarters |
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Question: |
Gold plated quarters |
Tech Note: Code as Purchasers / Collectors of Competitive products if do NOT select ‘I have neither…’ for at least one question (row) above.
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Awareness – Unaided |
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When
you think about companies and institutions that manufacture and
sell collectable coins, which come to mind? Please type as many
as you can think of below, using a separate box for each company
or institution. |
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Text box |
8 answers |
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Question: |
When you think about companies and institutions that manufacture and sell collectable coins, which come to mind? Please type as many as you can think of below, using a separate box for each company or institution. |
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Instruction: |
Record first mention |
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Aided Awareness - US Mint and Competitors |
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Below
is a list of companies and institutions that manufacture
and sell collectable
coins. Even if you have mentioned these at the previous
question, please tell us whether you have heard of any of the
following. |
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Grid – Radio Button Across |
Mandatory |
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Question: |
Yes, I have heard of this company or institution |
No, I have not heard of this company or institution |
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Answer: |
Franklin Mint |
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Answer: |
Govmint.com |
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Answer: |
World Reserve Monetary Exchange |
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Answer: |
United States Mint |
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Answer: |
National Collectors Mint |
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Answer: |
Littleton Coin Company |
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TECH NOTE: Only ask ‘Purchasers - US Mint and Competitors’ & ‘Consideration - US Mint and Competitors’ for brands ‘Yes’ in ‘Aided Awareness - US Mint and Competitors’ if ‘No’ is selected for all brands, SKIP to next question.
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Purchasers - US Mint and Competitors |
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Again,
please take a look at the list of companies and institutions
that manufacture
and sell collectable
coins that you are aware of. Please tell us whether or not you
have purchased
or collected
coins from any of the following companies
or institutions.
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Grid – Radio Button Across |
Mandatory |
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Answer |
I have collected, but not purchased, a product from this company / institution (e.g. received as a gift or pulled from circulation). |
I have purchased a product from this company / institution either as a gift or for my own collection. |
I have both collected and purchased products from this company / institution. |
I have neither collected nor purchased products from this company / institution. |
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Question: |
Franklin Mint |
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Answer: |
Govmint.com |
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Question: |
World Reserve Monetary Exchange |
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Question: |
United States Mint |
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Question: |
National Collectors Mint |
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Question: |
Littleton Coin Company |
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Consideration - US Mint and Competitors |
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Finally,
please tell us how likely you are to consider purchasing from
the following companies or institutions in
the next 12 months.
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Grid- Radio button across |
Mandatory |
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Question: |
Franklin Mint |
Govmint.com |
World Reserve Monetary Exchange |
United States Mint |
National Collectors Mint |
Littleton Coin Company |
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Answers: |
Have purchased and would consider purchasing in the next 12 months |
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Have not purchased but would consider purchasing in the next 12 months |
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Have purchased but would not consider purchasing in the next 12 months |
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Have not purchased but would not consider purchasing in the next 12 months |
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Start of Rotation Sequence |
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Instructions: |
Ask ‘FaceTrace’ ‘Impressions’ and ‘Net Promoter Score’ for up to 3 randomly selected brands which respondent is aware of -‘Yes’ in ‘Aided Awareness - US Mint and Competitors’ |
Instructions: |
Brands: Franklin Mint World Reserve Monetary Exchange United States Mint National Collectors Mint Littleton Coin Company |
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US Mint FaceTrace - Emotional scale |
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Next,
we would like to hear your thoughts and opinions on the [insert
brand].
Please think about the [insert
brand]
and
tell us which of these faces best reflects how you feel about
it? |
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Radio button |
Mandatory |
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Question: |
Next, we would like to hear your thoughts and opinions on the [insert brand]. Please think about the [insert brand] and tell us which of these faces best reflects how you feel about it? |
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Answer: |
Emotional Wheel Responses |
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US Mint FaceTrace - Emotional Intensity |
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To
what degree does the [insert
brand]
make
you feel make you feel this emotion? |
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Question: |
To what degree does the [insert brand] make you feel make you feel this emotion? |
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Answer: |
Strongly |
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Answer: |
Fairly Strongly |
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Answer: |
Not very strongly |
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US Mint FaceTrace - Reason for Face Selection |
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What
is it about the [insert
brand]
that
made you select this face? (Please
type your answers below or click to select it from the
existing answer buttons) |
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MindReader |
1 answer x 1 order |
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Question: |
What is it about the [insert brand] that made you select this face? (Please type your answers below or click to select it from the existing answer buttons)
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Impression of US Mint – Unaided |
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Again,
thinking just about the [insert
brand],
what is your main impression of this particular company or
institution that manufactures
and sells collectable coins?
(Please type your answers below or click to select it from the
existing answer buttons) |
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MindReader |
1 answer x 2 orders |
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Question: |
Again, thinking just about the [insert brand], what is your main impression of this particular company or institution that manufactures and sells collectable coins? (Please type your answers below or click to select it from the existing answer buttons)
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Question: |
What is it about the [insert brand] that gave you this impression? (Please type your answers below or click to select it from the existing answer buttons) |
Tech note: Ask “Net Promoter Score – US Mint (1)” to half of respondents in each cell and “Net Promoter – US Mint (2)” to the half. Do not ask both.
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Net Promoter Score – US Mint (1) |
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To
what degree would you recommend the [insert
brand] products
to a friend or colleague? |
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Net Promoter Score – US Mint (2) |
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To
what degree would you recommend the [insert brand] products to a
friend or colleague who has an interest in coins? |
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10-point scale horizontal Radio button Label: Extremely likely (left) – Extremely unlikely (right) Make the spacing between the radio buttons equal |
Mandatory |
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Question: |
To what degree would you recommend the [insert brand] products to a friend or colleague? |
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Answers: |
10 - Extremely likely |
Promoter |
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9 |
Promoter |
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8 |
Passive |
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7 |
Passive |
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6 |
Detractor |
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5 |
Detractor |
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4 |
Detractor |
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3 |
Detractor |
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2 |
Detractor |
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1 |
Detractor |
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0 - Extremely unlikely |
Detractor |
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Why? – US Mint and Competitors |
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What
is it that made you give the [insert brand]
this
rating? (Please
type your answer below or click to select it from the existing
answer buttons) |
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MindReader on why |
1 answer x 2 orders |
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Question: |
What is it that made you give the [insert brand] this rating? (Please type your answer below or click to select it from the existing answer buttons) |
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Question: |
And why is ‘[previous answer]’ so relevant to you? (Please type your answer below or click to select it from the existing answer buttons) |
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End of Rotation Sequence |
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Instructions: |
If respondent has answer for 1 or 2 brands, loop back to ‘FaceTrace’. If respondent has answered for 3 brands, continue. |
TECH NOTE: Only ask ‘Impression of US Mint Products – Aided Attributes’ if ‘Yes’ for US Mint in ‘Aided Awareness - US Mint and Competitors’
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Impression of US Mint Products – Aided Attributes |
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Now,
shifting gears back to the United
States Mint collectable coins,
please indicate how strongly you agree or disagree with each of
the following statements in relation to the United
States Mint collectable coins.
Select ONE
box for each statement. |
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5-point agree/disagree scale |
Mandatory |
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Answers: |
Strongly Agree |
Agree |
Neither agree nor Disagree |
Disagree |
Strongly Disagree |
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Question: |
Is an official brand of collectable coins |
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Randomize |
Is an authentic brand of collectable coins |
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Is a brand of collectable coins that connects me to my country |
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Is a brand of collectable coins that I am proud to share with my family and friends Is a brand of collectable coins that I would want to pass onto my children later in life |
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Is a brand of collectable coins that I would like to collect more of |
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Is a brand of collectable coins that I would like to collect forever |
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Is a brand of collectable coins that symbolize U.S. history |
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Is a brand of collectable coins that makes me feel patriotic |
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Is a brand of collectable coins which is backed by the U.S. government and makes the actual money in circulation |
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Is a brand of collectable coins that makes coins which increase in value over time |
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Is a brand of collectable coins that makes beautiful coins |
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Instruction: |
Please randomize attribute list |
TECH NOTE: Only ask 360 Communications and Business Activities Assessment if ‘Yes’ for US Mint in ‘Aided Awareness - US Mint and Competitors’
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Communications Awareness |
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Thanks!
Now, please
think about all the different places you have seen, heard or
read about the United
States Mint recently.
This can include all the different kinds of advertising, home
mailings and other activities that promote the United
States Mint in
addition to news stories, TV shows and information on the
Internet. |
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Radio button |
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Question: |
Have you seen, heard or read anything about the United States Mint anywhere recently?
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Answers: |
Yes |
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No |
TECH NOTE: If ‘Yes’ in ‘Communications Awareness’ ask ‘Communication Awareness – Why’
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Communication Awareness – Why |
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You
indicated that you have seen, heard or read about the United
States Mint recently,
what have you seen, heard or read?
(Please
type your answers below or click to select it from the
existing answer buttons) |
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MindReader |
1 answer x 1 order |
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Question: |
You indicated that you have seen, heard or read about the United States Mint recently, what have you seen, heard or read? (Please type your answers below or click to select it from the existing answer buttons) |
TECH NOTE: If ‘Yes’ in ‘Communications Awareness’ ask ‘Communication Impression’
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Communication Impression |
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What
is your impression
of the United
States Mint,
based on what you have seen, heard or read? (Please
type your answers below or click to select it from the
existing answer buttons) |
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MindReader |
1 answer x 1 order |
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Question: |
What is your impression of the United States Mint, based on what you have seen, heard or read? (Please type your answers below or click to select it from the existing answer buttons)
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TECH NOTE: Only ask ‘Product Assessment’ if ‘Yes’ for US Mint in ‘Aided Awareness - US Mint and Competitors’
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Collectors/Purchasers - US Mint Products |
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Thanks!
Again, thinking about the United
States Mint collectable coins,
please consider each of the products below and tell us if you
are…
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Grid – Radio Button Across |
Mandatory |
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Answers: |
Familiar with this product but have never purchased or collected |
Have purchased or collected this product |
Not familiar with this product |
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Questions: |
Presidential Dollars |
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Randomize list |
Precious Metals (Silver, Gold, Platinum) |
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Commemorative coins |
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Bronze Medals |
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Annual Sets |
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Series of quarters featuring each of the 50 states |
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Series of quarters featuring a national site, forest or park in each of the 50 states |
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Beginner Basic Set (starter kit for coin collectors to teach them about the hobby) |
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TECH NOTE: Ask ‘Purchase or collected – US Mint Products Why’ if respondent selects ‘have purchased or collected this product.’ Ask separately for each product. If do not select ‘have purchased or collected’ for any product, SKIP to next question.
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Purchased or Collected – US Mint Products Why |
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What
in particular motivated you to purchase or collect [previous
answer for purchase or collected]? (Please
type your answer below or click to select it from the existing
answer buttons) |
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MindReader on why |
1 answer x 1 order |
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Question: |
What in particular motivated you to purchase or collect [previous answer for purchase or collected]? (Please type your answer below or click to select it from the existing answer buttons)
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Consideration – US Mint Products |
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Next,
please tell us how likely you are to consider purchasing and/or
collecting any of the United
States Mint collectable coins
in the next 12 months.
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Dropdown |
Mandatory |
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Question: |
Next, please tell us how likely you are to consider purchasing and/or collecting any of the United States Mint collectable coins in the next 12 months. |
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Answers: |
Have purchased and would consider purchasing in the next 12 months |
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Have not purchased but would consider purchasing in the next 12 months |
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Have purchased but would not consider purchasing in the next 12 months |
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Have not purchased but would not consider purchasing in the next 12 months |
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Consideration – US Mint Products Why |
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What
is it about the United States Mint collectable coins that made
you say [previous answer]? (Please
type your answer below or click to select it from the existing
answer buttons) |
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MindReader on why |
1 answer x 1 order |
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Question: |
What is it about the United States Mint collectable coins that made you say [previous answer]? (Please type your answer below or click to select it from the existing answer buttons) |
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Likelihood to Purchase Collectible Coins |
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Please
tell us how likely you would be to purchase each of the products
listed below for yourself or as a gift in
the next 12 months
from any company or institution that sells collectible coins.
(Please
select one answer per row)
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Grid – Radio Button Across |
Mandatory |
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Answers: |
Definitely would buy |
Probably would buy |
Might or might not buy |
Probably would not buy |
Definitely would not buy |
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Questions: |
Presidential Dollars |
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Randomize list |
Precious Metals (Silver, Gold, Platinum) |
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Commemorative coins |
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Bronze Medals |
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Annual Sets (silver proof sets, proof sets and uncirculated sets) |
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Series of quarters featuring each of the 50 states, District of Columbia and U.S. territories |
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Series of quarters featuring a national site, forest or park in each of the 50 states, District of Columbia and U.S. territories |
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Start of Rotation Sequence |
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Instructions: |
Present ‘America the Beautiful’ concept to all in separate window. |
Concept: |
For the past 11 years the United States Mint has issued special, historical quarters featuring significant images of the country’s 50 states, District of Columbia and territories. In April 2010, the United States Mint introduced a new series of quarters. The new series, called the America the Beautiful Quarters Program, features selected national parks and sites from each state, District of Columbia and U.S. territories starting with Hot Springs, AR, Yellowstone, WY, Yosemite, CA, Grand Canyon, AZ and Mt. Hood, OR. Each year five coins will be released until the final site in the year 2021. It’s a great way to learn about the United States and honor its national treasures.
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Introduction – America the Beautiful |
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Next,
we would like to hear your thoughts about a specific series of
coins, called the America
the Beautiful Quarters Program,
from the United States Mint. Please read the description in the
window to your left and click 'Next' to continue. |
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Next Button |
Mandatory |
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Answer: |
Next |
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Likelihood to Pull from Circulation – ‘America the Beautiful’ |
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Thinking
about the America
the Beautiful Quarters Program,
how likely would you be to pull these coins out of circulation
and save for collection?
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Dropdown |
Mandatory |
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Question: |
Thinking about the America the Beautiful Quarters Program, how likely would you be to pull these coins out of circulation and save for collection? |
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Answers: |
Very likely |
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Somewhat likely |
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Not very likely |
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Not at all likely |
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Reason for Likelihood to Pull from Circulation – ‘America the Beautiful’ |
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What
in particular made you say you are [previous answer] to
pull these coins out of circulation and save for collection?
(Please type your answer below or click to select it from the
existing answer buttons) |
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MindReader |
1 answer x 1 order |
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Question: |
What in particular made you say you are [previous answer] to pull these coins out of circulation and save for collection? (Please type your answer below or click to select it from the existing answer buttons) |
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Likelihood to Purchase ‘America the Beautiful’ (US Mint Focus) |
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Thinking
about the America
the Beautiful Quarters Program,
how likely would you be to purchase this coin set for yourself
or as a gift in
the next 12 months? |
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Dropdown |
Mandatory |
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Question: |
Thinking about the America the Beautiful Quarters Program, how likely would you be to purchase this coin set for yourself or as a gift in the next 12 months? |
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Answers: |
Definitely would buy |
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Probably would buy |
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Might or might not buy |
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Probably would not buy |
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Definitely would not buy |
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End of Rotation Sequence |
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Instructions: |
Please close concept window. |
TECH NOTE: Only ask ‘Annual Set Assessment’ if select ‘Familiar with this product but have never purchased or collected’ OR ‘Have purchased or collected this product’ at ‘Collectors/Purchasers – US Mint Products’ in ‘Product Assessment’
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Start of Rotation Sequence |
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Instructions: |
Please present annual set descriptions in reducible window to the left of the juicer. |
TECH NOTE: Only ask ‘Annual Sets – Familiar but never purchased/collected’ if select ‘Familiar with this product but have never purchased or collected’ at ‘Collectors/Purchasers – US Mint Products’
|
Annual Sets – Familiar but never purchased/collected |
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Thanks!
You indicated that you are familiar with United
States Mint annual sets.
Please take a moment to look over the descriptions of United
States Mint annual sets in the window on the left and tell us if
you are…
|
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Grid – Radio Button Across |
Mandatory |
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Answers: |
Familiar with this annual set |
Not familiar with this annual set |
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Questions: |
United States Mint Silver Proof Set™ |
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Randomize list |
United States Mint Proof Set® |
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United States Mint Uncirculated Coin Set® |
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United States Mint America the Beautiful Quarters Silver Proof Set™ |
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United States Mint America the Beautiful Quarters Proof Set™ |
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United States Mint Presidential $1 Coin Proof Set™ |
|
TECH NOTE: Only ask ‘Annual Sets – Purchased/Collected’ if select ‘Have purchased or collected this product’ at ‘Collectors/Purchasers – US Mint Products’
|
Annual Sets –Purchased/Collected |
|
|
|
Thanks!
You indicated that you have purchased or collected United
States Mint annual sets.
Please take a moment to look over the descriptions of United
States Mint annual sets in the window on the left and tell us if
you are…
|
|
Grid – Radio Button Across |
Mandatory |
|
||
|
|
||||
Answers: |
Familiar with this annual set but have never purchased or collected |
Have purchased or collected this annual set |
Not familiar with this annual set |
||
Questions: |
United States Mint Silver Proof Set™ |
|
|||
Randomize list |
United States Mint Proof Set® |
|
|||
|
United States Mint Uncirculated Coin Set® |
|
|||
|
United States Mint America the Beautiful Quarters Silver Proof Set™ |
|
|||
|
United States Mint America the Beautiful Quarters Proof Set™ |
|
|||
|
United States Mint Presidential $1 Coin Proof Set™ |
|
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Likelihood to Purchase Collectible Coins |
|
|
|
Please
tell us how likely you would be to purchase each of the United
States Mint annual sets listed below for yourself or as a gift
in
the next 12 months
from any company or institution that sells collectible coins.
(Please
select one answer per row)
|
|
Grid – Radio Button Across |
Mandatory |
|
||||
|
|
||||||
Answers: |
Definitely would buy |
Probably would buy |
Might or might not buy |
Probably would not buy |
Definitely would not buy |
||
Questions: |
United States Mint Silver Proof Set™ |
||||||
Randomize list |
United States Mint Proof Set® |
||||||
|
United States Mint Uncirculated Coin Set® |
||||||
|
United States Mint America the Beautiful Quarters Silver Proof Set™ |
||||||
|
United States Mint America the Beautiful Quarters Proof Set™ |
||||||
|
United States Mint Presidential $1 Coin Proof Set™ |
|
End of Rotation Sequence |
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|
Instructions: |
Please close concept window. |
|
Classification |
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|
And
finally, just a few questions about you, these questions are for
statistical purposes only. Your answers will be treated as
strictly confidential. |
|
Dropdown |
Mandatory |
|
Question: |
Which of the following is the highest level of education you have completed? |
||
Answers: |
Some high school |
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Answers: |
Completed high school/GED/HSED |
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Answers: |
Some College |
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Answers: |
4-year college degree/Bachelor’s degree |
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Answers: |
Completed or started post-college graduate school |
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Dropdown |
Mandatory |
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||
Question: |
Which of the following best describes your current employment status? |
||
Answers: |
Employed full-time |
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Employed part-time |
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Not currently employed but looking for work |
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Retired |
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Not employed outside the home |
|
|
Dropdown |
Mandatory |
|
|
|
||
Question: |
What is your current marital status? |
||
Answers: |
Single (includes never married, widowed, or divorced) |
|
|
|
Married/living with partner |
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|
Dropdown |
Mandatory |
|
|
|
||
Question: |
Are you of Hispanic or Latino origin? |
||
Answers: |
Yes |
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No |
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Check box |
Mandatory |
|
||
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|
||||
Question: |
What is your race? Please select one or more. |
||||
Answers: |
White |
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Black or African American Asian |
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Native Hawaiian or other Pacific Islander |
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|
American Indian or Alaska Native |
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||||
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|
Dropdown |
Mandatory |
|
Question: |
Which of the following best describes your total annual household income before taxes? |
||
Answers: |
Under $30,000 |
|
|
Answers: |
$30,000 to $34,999 |
|
|
Answers: |
$35,000-$44,999 |
|
|
Answers: |
$45,000-$49,999 |
|
|
Answers: |
$50,000-$64,999 |
|
|
Answers: |
$65,000-$74,999 |
|
|
Answers: |
$75,000-$99,999 |
|
|
Answers: |
$100,000-$124,999 |
|
|
Answers: |
$125,000-$149,999 |
|
|
Answers: |
$150,000 or more |
|
|
Classification – Parents Number of Children |
|
|
|
Do
you have any children? If so, please tell us how many children
you have.
|
|
Radio button |
Mandatory |
|
|
|
||
Question: |
Do you have any children? If so, please tell us how many children you have. |
||
Answers: |
I have no children |
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1 |
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2 |
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3 |
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4 |
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5 |
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6 |
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7 |
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8 |
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9 |
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10 or more |
|
TECH NOTE: Only ask ‘Classification – Parents Age of Children’ if did not select ‘I have no children’ in ‘Classification – Parents Number of Children.’
|
Classification – Parents Age of Children |
|
|
|
Please
select the age of your child or children.
|
|
Check box |
Mandatory |
|
|
|
||
Question: |
Please select the age of your child or children. |
||
Answers: |
0 – 5 years old |
|
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|
6 – 8 years old |
|
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9 – 12 years old |
|
|
|
13 – 17 years old |
|
|
|
18+ years old |
|
|
Finish |
|
|
|
That’s
it! Thank you for participating in our research. |
BrainJuicer® Ltd – London – Brighton - Rotterdam – New York |
Page |
File Type | application/msword |
File Title | BrainJuicer ConceptTest Proposal v3 |
Author | Mike Carey |
Last Modified By | ypollard |
File Modified | 2011-03-08 |
File Created | 2011-02-01 |