National Analysts Worldwide Study #1525-0012-0186
May/June 2014
SCREENER
NON-CUSTOMERS – City A
IDENTIFY MALE OR FEMALE 18 TO 69 YEARS OF AGE
B Y OBSERVATION CHECK ONE
GET A MIX
( ) male
RESPONDENT NAME:
ADDRESS:
CITY/STATE: ZIP CODE:
TELEPHONE #: FAX #:
GROUP SCHEDULE
Attending:
Thursday, May XY, 2014
Group 1 ( ) 12:30PM – 2:00 PM – General Non-Customers
SUGGESTED INTRODUCTION: Hello, I'm __________________________ calling for National Analysts Worldwide, a marketing research firm based in Philadelphia. This is not a sales call. We are conducting a research study for The United States Mint, and are inviting people who meet certain qualifications to participate in an informal group discussion on (DAY/DATE).
Are you free on that date?
Yes ( )
No ( ) THANK AND TERMINATE
I’d like to ask you a few questions. 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-xxxx.
1. Do you, or does anyone in your household or family, own or work for? (READ)
Yes No
A) A coin dealer, or a retail store that sells coins? ( ) ( )
B) A newspaper, radio station, or television station? ( ) ( )
C) The United States Mint? ( ) ( )
D) An advertising agency? ( ) ( )
E) A market research company? ( ) ( )
F) A company that manufactures or markets ( ) ( )
collectible items (dolls, cards, memorabilia, etc.)?
IF "YES" TO ANY THANK AND TERMINATE
2. Have you ever attended a group discussion for market research purposes?
Yes ( )
No ( ) SKIP TO Q.4
3. When was the last time you attended?
TERMINATE IF WITHIN PAST 6 MONTHS
4. In the past year, have you sold any U.S. coins for income purposes other than to round out a personal collection? (IF NECESSARY, PROBE: Are you a coin dealer?)
Yes ( ) THANK AND TERMINATE
No ( )
5. Have you ever purchased U.S. coins or other merchandise directly from the United States Mint?
Yes ( ) TERMINATE
No ( )
5a. In the past two years, have you purchased U.S. coins?
Yes ( ) ASK Q5b
No ( ) SKIP TO Q6
5b. From which sources have you purchased U.S. coins? (READ AND SELECT ALL THAT APPLY)
|
|
Yes |
No |
A. |
Coin dealers? |
( ) |
( ) |
B. |
Internet auctions? |
( ) |
( ) |
C. |
Flea markets? |
( ) |
( ) |
D. |
Other? (please specify) |
( ) |
( ) |
6. The United States Mint is interested in getting the opinions of people of diverse cultural backgrounds, and we would like to ask you a few questions about your background. (READ)
Are you Latino or Hispanic Yes ( ) No ( )
___________________________________________________________________________
What is your race? Please select one or more.
White |
( ) |
GET A MIX |
Black or African-American |
( ) |
|
Asian |
( ) |
|
Native Hawaiian or other Pacific Islander, or |
( ) |
|
American Indian or Alaska Native. |
( ) |
|
Prefer Not to Answer |
( ) |
|
7. Do you currently collect, occasionally save, or sometimes put aside… (READ)
America the Beautiful quarters? ( ) MUST HAVE AT LEAST
50-state quarters? ( ) “A”, “B”, “C”, or “D”
C. New nickels? ( ) CHECKED
D. Other
current U.S. coins? ( ) TO QUALIFY FOR
GROUPS
E. Stamps? ( )
F. Cards (e.g., baseball cards, etc.)? ( )
G. Military items/historical memorabilia? ( )
H. Small, other collectibles? ( )
I. Other (Specify ________________)? ( )
___________________________________________________________________________
None ( ) TERMINATE
8. How many months or years have you collected or saved U.S. coins?
_______________________ ______________________
RECORD # OF MONTHS OR RECORD # OF YEARS
GET A MIX
9. Please indicate how likely or unlikely you would be to buy U.S. coins or U.S. collectible coins in the next 12 months either for yourself or as a gift using a scale from “1” to “6” where “1” means “Not at all Likely” and ”6” means “Extremely Likely.”
_______________________
RECORD NUMBER
MUST HAVE MIX OF “4” THROUGH “6”
10. Is your age: (READ)
Under 18, ( ) TERMINATE
________________________________________________________
18 to 30, ( )
31 to 39, ( )
40 to 49, ( )
50 to 59, ( )
60 to 69, or ( ) AT MOST 1
______________________________________________________
Over 70? ( ) TERMINATE
11. Is your total annual household income before taxes: (READ)
Under $30,000, ( ) TERMINATE
_____________________________________________________________________
$30,000 to $49,000, ( ) CONTINUE RECRUITING AND
CONTACT NATIONAL ANALYSTS
_____________________________________________________________________
$50,000 to $75,000, ( ) GET
A
$75,000 to $99,999, or ( ) MIX
$100,000 or more? ( )
12. Are you: (READ)
Married or living as married, ( ) GET
Separated, divorced or widowed, or ( ) A
Single? ( ) MIX
13. Do you have any children or grandchildren under age 18 ? (READ. CHECK APPROPRIATE BOX.)
Yes |
( ) |
|
No |
( ) |
SKIP TO Q. 14 |
13a. Do you have any children or grandchildren who are: (READ. CHECK APPROPRIATE BOX.)
|
Yes |
No |
Under 6, |
( ) |
( ) |
6 to 12, |
( ) |
( ) |
13 to 17? |
( ) |
( ) |
14. Do you have any nieces or nephews under age 18 ? (READ. CHECK APPROPRIATE BOX.)
Yes |
( ) |
|
No |
( ) |
SKIP TO Q. 15 |
14a. Do you have any nieces or nephews who are: (READ. CHECK APPROPRIATE BOX.)
|
Yes |
No |
Under 6, |
( ) |
( ) |
6 to 12, |
( ) |
( ) |
13 to 17? |
( ) |
( ) |
TRY TO RECRUIT AT LEAST 8 PER GROUP WHO ANSWER “YES” TO Q13A OR Q14A.
RECRUIT AT LEAST 4 WHO ANSWER “6-12” TO Q13A OR Q14A.
15. What is the last grade of school you completed? Is it: (READ)
Less than high school, ( ) TERMINATE
____________________________________________________
High school, ( )
Some College, ( ) GET
College, or ( ) A
Graduate school? ( ) MIX
16. Are you employed? (READ)
Full time, ( ) GET
Part time, or ( ) A
Not Employed? ( ) MIX
EXTEND INVITATION TO ELIGIBLE RESPONDENT AND RECORD INFORMATION ON FRONT. We'd like to invite you to participate in this research project.
You will receive an honorarium of $______ for your participation
File Type | application/msword |
File Title | Normal Document |
Author | Anita Corrado |
Last Modified By | Pollard, Yvonne |
File Modified | 2013-09-19 |
File Created | 2013-09-19 |