United
States Mint
New
Customer Acquisition Questionnaire
Customer
and Non-Customer Research June18,
2015
INTRODUCTION FOR CUSTOMER SAMPLE:
Welcome to the United States Mint’s survey.
This survey is designed to help the United States Mint understand how it can improve the products and services it provides. According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB number. The valid OMB control number for this information collection is 1525-0012-0198.
INTRODUCTION FOR NON-CUSTOMER SAMPLE:
NAXION, a research and consulting firm, is conducting a research study on consumer products.
Your participation in this survey is ENTIRELY VOLUNTARY and should require approximately 20-25 minutes of your time.
FOR BOTH SAMPLES:
It is NAXION’s policy to keep interviews anonymous. Consistent with this policy, NAXION will only entrust survey data with other entities when: 1) the participant gives explicit permission to release this data, or 2) the data is shared with an entity who agrees in writing that the data will be held strictly adequately protected and that the data will be used for research purposes only, or 3) the release of this data is required by law.
You will not be contacted for sales purposes as a result of participating in this survey.
For further information on NAXION’s privacy policy, you can view our website at
http://www.naxionthinking.com/privacy-policy/privacy-policy-domestic-and-global-information
If you have any questions or problems while completing the survey, please send an email to Ops Manager at opsmanager@naxion-thinking.com, or call weekdays from 9:00 AM to 5:00 PM Eastern at 1-800-342-9102 ext. XXXX.
To begin, we will first take a few moments to familiarize you with our survey:
If you do not know an exact answer, then please give your best estimate.
You may close the survey window and take a break. When you re-enter the survey, the survey will return to the last screen you saw before closing the survey.
Please click the Forward button to begin.
PROGRAMMING: For all questions, ask all unless otherwise specified.
Do not display this line: Section S: Screening Criteria
Programming: Ask All
S-1 First we need to ask a few introductory questions for classification purposes. Do you or does someone in your household or immediate family work…
Select one answer for each row.
|
Yes |
No |
For a market research firm or marketing research department of a company? |
|
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For an advertising, sales promotion, or public relations firm? |
|
|
An organization that produces, distributes, or sells collectible coins? (e.g., coin dealer) |
|
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As a journalist/freelance writer? |
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|
Programming:
Ask each of S-1 through S-4b, even if respondent will be terminated based on answer. Terminate after S-4b if “yes” to any.
In the entire survey, never allow people to go backwards.
Programming: Ask All
S-1a Have you collected, occasionally saved, or sometimes put aside any types of coins
(such as America The Beautiful Quarters, Presidential $1 Coins, etc.), either for yourself or for others, in the last 2 years?
Select one.
Yes |
|
No |
|
Programming:
We will "ghost" S1-a until it is activated to appear in the screener, although it may not need to be activated. The text of S-1a is asked in Q2-1b-1 where we need a minimum of 600 "Yes" answers from RN respondents (indicated by a "8" in the second digit of the respondent ID). If we are not going to reach this 600 minimum, we will activate S-1a and then terminate those who say “no”.
Once S-1a is activated, Q2-1b-1 will also be asked and the respondent will be forced to provide the same answer as given in S-1a with an error message “Previously you indicated that you have collected, occasionally saved, or sometimes put aside any types of coins (such as America The Beautiful Quarters, etc.), either for yourself or for others. Please revise your answer.”
Answers will be forced for respondents who do not see S-1a, based on their answer to Q2-1b-1.
Programming: Ask All
S-1b In the past 2 years, from which of the following organizations have you purchased any collectible coins or coin-related merchandise (e.g., coin-jewelry, etc.)?
Sources/Organizations |
Yes |
No |
The United States Mint |
|
|
Other companies or mints offering coins (Franklin Mint, Danbury Mint, Bradford Exchange, etc.) |
|
|
Coin shops/local shops (e.g., dealers, antique stores) |
|
|
Local auction or estate sales |
|
|
eBay or other Internet auction sites (and/or coin resellers who sell through Amazon) |
|
|
Home Shopping Network/QVC |
|
|
We will "ghost" S1-b until it is activated to appear in the screener. We need a minimum of 400 respondents (from RN) who say "Yes" to any of rows b-f of Q2-3e (which asks about purchasing from United States Mint & competitors). We will activate S-1b and then terminate those who say “no” to all of rows 2-6.
Once S-1b is activated, Q2-3d will also be asked and the respondent will be forced to provide the same answer as given in S-1b with an error message “Previously you indicated that you have purchased coins or coin-related merchandise (e.g., coin-jewelry, etc.) from …(rows)… Please revise your answer.”
Answers will be forced for respondents who do not see S-1b, based on their answer to Q2-3e.
Programming: Ask All
S-2 In the past year, have you sold any coins or other coin-related collectibles for income
purposes, other than to round out a personal collection?
Select one.
Yes |
|
No |
|
Programming:
Ask All
Programming: Ask if S-2 is yes
S-2b (new) To confirm, are you a dealer?
Select one.
Yes |
|
No |
|
Programming: Ask if S-2 is “yes”
Terminate after S-4b if “yes”
Programming: Ask All
S-3 What is your age in years?
Type in a number
Age (in years) |
_______ |
Programming:
Send to terminate screen after S-4 if <18.
If Panel send to terminate screen after S-4 if > 70.
Range is 14-99.
Programming: Ask All
S-4 Are you …?
Select one.
Male |
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Female |
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Programming:
Check quotas and terminate if over quota.
Programming: Ask Non-Customer Sample ONLY
S-4b What is the total combined annual income – before taxes – of all members of your household, including yourself? Please include income from jobs as well as bonuses, shares of profits and from all other sources. Your best estimate is fine.
Select one.
Less than $5,000 |
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$5,000 - $7,499 |
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$7,500 - $9,999 |
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$10,000 - $12,499 |
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$12,500 - $14,999 |
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$15,000 - $19,999 |
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$20,000 - $24,999 |
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$25,000 - $29,999 |
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$30,000 - $34,999 |
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$35,000 - $39,999 |
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$40,000 - $44,999 |
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$45,000 - $49,999 |
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$50,000 - $59,999 |
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$60,000 - $74,999 |
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$75,000 - $99,999 |
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$100,000 - $149,999 |
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$150,000 - $249,999 |
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$250,000 - $499,999 |
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$500,000 or more |
|
Programming:
Ask Non-Customer Sample ONLY
Based on your answers, you are eligible to participate in our survey.
Please click the Forward button to proceed.
Programming: Ask All
Section 1: Collectibles Behavior, Coin Awareness
Q1-1a Which, if any, of the following types of collectible merchandise do you currently collect (i.e., purchase to build a collection, etc.)?
Type of Collectible |
Yes |
No |
Cards (e.g., baseball cards, etc.) |
|
|
Coins |
|
|
Comic books |
|
|
Decorative plates |
|
|
Dolls/figurines |
|
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Fine art/antiques |
|
|
Military items/historical memorabilia |
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|
Music/movie memorabilia |
|
|
Sports memorabilia other than cards |
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|
Stamps |
|
|
Other (please specify) _______ |
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|
Programming:
Must specify if “Other” is yes.
Programming: Ask All
Q1-1c On average, about how much have you spent annually on each of these types of items since you began collecting them?
Please provide your best estimate in round numbers.
Type of Collectible |
Average Annual Expenditure |
Cards (e.g., baseball cards, etc.) |
$ _______ |
Coins |
$ _______ |
Comic books |
$ _______ |
Decorative plates |
$ _______ |
Dolls/figurines |
$ _______ |
Fine art/antiques |
$ _______ |
Military items/historical memorabilia |
$ _______ |
Music/movie memorabilia |
$ _______ |
Sports memorabilia other than cards |
$ _______ |
Stamps |
$ _______ |
Other (please specify) _______ |
$ _______ |
|
DISPLAY COLUMN SUM |
Programming:
Only show rows “yes” in Q1-1a. Carry over “Other” from Q1-1a.
Allowable range 0-$99,999 in each row, with error message (“The allowable range in … is $0-$99,999. Please revise your answer.”). Warning text if answer over $999 (“You have indicated that you spent $... on … If this is correct, press “OK”, otherwise click “CANCEL” and adjust your answer.”). Note that “…” means insert corresponding expenditure/collectible.
Programming: Ask All
Q1-2a Using a scale of 1 to 6, where 1 means “strongly disagree” and 6 means “strongly agree”, please rate the extent to which you agree or disagree with the following statements regarding XXXXX collecting.
Rate each item from 1-6.
|
Strongly Strongly Disagree Agree |
|
1 2 3 4 5 6 |
Collecting XXXXX makes me [would make me] feel like I spend my money on something that will retain its value |
|
XXXXX make great gifts |
|
A XXXXX collection is something memorable and/or sentimental to pass on to children or grandchildren |
|
I consider XXXXX to be works of art, like paintings or sculpture |
|
XXXXX collecting provides a good opportunity to "connect" with other people |
|
It [would give] gives me a feeling of satisfaction/accomplishment as I work towards completing my XXXXX sets |
|
A XXXXX collection is [would be] something interesting to display to guests |
|
Programming:
In XXXXX, display name of collectible with highest value in Q1-1c, excluding “coins.” (never allow coins as the item in 1-2a) OR if none in Q1-1c, choose 1 at random from items that are “Yes” in Q1-1a (but NOT coins) and insert [would be] where appropriate (if no items are chosen in Q1-1a, then insert a random item (but NOT coins) from Q1-1a question.
Randomize order.
Do Not Display Row - Section 2: Coin Collecting Behaviors, Attitudes, and Motivations
Programming: Ask all
Q2-1b-1 Have you collected, occasionally saved, or sometimes put aside any type of coins (such as America The Beautiful Quarters, Presidential $1 Coins, etc.), either for yourself or for others, in the last 2 years?
Select one.
Yes |
|
No |
|
Programming:
Ask all
If no, skip to 2-2a.
Programming: Ask if coin saver (yes to 2-1b-1)
Q2-1c Are the coins you collect, occasionally save, or put aside for yourself, for others (e.g., gifts), or both?
Select one.
For myself |
|
For others |
|
Both |
|
Programming:
Ask if yes to 2-1b-1
Programming: Ask if coin saver (yes to 2-1b-1)
Q2-1e Which of these activities, if any, have you done within the last 2 years to collect or save coins?
Select one in each row
Activity |
Yes |
No |
Gone to banks/bank tellers for “new” (uncirculated) coins |
|
|
Taken coins out of general circulation (from pocket/purse) and saved them |
|
|
Acquired/been given coins from relatives or friends |
|
|
Other (specify) _____________________________________ |
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|
Programming:
Ask if yes to 2-1b-1
Randomize order of a-c
Programming: Ask All
Q2-2a Using a scale of 1 to 6, where 1 means “strongly disagree” and 6 means “strongly agree”, please rate the extent to which you agree or disagree with the following statements regarding coin collecting.
Rate each item from 1-6.
|
Strongly
Strongly |
|
1 2 3 4 5 6 |
Collecting coins makes [would make] me feel like I spend my money on something that will retain its value |
|
Collectible coins make great gifts |
|
A coin collection is something memorable and/or sentimental to pass on to children or grandchildren |
|
I consider coins to be works of art, like paintings or sculpture |
|
Coin collecting provides [would provide] a good opportunity to "connect" with other people |
|
It gives [would give] me a feeling of satisfaction/accomplishment as I work towards completing my coin sets |
|
A coin collection is [would be] something interesting to display to guests |
|
I am (or would be) very interested in coins that relate to key events or figures in American history |
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I am very interested in foreign coins |
|
I am (or would be) very interested in coins related to military history (e.g., battles, etc.) |
|
I would find special coins or sets about different U.S. Presidents highly interesting |
|
Programming:
Insert parenthetical italics text for non Coin Savers (those saying “No” in Q2-1b-1)
Randomize
Programming: Ask All
Q2-3a What organizations or sources, if any, are you aware of that offer collectible coins for sale?
Please list any organizations in the spaces below. If you are not aware of any please indicate in the check-box below.
______________________ _____________________
______________________ _____________________
______________________ _____________________
I am not aware of any organizations that offer collectible coins for sale |
|
Programming:
Display 12 lines for respondent to enter answers.
Do not allow “I am not aware” box to be checked if there is text on any line.
Programming: Ask All
Q2-3b Which, if any, of the following sources of collectible coins or coin-related merchandise (e.g., coin jewelry, etc.) have you heard of?
Sources/Organizations |
Yes |
No |
The United States Mint |
|
|
Other companies or mints offering coins (Franklin Mint, Danbury Mint, Bradford Exchange, etc.) |
|
|
Coin shops/local shops (e.g., dealers, antique stores) |
|
|
Local auction or estate sales |
|
|
eBay or other Internet auction sites (and/or coin resellers who sell through Amazon) |
|
|
Home Shopping Network/QVC |
|
|
Programming: Randomize order but keep a and b together; Retain same order in 2-3c, 2-3e, 2-3f, 2-3g and 2-4a.
Programming: Ask those who said Yes in Q2-3b
Q2-3b-1 (new) How familiar are you with the United States Mint (thinking about their role as a source of collectible coins or coin-related merchandise)?
|
Very Familiar |
Somewhat Familiar |
I only know the name |
The United States Mint |
|
|
|
Programming: Only ask if Yes to row a in 2-3b
Programming: Ask All
Q2-3c Which, if any, of the following organizations have you ever contacted (e.g., called, visited their website, gone in person) regarding collectible coins or coin-related merchandise (e.g., coin jewelry, etc.)?
Sources/Organizations |
Yes |
No |
The United States Mint |
|
|
Other companies or mints offering coins (Franklin Mint, Danbury Mint, Bradford Exchange, etc.) |
|
|
Coin shops/local shops (e.g., dealers, antique stores) |
|
|
Local auction or estate sales |
|
|
eBay or other Internet auction sites (and/or coin resellers who sell through Amazon) |
|
|
Home Shopping Network/QVC |
|
|
Programming:
Same order as 2-3b
Only show rows “yes” in 2-3b
Programming: Ask All
Q2-3e In the past two years, from which of the following organizations have you purchased any collectible coins or coin-related merchandise (e.g., coin jewelry, etc.)? Please only answer if you are sure that you have purchased from the source.
Do not say yes if you have only received a gift from the organization (but didn’t make the purchase yourself).
Sources/Organizations |
Yes |
No |
The United States Mint |
|
|
Other companies or mints offering coins (Franklin Mint, Danbury Mint, Bradford Exchange, etc.) |
|
|
Coin shops/local shops (e.g., dealers, antique stores) |
|
|
Local auction or estate sales |
|
|
eBay or other Internet auction sites (and/or coin resellers who sell through Amazon) |
|
|
Home Shopping Network/QVC |
|
|
Programming: Ask All
Programming: Ask if No to United States Mint in Q2-3e
Q2-3e-1 (new) Have you ever purchased any collectible coins or coin-related merchandise (e.g., coin-jewelry, etc.) from the United States Mint? Please only answer if you are sure that you have purchased from the source.
Do not say yes if you have only received a gift from the United States Mint (but didn’t make the purchase yourself).
Ever Purchased |
Yes |
No |
The United States Mint |
|
|
Programming: Ask if “No” to USM (row a) in Q2-3e.
Programming: Ask if Coin Purchaser
Q2-3f For each source listed, how did you primarily make your purchases in the last 2 years?
Select one in each row.
Sources |
Purchase Method |
|||
Phone |
Internet |
In-Person |
||
The United States Mint |
|
|
|
|
Other companies or mints offering coins (Franklin Mint, Danbury Mint, Bradford Exchange, etc.) |
|
|
|
|
Coin shops/local shops (e.g., dealers, antique stores) |
|
|
|
|
Local auction or estate sales |
|
|
|
|
eBay or other Internet auction sites (and/or coin resellers who sell through Amazon) |
|
|
|
Don’t allow |
Home Shopping Network/QVC |
|
|
|
Don’t allow |
Programming:
Only show rows “yes” in 2-3e.
Sources appear in same order as 2-3b.
Allow only 1 response per row.
Programming: Ask if any rows “yes” in Q2-3e
Q2-3g Approximately how much have you spent in total on collectible coins and coin-related merchandise from each of these sources in the last 12 months?
Please enter a value rounded to the nearest dollar in each space provided.
Sources |
$ Spent Last 12 Months |
The United States Mint |
$_____ |
Other companies or mints offering coins (Franklin Mint, Danbury Mint, Bradford Exchange, etc.) |
$_____ |
Coin shops/local shops (e.g., dealers, antique stores) |
$_____ |
Local auction or estate sales |
$_____ |
eBay or other Internet auction sites (and/or coin resellers who sell through Amazon) |
$_____ |
Home Shopping Network/QVC |
$_____ |
Programming:
Only show rows “yes” in 2-3e.
Sources appear in same order as 2-3b.
Allowable range 0-$99,999 in each row, with error message (“The allowable range in … is $0-$99,999. Please revise your answer.” ). Warning text if answer over $999 (“You have indicated that you spent $... on … If this is correct, press “OK”, otherwise click “CANCEL” and adjust your answer.”).
Programming: Ask All
Q2-4a [IF HAVE NOT PURCHASED COINS IN PAST (Q2-3e “no” to all), INSERT - “If you were to purchase collectible coins in the future”] Which of the following organizations would you consider as a source for buying coins?
Check one for each row.
Sources |
Would Consider |
Would not Consider |
The United States Mint |
|
|
Other companies or mints offering coins (Franklin Mint, Danbury Mint, Bradford Exchange, etc.) |
|
|
Coin shops/local shops (e.g., dealers, antique stores) |
|
|
Local auction or estate sales |
|
|
eBay or other Internet auction sites (and/or coin resellers who sell through Amazon) |
|
|
Home Shopping Network/QVC |
|
|
Programming: Same order as 2-3b.
Programming: Ask All
Q2-4b [IF HAVE NOT PURCHASED COINS IN PAST (Q2-3e “no” to all), INSERT “If you were to purchase collectible coins in the future”] Which of the following organizations would be your first choice as a source for buying coins?
Check one.
Sources |
1st Choice |
The United States Mint |
|
Other companies or mints offering coins (Franklin Mint, Danbury Mint, Bradford Exchange, etc.) |
|
Coin shops/local shops (e.g., dealers, antique stores) |
|
Local auction or estate sales |
|
eBay or other Internet auction sites (and/or coin resellers who sell through Amazon) |
|
Home Shopping Network/QVC |
|
Programming:
Only show rows “would consider” in 2-4a. If “would not consider” is selected for all rows in 2-4a, ask question with all rows shown. If only 1 row “would consider” in 2-4a, count that row as the answer to 2-4b and do not ask 2-4b.
Same order as 2-4a.
Programming: Ask All
Q2-4c Please indicate whether or not, to the best of your knowledge, each of the following coin or coin-related products is offered for sale by the United States Mint.
|
Yes |
No |
Unsure |
American the Beautiful Quarters |
|
|
|
Presidential $1 Coins |
|
|
|
Special commemorative coins |
|
|
|
Coin jewelry and other coin-related gift items |
|
|
|
American Eagle Platinum, Gold or Silver coins |
|
|
|
Annual U.S. Proof coin sets |
|
|
|
Annual U.S. Silver Proof coin sets |
|
|
|
Annual uncirculated set with P & D mint marks |
|
|
|
Programming: Ask All
Programming: Ask Coin Savers
Q2-6a-1 (new) In the past two years, have you collected or saved any of the following types of coins?
Select one in each row
Coin Type |
Yes |
No |
Pristine (specially minted and/or untouched by human hands) copies of new US circulating coins |
|
|
Old/rare coins |
|
|
Foreign coins |
|
|
Special commemorative coins |
|
|
Programming:
Ask if Q2-1b-1 is yes
Programming: Ask Coin Purchasers
Q2-6a-2 (new) In the next 12 months, how likely are you to purchase any of the following types of coins?
Select one in each row
|
Not
at all Extremely |
Coin Type |
1 2 3 4 5 6 |
Pristine (specially minted and/or untouched by human hands) copies of new US circulating coins |
|
Old/rare coins |
|
Foreign coins |
|
Special commemorative coins |
|
Programming:
Ask if Q2-3e is yes for any row
Programming: Ask Not-Mint Customers
Q2-8d-1 To what degree has each of the following factors been a reason (or barrier) that has contributed to your not purchasing any collectible coins or coin-related merchandise from the United States Mint?
|
Not at all a Barrier |
Minor Barrier |
Medium Barrier |
Major Barrier |
I know very little about collectible coins |
|
|
|
|
I don’t see any point to ever pay over “face value” for a coin |
|
|
|
|
I wasn’t aware I could purchase coins from the United States Mint |
|
|
|
|
I do not know how to contact the United States Mint |
|
|
|
|
I’m not familiar with the types of items the United States Mint offers for sale |
|
|
|
|
I fear I might overpay for products or buy something that isn’t worth much |
|
|
|
|
Overall, I feel coin collecting is boring |
|
|
|
|
I do not enjoy building collections of items (of any kind) |
|
|
|
|
I am uninterested in the subject matter of collectible coins |
|
|
|
|
I have no time for collecting coins |
|
|
|
|
I need to see/handle an object in person before I buy it |
|
|
|
|
Coin collecting is too expensive for me |
|
|
|
|
I do not think coins make a good investment |
|
|
|
|
I do not feel that coins make good display items |
|
|
|
|
I do not feel that coins make good gifts |
|
|
|
|
I did not even know that collectible coins existed |
|
|
|
|
I have no interest in coin collecting |
|
|
|
|
Customer service is not favorable |
|
|
|
|
Product packaging is unexciting or does not provide enough value |
|
|
|
|
Programming:
Randomize order
Ask all who are NOT United States Mint Customers (“No” in Q2-3e row a) only
Programming: Tie-Breaker for Q2-8d-1
Q2-8d-2 Which of these would you say is the most important barrier that has prevented you from purchasing from the United States Mint?
Please select one.
I know very little about collectible coins |
|
I don’t see any point to ever pay over “face value” for a coin |
|
I wasn’t aware I could purchase coins from the United States Mint |
|
I do not know how to contact the United States Mint |
|
I’m not familiar with the types of items the United States Mint offers for sale |
|
I fear I might overpay for products or buy something that isn’t worth much |
|
Overall, I feel coin collecting is boring |
|
I do not enjoy building collections of items (of any kind) |
|
I am uninterested in the subject matter of collectible coins |
|
I have no time for collecting coins |
|
I need to see/handle an object in person before I buy it |
|
Coin collecting is too expensive for me |
|
I do not think coins make a good investment |
|
I do not feel that coins make good display items |
|
I do not feel that coins make good gifts |
|
I did not even know that collectible coins existed |
|
I have no interest in coin collecting |
|
Customer service is not favorable |
|
Product packaging is unexciting or does not provide enough value |
|
Programming:
Show only if a tie exists in 2-8d-1 for major barrier. Force respondent to select exactly one.
Only display rows that were tied as major barrier in 2-8d-1
Programming: Ask Non-Mint Coin Purchasers
Q2-8e-1 Earlier you indicated you have purchased coins from other sources, but not the United States Mint. To what degree have each of the following factors contributed to your purchasing from other sources instead of the United States Mint?
Rate each item from 1-6, where 1 means “Not at All a Reason” and 6 means “Has Been a Major Reason”
|
Not at All Has Been a Reason Major Reason |
|
1 2 3 4 5 6 |
I wasn’t aware I could purchase coins from the United States Mint |
|
I do not know how to contact the United States Mint |
|
I’m not familiar with the types of items the United States Mint offers for sale |
|
I need to see/handle an object in person before I buy it |
|
United States Mint coins are too expensive for me |
|
Coins from other sources are easier to buy and/or sell |
|
I saw a TV ad from another source/company |
|
I received a catalog from another source/company |
|
I saw Internet ads from another source/company |
|
Programming: Randomize order
Ask Coin Purchaser who are NOT United States Mint purchasers (“No” in 2-3e row a, AND “Yes” in 2-3e to any row except for row a) only
If more than 1 row is tied for highest rating, ask Q2-8e-2
Programming: Tie-Breaker for Q2-8e-1
Q2-8e-2 Which of these would you say is the most important barrier that has contributed to your purchasing from other sources instead of the United States Mint?
Choose one
I wasn’t aware I could purchase coins from the United States Mint |
|
I do not know how to contact the United States Mint |
|
I’m not familiar with the types of items the United States Mint offers for sale |
|
I need to see/handle an object in person before I buy it |
|
United States Mint coins are too expensive for me |
|
Coins from other sources are easier to buy and/or sell |
|
I saw a TV ad from another source/company |
|
I received a catalog from another source/company |
|
I saw Internet ads from another source/company |
|
Programming:
Show only if a tie exists in 2-8e-1 for the highest number. Force respondent to select exactly one.
Only display rows that were tied in 2-8e-1
DO NOT DISPLAY LINE - Section 3: Coin Purchasing Interest and Past Experiences/Exposures
Programming: Ask All
Q3-1a Several different types of products that are available from the United States Mint are shown on this screen and subsequent screens. Please take a moment to read the descriptions provided, and for each, please indicate the degree to which you would be likely to consider purchasing them, either for yourself, or as a gift for someone else, in the next 12 months.
Rate each item from 1-6, where 1 means “Not at All Likely” and 6 means “Extremely Likely”.
|
Not at Extremely All Likely Likely |
|
1 2 3 4 5 6 |
An Annual United States Mint Proof Set®
Image not actual size
With the U.S. Mint 2015 Proof Coin Set you get all 14 proof coins dated 2015 encased in three clear plastic lenses. With sharp relief and mirror-like backgrounds, U.S. Mint proof coins have frosted, sculpted foregrounds giving them a special cameo effect. Price: $32.95
|
o o o o o o |
An Annual United States Mint Silver Proof Set®
Image not actual size
The 2015 Silver Proof Set contains 14 coins encased in three clear plastic lenses. These beautiful proof coins are specially minted to feature sharp relief, a mirror–like background and frosted foregrounds. Price: $53.95 (varies with market)
|
o o o o o o |
An Annual United States Mint Uncirculated Coin Set®
Image not actual size
The 2015 Uncirculated Coin Set contains 28 blister–sealed coins displayed in two folders of 14 coins each – one folder from the U.S. Mint at Philadelphia and one from Denver. Produced in special presses, these uncirculated coins feature sharp, intricate details. Price: $28.95
|
o o o o o o |
An Annual United States Mint America the Beautiful Quarters Proof Set ™
Image
not actual size With
the U.S. Mint 2015 America the Beautiful Quarters Proof Set you
get all 5 America the Beautiful Proof Quarters dated 2015 encased
in a clear plastic lens. With sharp relief and mirror-like
backgrounds, U.S. Mint proof coins have frosted, sculpted
foregrounds giving them a special cameo effect.
|
o o o o o o |
An Annual United States Mint America the Beautiful Quarters Silver Proof Set ™
Image
not actual size The
2015 America the Beautiful Quarters Silver Proof Set contains 5
coins struck in silver with a proof finish encased in a clear
plastic lens. These beautiful proof coins are specially minted to
feature sharp relief, a mirror–like background and frosted
foregrounds.
|
o o o o o o |
An American Eagle Silver Proof One Ounce Coin
Image
not actual size The
2015 American Eagle One Ounce Silver Proof Coin is made from one
ounce of 0.999 fine silver and bears the “W” mint
mark, reflecting its striking at the U.S. Mint facility at West
Point. With sharp relief and mirror-like backgrounds, U.S. Mint
proof coins have frosted, sculpted foregrounds giving them a
special cameo effect.
|
o o o o o o |
To ensure our survey is working properly, please select 3 in this row. |
o o o o o o |
An Annual United States Mint Presidential Proof Set ®
Image
not actual size With
the 2015 Presidential $1 Coin Proof Set you get all 4
Presidential $1 Proof Coins dated 2015 encased in a clear plastic
lens. With sharp relief and mirror-like backgrounds, U.S. Mint
proof coins have frosted, sculpted foregrounds giving them a
special cameo effect.
|
|
An American Eagle Gold Proof One Ounce Coin
Image not actual size
The 2015 American Eagle One Ounce Gold Proof Coin, struck in 22–karat gold, features a breathtaking design of Lady Liberty. Each coin is packaged in a velvet, satin–lined presentation case and is accompanied by a Certificate of Authenticity. Price: $1,510.00 (varies with market)
|
o o o o o o |
A Beginners Set such as the Coin Discovery Set – An Introduction to Coin Collecting
Image not actual size
It
includes three 2014 Kennedy Half-Dollars in three different
finishes — proof, uncirculated and circulating. Coin
collecting supplies include coin tubes for collecting your own
quarters, a magnifying glass and cotton gloves. An educational
booklet explaining the coin production process and the different
finishes is also included.
|
o o o o o o |
A Commemorative Proof Silver Dollar coin depicting an important American icon, such as Abraham Lincoln.
Image
not actual size The coin is packaged in an attractive velvet case. (1.5” diameter) Price:
$51.95 (varies with market) |
o o o o o o |
A
military
themed Commemorative Silver Dollar coin,
such as the American Veterans Disabled for Life Proof Silver
Dollar.
Image
not actual size The coin is packaged in an attractive velvet case. (1.5” diameter) Price:
$51.95 (varies with market) |
o o o o o o |
2015 Coin & Chronicles Set – Harry S. Truman
Image not actual size
Price: $57.95 (varies with market) |
o o o o o o |
Any other United States Mint Products |
o o o o o o |
Programming:
Randomize except for q last. Display trap question in between two items (not including level q) on screen X.
Show no more than 3 products per screen. Repeat the scale at the top of each screen.
Display Note at top “Screen 1 of X” and “Screen 2 of X” etc.
For the “trap question,” create a binary field in the data layout called “Passed_row_z” where 1 = passed (i.e. selected 3) and 0 = failed (selected 1,2,4,5,6 or did not answer the question.
Identify in reports how many completes passed and how many failed.
Programming: Ask All
Q3-1b Overall, how likely are you to consider purchasing any types of collectible coins or coin products (from any source) during the next 12 months…
|
Not at Extremely All Likely Likely |
|
1 2 3 4 5 6 |
…For yourself |
o o o o o o |
…For someone else (as a gift) |
o o o o o o |
Programming:
If “For someone else (as a gift)” is <3, skip to Q3-4
Programming: Ask if likely to give a collectible coin as a gift in the next 12 months
Q3-1c To what degree would you be likely to consider giving coins as gifts for each of the
following types of occasions
Rate each item from 1-6, where 1 means “Not at All Likely” and 6 means “Extremely Likely”.
|
Not at Extremely All Likely Likely |
|
1 2 3 4 5 6 |
Birthday |
|
Year-end holiday gift |
|
Other holiday gift |
|
Wedding/anniversary |
|
Birth of child |
|
Graduation |
|
Mother’s Day/Father’s Day |
|
Retirement |
|
Programming:
Randomize order; “Other holiday gift” should follow Year-end holiday gift”
Programming: Ask if likely to give a collectible coin as a gift in the next 12 months
Q3-1d To what degree would you be likely to consider purchasing coins to give as gifts to each of the following types of recipients?
Rate each item from 1-6, where 1 means “Not at All Likely” and 6 means “Extremely Likely”.
|
Not
at Extremely |
|
1 2 3 4 5 6 |
Child |
|
Grandchild |
|
Parent |
|
Grandparent |
|
Other relative |
|
Spouse/significant other |
|
Friend |
|
Co-worker |
|
Business associate (in another company) |
|
Programming:
Randomize order
Programming: Ask Not-Mint Customers
Q3-4 How likely would you be to seriously consider purchasing any collectible coins or coin-related products from the United States Mint if they did/offered the following?
|
Not
at all Extremely |
|
1 2 3 4 5 6 |
Offered a special education set on a President (e.g., FDR) |
|
Offered an option for your purchase to come with an Autographed (stamped) Certificate of Authenticity by the Secretary of the Treasury |
|
Sold collectible 5 oz. silver versions (3 inch diameter) of U.S. quarters (approx. $150) |
|
Had a collectibles show in your city |
|
Sold United States Mint products on Ebay or amazon.com |
|
Sold products on the United States Mint website |
|
Placed banner ads on your favorite website |
|
Sent you an informational catalog explaining their products |
|
Sold products on QVC and HSN |
|
Sold United States Mint products in a vending machine |
|
Sold United States Mint products at a kiosk in a shopping center or tourist site |
|
Programming:
Randomize order
Ask Non-US Mint customers
Programming: Ask All
Q3-1f If you were to consider purchasing a collectible coin or coin-related merchandise (e.g., coin jewelry, etc.), how important would each of the following considerations be in influencing your decision to buy or not buy?
Rate each item from 1-6, where 1 means “Not at All Important” and 6 means “Extremely Important”.
|
Not at All Extremely Important Important |
|
1 2 3 4 5 6 |
The historical relevance of the coin |
|
The packaging and/or inserts accompanying the coin |
|
The person, place, event, or object featured on the coin |
|
The ability to sell the coin for profit in the future |
|
The rarity of the coin |
|
The source from which I am purchasing the coin (e.g., direct from the United States Mint, from a coin dealer, etc.) |
|
The quality/appeal/beauty of the artwork on the coin |
|
The coin’s metal content (e.g., gold, silver, etc.) |
|
The price of the coin |
|
Programming:
Randomize order
Programming: Ask All
Q3-2 Please indicate which of the following is true or false with respect to you.
Check one for each row. |
True |
False |
I have a close relative or friend who is a serious collector |
|
|
I have looked for coins on the Internet |
|
|
I have read about the increase in value of specific types of coins/sets |
|
|
I have visited a coin dealer |
|
|
Have read a book or magazine about coin collecting |
|
|
Have read an article about coins, etc., in the newspaper |
|
|
Have seen a rare coin display (e.g., in a museum) |
|
|
Have inherited coins (e.g., from a relative, etc.) |
|
|
I set aside/collected coins as a child |
|
|
Programming: Randomize order
Programming: Ask Non-Coin Collectors
Q3-3a In the past two years, why have you not purchased coins?
|
Programming:
Ask only those who answered “No” to all rows in 2-3e
DO NOT DISPLAY ROW: Section 4-1: Purchasing/Communications Channels and Spending Potential
Programming: Ask All
Q4-4a If you were seriously considering purchasing collectible coins from the United States Mint, how likely would you be to respond if they advertised/highlighted their products to you in…?
|
Not at all Likely to Respond |
Somewhat Unlikely to Respond |
Somewhat Likely to Respond |
Highly Likely to Respond |
A letter sent to me in the mail |
|
|
|
|
An informational E-mail |
|
|
|
|
Print ads in newspaper |
|
|
|
|
Print ads in magazine |
|
|
|
|
A radio ad |
|
|
|
|
A television ad with endorsement from public figure |
|
|
|
|
Internet news article |
|
|
|
|
An ad that is placed on a website you visit (Banner or floating ads) |
|
|
|
|
Social media ads |
|
|
|
|
Online informational video advertisements |
|
|
|
|
Sponsored websites from search results |
|
|
|
|
Mobile ads |
|
|
|
|
On QVC or HSN |
|
|
|
|
Programming:
Randomize
Programming: Ask All
Q4-11 How much are you likely to spend on coin collecting in the next year?
Please enter a dollar amount below.
$_______ |
Programming:
Error message if over $99,999. Warning message if over $999. Same text as other warning/error messages.
0 is acceptable answer
Programming: Ask All
Q4-12 Which of the following hobbies or leisure activities have you participated in, in the last 6 months?
Select all that apply
Antique shopping/shows |
□ |
Collecting (anything) |
□ |
Cooking/Baking (as a hobby or leisure activity) |
□ |
Camping |
□ |
Dining Out/Going to Restaurants |
□ |
Fishing/Hunting |
□ |
Gaming/Playing Video Games/Electronic Games |
□ |
Gardening |
□ |
Going to Concerts/The Theater/Comedy Clubs/Nightclubs |
□ |
Going to Sporting Events (professional sports like baseball, tennis, auto racing, etc.) |
□ |
Hiking/Backpacking/Camping/Rock Climbing/Mountain Climbing |
□ |
Purchasing Music/Videos/Movies/TV Shows to listen to/watch |
□ |
Needlework/Quilting/Sewing |
□ |
Painting/Drawing/Sculpting |
□ |
Personal participation in fitness/sports (e.g., Baseball, Basketball, Golf, Bicycling, Martial Arts, Running, Skiing, Swimming, Tennis, Weight lifting, Yoga) |
□ |
Photography |
□ |
Playing a Musical Instrument |
□ |
Sailing/boating/Canoeing/Kayaking |
□ |
Visiting Museums/Zoos/Aquariums |
□ |
Other (please specify) _______ |
□ |
None of the above |
|
Programming:
Allow multiple responses except for “None of the above”
Programming: Ask if collecting (anything) selected
Q4-13 You indicated that you “collected (anything)”. What do you collect?
Specify collection _____________________________ |
Programming:
Only ask if Q4-12 collecting (anything) is selected
Programming: Ask if going to sporting events selected
Q4-14 You indicated that you have gone to sporting events in the past 6 months. Which sporting events have you attended?
Select all that apply
Auto racing |
□ |
Basketball |
□ |
Football |
□ |
Hockey |
□ |
Tennis |
□ |
Soccer |
□ |
Other (specify) ____________________________ |
□ |
Programming:
Only ask if Q4-12 going to sporting events is selected
Programming: Ask All, skip if “None of the above” selected in Q4-12
Q4-15 In the last 6 months, about how much have you spent on all of the hobbies and leisure activities you just mentioned?
Antique shopping/shows |
$____ |
Collecting (anything) |
$____ |
Cooking/Baking (as a hobby or leisure activity) |
$____ |
Camping |
$____ |
Dining Out/Going to Restaurants |
$____ |
Fishing/Hunting |
$____ |
Gaming/Playing Video Games/Electronic Games |
$____ |
Gardening |
$____ |
Going to Concerts/The Theater/Comedy Clubs/Nightclubs |
$____ |
Going to Sporting Events (professional sports like baseball, tennis, auto racing, etc.) |
$____ |
Hiking/Backpacking/Camping/Rock Climbing/Mountain Climbing |
$____ |
Purchasing Music/Videos/Movies/TV Shows to listen to/watch |
$____ |
Needlework/Quilting/Sewing |
$____ |
Painting/Drawing/Sculpting |
$____ |
Personal participation in fitness/sports (e.g., Baseball, Basketball, Golf, Bicycling, Martial Arts, Running, Skiing, Swimming, Tennis, Weight lifting, Yoga) |
$____ |
Photography |
$____ |
Playing a Musical Instrument |
$____ |
Sailing/boating/Canoeing/Kayaking |
$____ |
Visiting Museums/Zoos/Aquariums |
$____ |
Other (please specify) _______ |
$____ |
Programming:
Skip if none of the above selected in Q4-12
Only show rows selected in Q4-12
Keep rows in same order as Q4-12
If “Other” was specified Q4-12, insert entered text in row. If not specified but selected in Q4-12, allow specification in Q4-13.
Allowable range 0-$99,999 in each row, with error message (“The allowable range in … is $0-$99,999. Please revise your answer.”). Warning text if answer over $999 (“You have indicated that you spent $... on … If this is correct, press “OK”, otherwise click “CANCEL” and adjust your answer.”).
DO NOT DISPLAY ROW - Section 6: Internet activity
Programming: Ask All
Q6-1 Which of the following do you currently use to connect to the Internet (either at home or at work)?
Select
all that apply
Laptop or Desktop computer |
□ |
Smartphone/Cell phone |
□ |
Small Tablet: display is 8” or less |
□ |
Large Tablet: display is >8” |
□ |
Gaming System |
□ |
Smart TV or TV devices (such as Roku or Apple TV) |
□ |
MP3 Player |
□ |
Other (please specify) _______ |
□ |
I do not have Internet access |
|
Programming:
Keep “I do not have intenet access”, separate but only show for USM Customers
Force “Other” to be specified
If “I do not have Internet access” is selected, force all other rows to be unselected.
Programming: Ask if more than 1 selected in Q6-1
Q6-1b Which do you use most often to connect to the Internet (either at home or at work)?
Select
one
Laptop or Desktop computer |
|
Smartphone/Cell phone |
|
Small Tablet: display is 8” or less |
|
Large Tablet: display is >8” |
|
Gaming System |
|
Smart TV or TV devices (such as Roku or Apple TV) |
|
MP3 Player |
|
Other (please specify) _______ |
|
Programming:
Only show if 2 or more rows selecteded in Q6-1
Only show those rows selected
Programming: Ask All with Internet
Q6-2 On average, how many hours per week do you spend on the Internet for something other than e-mail?
More than 20 hours |
|
15 to 20 hours |
|
10 to 14 hours |
|
5 to 9 hours |
|
1 to 4 hours |
|
Less than 1 hour |
|
Programming:
Randomly alternate between ascending/descending row order
Skip Q6-2 if “I do not have Internet” is selected in Q6-1
Programming: Ask All with Internet
Q6-3 When you launch your browser to connect to the Internet, what is the 1st website that you see or what is the 1st website that you go to from the start screen?
|
Programming: Skip Q6-3 if “I do not have Internet” is selected in Q6-1
Programming: Ask All with Internet
Q6-4 Which of the following search engines do you use?
Select
all that apply
□ |
|
Bing |
□ |
Yahoo |
□ |
Ask |
□ |
AOL Search |
□ |
WOW |
□ |
WebCrawler |
□ |
MyWebSearch |
□ |
Other (please specify) _______ |
□ |
Programming:
Randomize row order, keep “Other” anchored at bottom
Skip Q6-4 if “I do not have Internet” is selected in Q6-1
Programming: Ask All, Skip if only 1 row selected in Q6-4
Q6-5 Which search engine do you use most often?
Select
one
|
|
Bing |
|
Yahoo |
|
Ask |
|
AOL Search |
|
WOW |
|
WebCrawler |
|
MyWebSearch |
|
Other (please specify) _______ |
|
Programming:
Skip if only 1 row selected in Q6-4; Only show rows selected in Q6-4; Keep rows in same order as Q6-4
If “Other” was specified Q6-4, insert entered text in row. If not specified but selected in Q6-4, allow specification in Q6-5
Programming: Ask All with Internet
Q6-6 Which of the following websites have you visited in the past 3 months?
|
Yes |
No |
Accuweather.com |
|
|
Allrecipes.com |
|
|
Ask.com |
|
|
Ebay.com |
|
|
Espn.go.com |
|
|
Mapquest.com |
|
|
MSN.com |
|
|
Verizon.com |
|
|
Yahoo.com |
|
|
Youtube.com |
|
|
Programming: Skip Q6-6 if “I do not have Internet” is selected in Q6-1
Programming: Ask All
Q6-7 Which of the following social networking sites do you visit at least once a week?
Select
all that apply
□ |
|
□ |
|
□ |
|
Linked In |
□ |
□ |
|
Google Plus+ |
□ |
Tumblr |
□ |
Vine |
□ |
Meetup |
□ |
□ |
|
Other (please specify) _______ |
□ |
I do not visit any social networking sites at least once a week |
|
Programming:
Randomize row order, keep “Other” and I do not visit anchored at bottom
Do not force “Other” to be specified
Programming: Ask All with Internet
Q6-8 Do you use ad blocking software when you access the Internet?
Select one.
Yes, I installed it |
|
No, I did not install it |
|
I don’t know |
|
Programming:
Skip 6-8 if “I do not have Internet access” is selected in Q6-1.
Programming: Ask All
Q6-9 A mobile app is a type of application software or “program” that runs on a mobile device like a smartphone or tablet. Which of the following describes how you use apps?
Select
all that apply
I use the apps that came with my smartphone/tablet |
□ |
I have downloaded and use free apps on my smartphone/tablet |
□ |
I have downloaded and use paid apps on my smartphone/tablet |
□ |
I do not use mobile apps/I do not have a smartphone or tablet |
|
Programming:
If “I do not use mobile apps/I do not have a smartphone or tablet” is selected, force all other rows to be un-selected.
Programming: Ask All
Q6-10 For the following activities or types of websites, please indicate which ones you used or visited in the last 30 days.
Select
all that apply
Airline/Care/Hotel Information or Reservations |
□ |
Auction |
□ |
Banking |
□ |
Blogs/Blogging (reading and/or writing personal online journals/diaries) |
□ |
Chat Forums |
□ |
□ |
|
Instant Messaging (IM) |
□ |
News/Weather |
□ |
Shopping: Gathered information for shopping |
□ |
Shopping: Made a purchase |
□ |
Other Online Activities |
□ |
None of the Activities Above |
|
Programming:
Skip 6-10 if if “I do not have Internet access” is selected in Q6-1
Allow multiple responses except for “None of the Activities Above”
Programming: Ask All
Q6-11 Please tell us the extent to which you agree or disagree with each of the following statements. If you are not sure please mark “Neither Agree Nor Disagree” and go on to the next statement.
Select one per row.
|
|
|
Neither Agree
Nor |
|
|
I like or want to learn more about computer technology and the internet |
|
|
|
|
|
When I need information the first place I look is the internet |
|
|
|
|
|
I think I am able to manage without many technology products that others find essential |
|
|
|
|
|
The internet has increased my desire to learn/search for information |
|
|
|
|
|
The internet has changed the way I spend my free time |
|
|
|
|
|
The internet helps me plan and book travel |
|
|
|
|
|
The internet has changed the way I shop for products/services |
|
|
|
|
|
I try to keep up with developments in technology |
|
|
|
|
|
I like to buy technology products which easily connect to products that I already have |
|
|
|
|
|
I like websites that show me local information |
|
|
|
|
|
I get more and more of my news from the internet |
|
|
|
|
|
When I see something interesting on TV, I often go online to find out more about it |
|
|
|
|
|
Watching recorded content in any room using a wireless in-home network would be a real benefit |
|
|
|
|
|
Technology is moving so fast I don’t even bother to try and keep up |
|
|
|
|
|
It’s important for me to have internet access when I am “On-the-Go” – away from home or work |
|
|
|
|
|
I am good at fixing things |
|
|
|
|
|
How I spend my time is more important than how much money I make |
|
|
|
|
|
I’m always looking for new ideas to improve my home |
|
|
|
|
|
I am interested in other cultures |
|
|
|
|
|
I am an optimist |
|
|
|
|
|
I’d rather have a boring job than no job at all |
|
|
|
|
|
I do some sport/exercise at least once a week |
|
|
|
|
|
I like to provide my children with the things I didn’t have as a child |
|
|
|
|
|
I often wind up purchasing things I see advertised in magazines/newspapers |
|
|
|
|
|
I often wind up purchasing things I see advertised on the Internet |
|
|
|
|
|
I often wind up purchasing things I see advertised on TV |
|
|
|
|
|
Programming:
Allow one answer per row
Randomize row order
Programming: Ask All with Internet
Q6-12 Have you ever seen something (that you wouldn’t normally have known about or purchased) advertised on the Internet and then eventually purchased it?
Select one.
Yes |
|
No |
|
Programming:
Skip 6-12 if “I do not have Internet access” is selected in Q6-1.
DO NOT DISPLAY ROW - Section 5: Additional Demographic Information
Programming: Ask All
We just have a few demographic questions for classification purposes.
Q5-1NL What is your marital status?
Select one
Presently married |
|
Widowed |
|
Divorced |
|
Separated |
|
Never Married |
|
Programming:
Programming: Ask All
Q5-2NL Other than technical / vocational training, what is the highest grade or year of regular school you completed?
Select one
No formal schooling |
|
Some grade school – 8 years or less |
|
High school – 9-11 years |
|
High school – 12 years (graduated) |
|
College – less than 1 year |
|
College –1 full year |
|
College –2 full years |
|
College –3 full years |
|
College –4 full years (graduated) |
|
Attended graduate school – no degree |
|
Attended graduate school – degree |
|
Programming:
Programming: Ask All
Q5-10 (new) Thinking of the residence in which you live, do you…?
Select one.
Own your residence |
|
Rent your residence |
|
Live Rent-Free |
|
Programming:
Programming: Ask All
Q5-3 How would you describe the area in which you live?
Select one
Urban |
|
Suburban |
|
Rural |
|
Programming:
Programming: Ask If Not Asked in Screener
Q5-8NL What is the total combined annual income – before taxes – of all members of your household, including yourself? Please include income from jobs as well as bonuses, shares of profits and from all other sources. Your best estimate is fine.
Select one.
Less than $5,000 |
|
$5,000 - $7,499 |
|
$7,500 - $9,999 |
|
$10,000 - $12,499 |
|
$12,500 - $14,999 |
|
$15,000 - $19,999 |
|
$20,000 - $24,999 |
|
$25,000 - $29,999 |
|
$30,000 - $34,999 |
|
$35,000 - $39,999 |
|
$40,000 - $44,999 |
|
$45,000 - $49,999 |
|
$50,000 - $59,999 |
|
$60,000 - $74,999 |
|
$75,000 - $99,999 |
|
$100,000 - $149,999 |
|
$150,000 - $249,999 |
|
$250,000 - $499,999 |
|
$500,000 or more |
|
Programming:
Do not ask if S-4b already asked.
Programming: Ask All
Q.5-9a. Are you Hispanic or Latino?
Yes |
o |
No |
o |
Programming:
Programming: Ask All
Q.5-9b. What is your race?
Select all that apply
American Indian or Alaska Native? |
□ |
Asian? |
□ |
Black or African American? |
□ |
Native Hawaiian or other Pacific Islander? |
□ |
White? |
□ |
Prefer not to answer |
|
Programming:
Allow multiple responses except for “Prefer not to answer”
Programming: Ask All
Q5-4NL At the present time, are you employed full-time, part-time or not at all? (Do you do something for which you earn money?)
Select one.
Employed Full time |
|
Employed Part time |
|
Not Employed |
|
Programming
Programming: Ask If Employed
Q5-5 Which of the following best describes your occupation?
Select one
Managerial or professional |
|
Technical, sales, or administrative |
|
Service occupations |
|
Precision products, crafts or repairs |
|
Operators, fabricators, or laborers |
|
Farming, forestry, or fishing |
|
Other |
|
Programming
Ask if Q5-4 is Row 1 or Row 2
Programming: Ask All
Q5-11(new) How many adults 18 years of age or older living in your household, including yourself? (Please count all adults in the household, including roommates and live-in help. Do not include anyone who will be away from home 3 months or more).
Select one.
One |
|
Two |
|
Three |
|
Four |
|
Five or more |
|
Programming:
Allow only one response
Q5-6a Do you have any children under age 18 currently living in your household?
Yes |
|
No |
|
Programming
Programming: Ask If Have Children
Q5-6b Are any of these children in the following age or school ranges?
Select all that apply
Newborn to three years |
□ |
Preschool or kindergarten |
□ |
Grade school (elementary/middle school) |
□ |
High school |
□ |
Programming
Ask if Q5-6a is Row 1 “Yes”
Programming: Ask If Have Children
Q5-7a Do you have any grandchildren?
Yes |
|
No |
|
Programming:
Programming: Ask If Have Grandchildren
Q5-7b Are any of these grandchildren in the following age or school ranges?
Select all that apply
Newborn to three years |
□ |
Preschool or kindergarten |
□ |
Grade school (elementary/middle school) |
□ |
High school |
□ |
18 years of age or older |
□ |
Programming
Ask if Q5-7a is Row 1 “Yes”
THAT CONCLUDES OUR SURVEY THANK YOU VERY MUCH!
[IF NON-CUSTOMER SAMPLE, INSERT “According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB number. The valid OMB control number for this information collection is 1525-0012-XXXX.”]
Programming
Insert text above for Non-Customer Sample
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | Note to reader: Bold lines in between questions signify page/screen breaks |
Author | Adine Frank |
File Modified | 0000-00-00 |
File Created | 2021-01-27 |