$50 NATIONWIDE TASTE TEST FOR SENIORS
IF YOU ARE OVER THE AGE OF 64 WITH NO ALLERGIES OR DIETARY RESTRICTIONS YOU COULD QUALIFY TO PARTICIPATE IN A TASTEY RESEARCH STUDY. COMPENSATION FOR THIS 1 HOUR SESSION IS $50.00

TO PARTICIPATE FILL OUT THE QUESTIONNAIRE AND SUBMIT IT WE WILL CONTACT YOU FOR SCHEDULING.

Elite Market Research Team Nationwide
Ms. Marshia Hamilton, Owner/Director
1 (800) 737-5390 ext. 51
www.elitemarketresearchteamnationwide.net

In what city & state do you live? *
Your answer
Here we are asking for the County, NOT COUNT"R"Y. IN WHAT "County" do you live? *
USA, and America are NOT counties.
Your answer
What is your FULL NAME? *
Your answer
What is your telephone number? *
Your answer
What is your email address? *
Your answer
Are you, any member of your household, close relatives, or any close friends employed by...? *
Required
In which of the following age groups do you belong? *
Gender? *
Do you have any food allergies, sensitivities, restrictions, or intolerances? *
When thinking about shopping for yourself and your household, which of the following best describes your role in choosing what to purchase? *
I make all the decisions
I share the decision making with another member of my household
Someone else makes all the decisions
I don’t know
Household Grocery Shopping
Household Food Preparation
Household Cleaning Supplies Purchasing
Which one of the following ranges includes your total yearly household income, before taxes. Consider income you currently receive from pensions, social security, 401K savings and other retirement programs? *
Which of the following best describes the ethnic background you most closely identify with? *
Which, if any, of the following foods have you purchased in a store and eaten in the past 6 months? *
Required
How did you learn about the taste test. *
Please be specific. If a friend told you, what is the name of your friend? If you saw it on a website, what site was it. If you received an email who was it from?
Your answer
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