$100 TASTE TEST FOR KIDS & PARENTS
Elite Market Research, a nationwide research firm has a taste test for kids between the ages of 3 and 9. If you are the parent of a child between 3 and 9 years old that does not have any kind of food allergies your child could qualify to participate. Fill out the questionnaire and submit it. We will be in touch with more details and for scheduling.

This taste test will be held in a facility near you. We will send you directions and a confirmation letter once we have spoken with you and schduled you.

ELITE MARKET RESEARCH TEAM-NATIONWIDE
Ms. Marshia Dodds, Owner/Director
1-800-737-5390 EXT. 51
www.elitemarketresearchteamnationwide.net

In what CITY & STATE do you currently live? *
Your answer
What is your FIRST NAME? *
Your answer
What is your LAST NAME? *
Your answer
What is your telephone number? *
Your answer
What is your email address? *
Your answer
S2. Are you, any member of your household, close relatives, or any close friends employed by...? *
Required
S3. Are you the parent or guardian of any children age 17 or younger living in your household? *
S4. What is the AGE OF ALL THE CHILDREN living in your household that is UNDER the age of 18? *
Your answer
S5. Please enter the NAME OF THE CHILD that you will be attending this test with, if qualified *
Another child age 3-9 from your household may participate in this test, but must attend with a parent/guardian apart from yourself.
Your answer
S6. What is the AGE OF THE CHILD that you will be bringing to the taste test? *
Your answer
S7. Please enter the GENDER OF THE CHILD that you will be attending this test with, if qualified *
S8. What is your age? *
Your answer
S9. Does your child that will be participating in the taste test have any food allergies, sensitivities, restrictions, or intolerances? *
S10. Do you have any food allergies, sensitivities, restrictions, or intolerances? *
S11. When thinking about shopping for yourself and your household, which of the following best describes your role in choosing what to purchase? *
1 - I make all the decisions
2 - I share the decision making
3 - Someone else makes all the decisions
4 - I don’t know
Household Grocery Shopping
Household Food Preparation
Household Cleaning Supplies Purchasing
S12. Which one of the following ranges includes your total yearly household income, before taxes? *
S13. Which of the following describes the ethnic background *
Required
S.14 Which, if any, of the following foods have you purchased in the past 6 months and your child participating in this taste test has liked and eaten? *
Required
SPECIFICALLY, HOW DID YOU LEARN ABOUT THIS TASTE TEST? *
If a friend or website please tell us who or what site
Your answer
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