Beverages
This questionnaire is a pre-screener to seek eligibility for a market research project. You do NOT get compensated for filling out this form. If you pre-qualify, you will receive a text or email from a Recruiter to call our office.  

Men 18-24 year olds:

Online Webcam Group via Desktop/Laptop with Webcam (NO CHROMEBOOK/TABLETS/PHONES)

Tuesday June 21st 2022

Times Currently Available: MUST JOIN 15-MINS EARLY (3-HR 15-MIN COMMITMENT)

4:00PM-7:00PM ET / 3:00PM-6:00PM CT / 1:00PM-4:00PM PT

6:30PM-9:30PM ET / 5:30PM-8:30PM CT / 3:30PM-6:30PM PT

Compensation: $50-$100 Pre-Paid Visa (if chosen) to be mailed 8-10 weeks after full participation.

This is a 2-part session. You must be available for the full 3 hours, although you may be released after Part 1.
Late arrivals will not be accepted into the session once the survey begins.  

Part 1: 1 hour Online Survey, Incentive $50, if chosen.

Part 1: Platform: Remesh
There will be a 15-20 minute break where we ask you to wait patiently while the transfer is made to Part 2.

Part 2: 90 minute Webcam Group, additional Incentive $50, if chosen.

Part 2: Platform: Microsoft Teams
Not everyone will be needed for part 2.  Some will be released at the start of Part 2.  

Times are for reference only, booked by available quotas.
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First Name * *
Last Name *
Your Age * *
Your Age * *
What is your date of Birth? * *
MM
/
DD
/
YYYY
Gender * *
Ethnicity/Race * *
Required
Email * (if you have a Gmail account please enter that email address, preferred) *
Best Number to Text * *
Cell Phone Carrier * *
Alternate Number
Advanced Opinions communicates via text may we text to communicate with you? * *
Advanced Opinions communicates via email may we email you to communicate with you? * *
State *
The County you Live in (i.e., Lehigh) * *
The Make/Model of your Cell Phone * *
Are you currently * *
If you are a Student, are you
Clear selection
What is the highest level of education you have completed? * *
If you are currently working, please briefly describe your employment. (IF UNEMPLOYED/HOMEMAKER/RETIRED ENTER PREVIOUS) * If not applicable, enter N/A *
What is your job title? (IF UNEMPLOYED/HOMEMAKER/RETIRED ENTER PREVIOUS) * If not applicable, enter N/A *
What is the name of the company/organization you work for? (IF UNEMPLOYED/HOMEMAKER/RETIRED ENTER PREVIOUS) * If not applicable, enter N/A *
If you are currently working, what industry do you work in? (IF UNEMPLOYED/HOMEMAKER/RETIRED ENTER PREVIOUS) *  If not applicable, enter N/A *
(IF MARRIED OR CO-HABITATING) What is your spouse or partner’s current occupation? What Industry are they currently working in? (IF UNEMPLOYED/HOMEMAKER/RETIRED ENTER PREVIOUS) *Example: FT/Bus Driver/Transportation (If not applicable, enter N/A) *
What best represents your households annual income before taxes? (By this we mean all income brought into the home by all household members) * *
Which of the following best represents your current marital status? * *
Are you a parent/legal guardian.... *
If yes, how old are they? * *
Required
PLEASE SELECT THE FOLLOWING IN YOUR HOUSEHOLD.... * *
2b. Which of the following best describes where you live? *
3. Sometimes the type of work people do affects the products they buy.  Are you, or are any members of your immediate family employed in… *
Required
4a. We are interested in having some participants who have been interviewed before for market research purposes, and some who have not.  When was the last time, if ever, that you were interviewed alone or in a group for market research? *
4b. What are all the subjects that you have ever discussed during market research?  
5a. When was the last time you consumed each of the following? *
Never
Less than once per month
Once a month
A few time per month
Once per week
A few times per week
Once a day
Twice per day or more
Flavored, unsweetened sparkling water
Unflavored sparkling water
Juice/ juice drinks
Full calorie carbonated soft drinks
Diet/Zero sugar carbonated soft drinks
Energy drinks
Sport drinks
Coffee in a bottle, can or carton
Tea in a bottle, can or carton
Plain Still Bottled Water (non-carbonated)
5b. Please indicate the last time you, yourself, have consumed each of the following brands. *
Never
Less than once per month
Once a month
A few time per month
Once per week
A few times per week
Once a day
Twice per day or more
7-UP
Diet 7-UP/7-UP Zero Sugar
Sierra Mist
Sierra Mist Zero Sugar
Mountain Dew
Mountain Dew Zero Sugar
Diet Mountain Dew
Dr. Pepper (Cherry Cola)
Crush
Dr. Pepper
Faygo
Private Label Fruit Soda
Sparkling Ice
Sunkist
Sprite
Sprite Zero
6a. What brand do you purchase and consume most often? *
6b. And which brands would you consider drinking? *
Would consider
Would NOT consider
7-UP
Diet 7-UP/7-UP Zero Sugar
Sierra Mist
Sierra Mist Zero Sugar
Mountain Dew
Mountain Dew Zero Sugar
Diet Mountain Dew
Dr. Pepper (Cherry Cola)
Crush
Dr. Pepper
Faygo
Private Label Fruit Soda
Sparkling Ice
Sunkist
Sprite
Sprite Zero
6d. How much do you agree with each for the following statements? *
Strongly agree
Somewhat agree
Neutral
Somewhat disagree
Strongly disagree
I am always setting challenging goals for myself
I am not afraid to take calculated risks to reach my goals
When posed with a challenge, I never tell myself it will be too hard to achieve
Others would describe me as an over-achiever
I often feel too busy to rest as much as I should
I give 100% of myself to anything I do
I often feel I have equally important but competing priorities
12.      Do you have daily access to high speed internet? *
13.    Do you have daily access to a webcam and microphone, either through a computer or laptop? *
14.  You will need High Speed Internet with either Google Chrome or Mozilla Firefox, as well as a Webcam to participate in this online project. Will you have access to High speed Internet and a Webcam on the day of the group?  *
16. We at Ipsos protect our research and our client’s confidential/proprietary information and intellectual property. By participating in all stages of this research (surveys, focus group), it is mandatory that you agree to: Not share any of the information included in all research stages you will participate, such as images, videos, recordings advertisements and technical concepts, ideas, services, products or packaging; Not photograph, record, publish on the internet whatsoever, copy, or in any other way reproduce any of the information included in this research (all stages you will participate in); Not use our client’s confidential information for your own benefit, the benefit of a third party, or in any way which would negatively impact our client or their public image. Do you acknowledge you have read and agree to the statements above? *
17. Are you interested to participate in a live online study? In this study, everyone gets the same question at the same time. Duration of the survey: 60-minutes       You will an Incentive of $50 for Part 1. With your consent, we will use the Remesh technology, our trusted partner, to collect the data. The data Remesh will have access to (an unique serial ID created for this survey only, age and gender) is limited to the strict needs of this research. This data together with your research answers will be stored by them for no longer than 3 months. Remesh is an US based technology company. Please confirm that you agree to participate in the above-mentioned conditions. If chosen. *
18. Web Cam Follow – Part 2 Would you be also interested in participating in a follow-up webcam focus group right after the live online study, if chosen? Duration of the follow-up webcam focus group: 90-minutes You will receive an additional Incentive of $50 for Part 2. With your consent, we will use the Microsoft Teams technology to collect the data. Ipsos Insight, LLC will have access to the focus group recordings and will keep them for no longer than 3 months.  The Research Sponsor may attend the live follow-up webcam focus group only as Observer. To ensure the neutrality of participants responses, the name of the research Sponsor will be revealed at the end of the live online study. *
19. The following question asks you to use your imagination.  Take a moment to think about it – and please be as creative as possible when responding.  There are no correct or incorrect answers here – we are just looking for you to give us your honest thoughts and opinions.  Imagine you’ve been asked to choose 3 items to include in a time capsule today.  The time capsule will be opened in the year 2200 – and these items should represent your life to date or the world in 2022.  What 3 things would you select to include?  Why? *
Please be detailed and use complete sentences.
You must have high speed internet AND use a desktop/laptop computer with a webcam You cannot use a smartphone or tablet to participate You must use Google Chrome or Mozilla Firefox (Internet Explorer is not compatible) You will receive an email the night before the session with the links and details to connect to the session.  This is a 2-part session. You must be available for the full 3 hours, although you may be released after Part 1. Late arrivals will not be accepted into the session once the survey begins.  Part 1: 1 hour Online Survey, Incentive $50 Part 1: Platform: Remesh There will be a 15-20 minute break where we ask you to wait patiently while the transfer is made to Part 2. Part 2: 90 minute Webcam Group, additional Incentive $50Part 2: Platform: Microsoft Teams Not everyone will be needed for Part 2.  Some will be released at the start of Part 2.    EARLY BIRD DRAWING: Everyone that logs in 15 minutes early will be entered into the drawing to win an additional $25! (There will be 4 winners selected) Incentives will be sent by mail, in the form of a Visa card, within 8-10 weeks of the project date. *
Your Full Legal Name, if selected for Compensation *
Home Address *
Example: 123 Main Street
Apt/FL/Unit
City *
State *
Zip *
What is your local time zone? *
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