1525-0012-0140 Qualitative Customer Research

National Analysts Worldwide Study #XXX

Nov/Dec, 2009

SCREENER

UNITED STATES MINT CUSTOMERS -- CITY

ask TO SPEAK TO PERSON NAMED on list

GET A MIX

( ) female

GET A MIX

( ) male

DO NOT RECRUIT PEOPLE WITH HEAVY ACCENTS

RESPONDENT NAME:

ADDRESS:

CITY/STATE: ZIP CODE:

TELEPHONE #: FAX #:

GROUP SCHEDULE

Date

Group 1 ( ) 5:30 – 7:30 – United States Mint Customers

Group 2 ( ) 7:30 – 9:30 – United States Mint 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?

MONTH YEAR

TERMINATE IF WITHIN THE PAST 3 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 ( )

5a. When was the most recent time that you purchased coins or coin-related items from the United States Mint? Was it: (READ. CHECK APPROPRIATE BOX)

Within the past 12 months, ( )

1 to 2 years ago, ( )

________________________________________________________________________

3 to 4 years ago, or ( )

TERMINATE

More than 4 years ago? ( )

5b. When was the first time that you purchased coins or coin-related items from the United States Mint? Was it: (READ. CHECK APPROPRIATE BOX)

Within the past 12 months, ( )

________________________________________________________________________

1 to 2 years ago, ( )

3 to 4 years ago, or ( )

More than 4 years ago? ( )

TRY TO RECRUIT 3-4 “Within the past 12 months”

6. In the past two years, which of the following items, if any, did you purchase from the United States Mint? (READ AND CHECK ALL THAT APPLY)

A. Uncirculated Coin Sets, ( )

B. Annual Silver Proof Sets, ( )

C. Annual Proof Sets, ( )

D. 5-Coin Quarter Proof/Silver Proof Sets, ( )

E. Uncirculated Presidential $1 coin set, ( )

F. First Spouse coins, ( )

G. 2009 Ultra High Relief Double Eagle Gold Coin, ( )

H. Silver Commemorative Coins, ( )

I. Quarters Bags/Rolls, ( )

J. American Eagle Silver/Gold/Platinum Coins, ( )

K. American Buffalo Gold Coins, ( )

L. Legacy Set, or ( )

M. Coin and Die Sets,? ( )

GET A MIX

7. In the past 12 months, which of the following methods have you used to place an order with the United States Mint? (READ AND CHECK ALL THAT APPLY)

Online (www.usmint.gov), ( )

Phone, ( )

Mail, or ( )

Fax? ( )

8. In a year, approximately how much money do you spend, on average, on products from the United States Mint? (RECORD AMOUNT, ROUND TO NEAREST DOLLAR)

$_____________ spent per year

RECRUIT 3-4 FROM <$100 SAMPLE

RECRUIT 3-4 FROM $100-$499 SAMPLE

RECRUIT 3-4 FROM $500+ SAMPLE

9. Is your age: (READ)

Under 18, ( ) TERMINATE

____________________________________________________

18 to 30, ( ) GET

31 to 39, ( ) AN

40 to 49, EVEN

50 to 59, ( ) MIX

_____________________________________________________

60 to 70, or ( ) NO MORE THAN

Over 70? ( ) ONE 60+ PER GROUP

10. Are you: (READ)

Married or living as married, ( ) GET

Separated, divorced or widowed, or ( ) A

Single? ( ) MIX

11. 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

12. Are you: (READ)

White, ( )

Black or African-American, ( ) GET

Hispanic/Latino, ( ) A

Asian, ( ) MIX

American Indian or Alaska Native, ( )

Native Hawaiian or other Pacific Islander, or ( )

Other ___________________________? ( )

(SPECIFY)

13. Are you employed? (READ)

Full time, ( ) GET

Part time, or ( ) A

Not Employed? ( ) MIX

14. Is your total annual household income before taxes: (READ)

Under $25,000, ( ) NO MORE THAN 2 PER GROUP

_________________________________________________________________

$25,000 to $49,000, ( )

$50,000 to $75,000, ( ) GET

A

$75,000 to $99,999, or ( ) MIX

$100,000 or more? ( )

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.

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