NATIONAL ANALYSTS Study #

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National Analysts Worldwide	Study #XXX
	Nov/Dec, 2009


SCREENER
UNITED STATES MINT CUSTOMERS  -- CITY


ask TO SPEAK TO PERSON NAMED on list

	(   )	female
	(   )	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.