1525-0012-0166 US Mint Qualitative Consumer Research (Focus Groups) 1525-0012-00167 Website Usability Testing (Focus Groups)

National Analysts Worldwide Study #21-XXX

Nov/Dec, 2011

SCREENER

UNITED STATES MINT CUSTOMERS -- CITY A

ask TO SPEAK TO PERSON NAMED on list

GET A MIX

( ) female

GET A MIX

( ) male

RESPONDENT NAME:

ADDRESS:

CITY/STATE: ZIP CODE:

TELEPHONE #: FAX #:

GROUP SCHEDULE

Date

Group 1 ( ) 5:30 PM – 7:15 PM – United States Mint Customers – Low/Mid Spend Customers

Group 2 ( ) 7:30 PM – 9:15 PM – United States Mint Customers – High Spend 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 6 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)

Yes No

A. American Buffalo 24K Gold Coins? ( ) ( )

B. American Eagle Gold Coins? ( ) ( )

C. American Eagle Silver Coins? ( ) ( )

D. Annual Clad Proof – Full Set? ( ) ( )

E. Annual Clad Proof – Presidential $1 Coin Set? ( ) ( )

F. Annual Clad Proof – Quarters Set? ( ) ( )

G. Annual Silver Proof – Full Set? ( ) ( )

H. Annual Silver Proof – Quarters Set? ( ) ( )

1. First Spouse 24K Gold Coins? ( ) ( )

J. Gold, Silver, or Clad Commemorative Coins? ( ) ( )

K. Special Commemorative Coins? ( ) ( )

L. Uncirculated Sets? ( ) ( )

M. Other United States Mint Products? ( ) ( )

MUST HAVE AT LEAST ONE OF “D”, “E”, “F”, “G”, “H”, OR “L” CHECKED

7. 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 ONE PER GROUP

_____________________________________________________

Over 70? ( ) TERMINATE

8. Are you: (READ)

Married or living as married, ( ) GET

Separated, divorced or widowed, or ( ) A

Single? ( ) MIX

9. 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

10. Are you: (READ)

Hispanic or Latino origin Yes ( ) No ( )

10a. What is your race? Please select one or more (READ)

White ( )

Black or African-American ( ) GET

Asian ( ) A

Native Hawaiian or other Pacific Islander, or ( ) MIX

American Indian or Alaska Native, ( )

11. Are you employed? (READ)

Full time, ( ) GET

Part time, or ( ) A

Not Employed? ( ) MIX

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

Under $25,000, ( ) NO MORE THAN 1 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.