National Analysts Worldwide Study #21-XXX
Nov/Dec, 2011
SCREENER
NON-CUSTOMERS – CITY A
ask TO SPEAK TO PERSON NAMED on list
GET A MIX
GET A MIX
( ) male
RESPONDENT NAME:
ADDRESS:
CITY/STATE: ZIP CODE:
TELEPHONE #: FAX #:
GROUP SCHEDULE
Date
Group 3 ( ) 5:30 PM – 7:15 PM – Hispanic Men
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?
TERMINATE IF WITHIN 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. Have you ever purchased U.S. coins or other merchandise directly from the U.S. Mint?
Yes ( ) TERMINATE
No ( )
5b. In the past two years, have you purchased U.S. coins?
Yes ( ) ASK Q5C
No ( ) SKIP TO Q6
5c. From which sources have you purchased U.S. coins? (READ AND SELECT ALL THAT APPLY)
A. Coin dealers? ( )
B. Internet auctions? ( )
C. Flea markets? ( )
D. Other? (please specify) ( )
5d. Did you purchase…(READ AND SELECT ALL THAT APPLY)
Yes No
Gold or platinum coins for investment ( ) ( )
Old or rare coins ( ) ( )
Other types of recently-minted collectible coins ( ) ( )
6. The U.S. Mint is interested in getting the opinions of people of diverse cultural backgrounds.
Which of the following best describes what you consider your ethnic background? (READ)
Are you Latino or Hispanic Yes ( ) No ( ) GROUP 3
___________________________________________________________________________
What is your race? Please select one or more.
White ( )
Black or African American ( )
Asian ( )
GROUP 4
Native Hawaiian or other Pacific Islander ( )
American Indian or Alaska Native ( )
7. Do you currently collect, occasionally save, or sometimes put aside… (READ)
America the Beautiful quarters? ( ) MUST HAVE AT LEAST
50-state quarters? ( ) “A”, “B”, “C”, or “D”
C. New nickels? ( ) CHECKED
D. Other
current U.S. coins? ( ) TO QUALIFY FOR
GROUPS
E. Stamps? ( )
F. Cards (e.g., baseball cards, etc.)? ( )
G. Military items/historical memorabilia? ( )
H. Small, other collectibles? ( )
I. Other (Specify ________________)? ( )
___________________________________________________________________________
None ( ) TERMINATE
8. How many months or years have you collected or saved U.S. coins?
_______________________ ______________________
RECORD # OF MONTHS OR RECORD # OF YEARS
GET A MIX
9. Please indicate how likely or unlikely you would be to buy U.S. coins or U.S. collectible coins in the next 12 months either for yourself or as a gift using a scale from “1” to “6” where “1” means “Not at all Likely” and ”6” means “Extremely Likely.”
_______________________
RECORD NUMBER
MUST HAVE MIX OF “3”
THROUGH “6”
WITH NO MORE THAN TWO “3s”
10. Is your age: (READ)
Under 18, ( ) TERMINATE
________________________________________________________
18 to 30, ( )
31 to 39, ( )
40 to 49, ( )
50 to 59, ( )
60 to 69, or ( ) AT MOST 2
______________________________________________________
Over 70? ( ) TERMINATE
11. Is your total annual household income before taxes: (READ)
Under $30,000, ( ) TERMINATE
_____________________________________________________________________
$30,000 to $49,000, ( ) CONTINUE RECRUITING AND
CONTACT NATIONAL ANALYSTS
_____________________________________________________________________
$50,000 to $75,000, ( ) GET
A
$75,000 to $99,999, or ( ) MIX
$100,000 or more? ( )
15. Are you: (READ)
Married or living as married, ( ) GET
Separated, divorced or widowed, or ( ) A
Single? ( ) MIX
16. 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
17. Are you employed? (READ)
Full time, ( ) GET
Part time, or ( ) A
Not Employed? ( ) MIX
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
File Type | application/msword |
File Title | Normal Document |
Author | Anita Corrado |
Last Modified By | YPollard |
File Modified | 2011-12-01 |
File Created | 2011-12-01 |