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

Generic Clearance for Voluntary Surveys to Implement E.O. 12882

REVISED 12-01-11 1525-0012-0166 Instrument 3 1Q12 Non Customers Screener 10-17-11

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

OMB: 1525-0012

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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

( ) female

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?


MONTH YEAR


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)


  1. America the Beautiful quarters? ( ) MUST HAVE AT LEAST

  2. 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 Typeapplication/msword
File TitleNormal Document
AuthorAnita Corrado
Last Modified ByYPollard
File Modified2011-12-01
File Created2011-12-01

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