1525-0012-0185 USMINT Quantitative CSM Tracking Survey and 1525-0012-0186 CSM Focus Groups

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

1525-0012-0186 INSTRUMENT 3 of 3 FY2014 Non-Customer Screener 9-18-13

1525-0012-0185 USMINT Quantitative CSM Tracking Survey and 1525-0012-0186 CSM Focus Groups

OMB: 1525-0012

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National Analysts Worldwide Study #1525-0012-0186

May/June 2014



SCREENER

NON-CUSTOMERS – City A


IDENTIFY MALE OR FEMALE 18 TO 69 YEARS OF AGE

B Y OBSERVATION CHECK ONE

GET A MIX

( ) female

( ) male




RESPONDENT NAME:


ADDRESS:



CITY/STATE: ZIP CODE:


TELEPHONE #: FAX #:


GROUP SCHEDULE


Attending:


Thursday, May XY, 2014


Group 1 ( ) 12:30PM – 2:00 PM – General Non-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 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 ( )


5. Have you ever purchased U.S. coins or other merchandise directly from the United States Mint?


Yes ( ) TERMINATE

No ( )


5a. In the past two years, have you purchased U.S. coins?


Yes ( ) ASK Q5b

No ( ) SKIP TO Q6


5b. From which sources have you purchased U.S. coins? (READ AND SELECT ALL THAT APPLY)




Yes

No

A.

Coin dealers?

( )

( )

B.

Internet auctions?

( )

( )

C.

Flea markets?

( )

( )

D.

Other? (please specify)

( )

( )





6. The United States Mint is interested in getting the opinions of people of diverse cultural backgrounds, and we would like to ask you a few questions about your background. (READ)


Are you Latino or Hispanic Yes ( ) No ( )

___________________________________________________________________________


What is your race? Please select one or more.



White

( )

GET

A

MIX

Black or African-American

( )

Asian

( )

Native Hawaiian or other Pacific Islander, or

( )

American Indian or Alaska Native.

( )

Prefer Not to Answer

( )










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 “4” THROUGH “6”


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 1

______________________________________________________

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? ( )



12. Are you: (READ)


Married or living as married, ( ) GET


Separated, divorced or widowed, or ( ) A


Single? ( ) MIX




13. Do you have any children or grandchildren under age 18 ? (READ. CHECK APPROPRIATE BOX.)


Yes

( )


No

( )

SKIP TO Q. 14


13a. Do you have any children or grandchildren who are: (READ. CHECK APPROPRIATE BOX.)



Yes

No

Under 6,

( )

( )

6 to 12,

( )

( )

13 to 17?

( )

( )

14. Do you have any nieces or nephews under age 18 ? (READ. CHECK APPROPRIATE BOX.)


Yes

( )


No

( )

SKIP TO Q. 15


14a. Do you have any nieces or nephews who are: (READ. CHECK APPROPRIATE BOX.)



Yes

No

Under 6,

( )

( )

6 to 12,

( )

( )

13 to 17?

( )

( )



TRY TO RECRUIT AT LEAST 8 PER GROUP WHO ANSWER “YES” TO Q13A OR Q14A.

RECRUIT AT LEAST 4 WHO ANSWER “6-12” TO Q13A OR Q14A.


15. 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



16. 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 ByPollard, Yvonne
File Modified2013-09-19
File Created2013-09-19

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