July
18, 2014
United
States Mint Research
Silver
and 24K Gold Dime Research
Note to Reader/Programmer:
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INTRODUCTION |
Welcome to the United States Mint’s survey.
This survey is designed to help the United States Mint understand how it can improve the products and services it provides. According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB number. The valid OMB control number for this information collection is 1525-0012-XXXX.
Your participation in this survey is ENTIRELY VOLUNTARY and should require approximately 5-10 minutes of your time.
It is National Analysts Worldwide’s policy to keep interviews anonymous. Consistent with this policy, National Analysts Worldwide will only entrust survey data with other entities when: 1) the participant gives explicit permission to release this data, or 2) the data is shared with an entity who agrees in writing that the data will be held strictly adequately protected and that the data will be used for research purposes only, or 3) the release of this data is required by law.
You will not be contacted for sales purposes as a result of participating in this survey.
For further information on National Analysts’ privacy policy, you can view our website at www.nationalanalysts.com/privacy/domestic-global.asp.
If you have any questions or problems while completing the survey, please send an email to NAME OF OPS at email@nat-analysts.com, or call weekdays from 9:00 AM to 5:00 PM Eastern at 1-800-342-9102 ext. XXXX.
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Sample Groups |
|
Group |
Description |
1A |
Platinum and/or Gold Purchasers who also purchased a commemorative set of any kind – Low Spend |
1B |
Platinum and/or Gold Purchasers who also purchased a commemorative set of any kind – High Spend |
2A |
Platinum and/or Gold Purchasers who have not purchased a commemorative set of any kind – Low Spend |
2B |
Platinum and/or Gold Purchasers who have not purchased a commemorative set of any kind – High Spend |
3A |
Silver but not Gold and/or Platinum Purchasers who also purchased a commemorative set of any kind – Low Spend |
3B |
Silver but not Gold and/or Platinum Purchasers who also purchased a commemorative set of any kind – High Spend |
4A |
Silver but not Gold and/or Platinum Purchasers who have not purchased a commemorative set of any kind – Low Spend |
4B |
Silver but not Gold and/or Platinum Purchasers who have not purchased a commemorative set of any kind – Low Spend |
5A |
General Customers (but not Silver/Gold/Platinum coin purchasers) – Low Spend |
5B |
General Customers (but not Silver/Gold/Platinum coin purchasers) – High Spend |
Quotas |
||
Group |
Description |
Quota |
1A/B |
Platinum and/or Gold coin who have also purchased commemorative sets |
550 |
2A/B |
Platinum and/or Gold coin who have not also purchased commemorative sets |
550 |
3A/B |
Silver (but not Gold and/or Platinum) who have also purchased commemorative sets |
550 |
4A/B |
Silver (but not Gold and/or Platinum) who have not also purchased commemorative sets |
550 |
5A/B |
General customers (not Platinum/Gold/Silver) |
1,650 |
SCREENING CRITERIA |
Please select one answer for each row.
|
Yes |
No |
|
1 |
For a market research firm or marketing research department of a company? |
|
|
2 |
For an advertising, sales promotion, or public relations firm? |
|
|
3 |
For an organization that produces, distributes, or sells collectible coins? (e.g., coin dealer) |
|
|
4 |
As a journalist/freelance writer? |
|
|
PROGRAMMING:
Ask all.
Terminate at end of screener if “Yes” to any row.
Age (in years) |
||
1 |
Less than 18 |
|
2 |
18 to 30 |
|
3 |
31 to 45 |
|
4 |
46 to 59 |
|
5 |
60 to 70 |
|
6 |
70+ |
|
PROGRAMMING:
Ask all.
Send to termination screen immediately if L_1.
S-3. Are you…?
1 |
Male |
|
2 |
Female |
|
PROGRAMMING:
Ask all.
First time purchased directly from United States Mint |
|
|
1 |
Within the past 12 months |
|
2 |
13 months to 23 months ago |
|
3 |
2 to 5 years ago |
|
4 |
6 to 10 years ago |
|
5 |
11 to 20 years ago |
|
6 |
More than 20 years ago |
|
7 |
Never purchased coins or other merchandise from the U.S. Mint. |
|
PROGRAMMING:
Ask all.
Terminate now if L_7
1 |
Yes |
|
2 |
No |
|
PROGRAMMING:
Ask all.
If S-4 =L_1 then auto fill “Yes” for S-5 and skip; If “No” send to termination screen.
Select all that apply.
Product types |
Ever
Purchased from |
|
Annual Coin Sets |
|
|
|
Annual Clad Proof Sets |
|
1 |
- Full set |
□ |
2 |
- Quarters set |
□ |
3 |
- Presidential $1 Coin set |
□ |
|
Annual Silver Proof Sets |
|
4 |
- Full set |
□ |
5 |
- Quarters set |
□ |
5B |
- Limited Edition Silver Proof Set (2013-2014) |
□ |
|
Annual Clad Uncirculated Sets |
|
6A |
- Full set (the full set of P and D coins) |
□ |
6B |
- Quarters set |
□ |
7 |
- Presidential $1 Coins set |
□ |
American Eagle Platinum Coins |
|
|
8 |
American Eagle Platinum Proof 1 oz. Coins |
□ |
American Eagle Gold Coins |
|
|
9 |
American Eagle Gold Uncirculated 1 oz. Coins |
□ |
10 |
American Eagle Gold Proof 1 oz. Coins |
□ |
11 |
American Eagle Gold Proof ½ oz. Coins |
□ |
12 |
American Eagle Gold Proof ¼ oz. Coins |
□ |
13 |
American Eagle Gold Proof1/10 oz. Coins |
□ |
American Eagle Silver Coins |
|
|
14 |
American Eagle Silver Uncirculated 1 oz. Coins |
□ |
15 |
American Eagle Silver Proof 1 oz. Coins |
□ |
Gold Coins (Not American Eagle) |
|
|
16 |
American Buffalo Gold Coins |
□ |
17 |
First Spouse Gold Coins |
□ |
Commemorative Coins |
|
|
18 |
Gold Commemorative Coins or Commemorative Coin Sets |
□ |
19 |
Silver Commemorative Coins or Commemorative Coin Sets |
□ |
20 |
Clad Commemorative Coins or Commemorative Coin Sets |
□ |
America the Beautiful Coins |
||
21 |
5 oz. Silver America the Beautiful Coin |
□ |
Medals |
||
22 |
Medals (e.g., First Spouse, Sept. 11th 2011, Historical, Humanitarian/Cultural, Military, etc.) |
□ |
Other Coins/Coin sets |
||
24 |
Any Presidential Coin Set (not including the full proof set, please indicate proof sets above) |
□ |
25 |
Other Coin/Coin Sets (not including full proof sets, please indicate proof sets above) |
□ |
26 |
None of the Above |
|
PROGRAMMING:
Ask all.
If “None of the Above” checked, send to termination screen.
Do not allow “None of the Above” with any other level.
S-7. Which of the following items have you bought directly from the United States Mint in the past 12 months?
Select all that apply.
Product types |
Purchased
from |
|
Annual Coin Sets |
|
|
|
Annual Clad Proof Sets |
|
1 |
- Full set |
□ |
2 |
- Quarters set |
□ |
3 |
- Presidential $1 Coin set |
□ |
|
Annual Silver Proof Sets |
|
4 |
- Full set |
□ |
5 |
- Quarters set |
□ |
5B |
- Limited Edition Silver Proof Set (2013-2014) |
□ |
|
Annual Clad Uncirculated Sets |
|
6A |
- Full set (the full set of P and D coins) |
□ |
6B |
- Quarters set |
□ |
7 |
- Presidential $1 Coins set |
□ |
American Eagle Platinum Coins |
|
|
8 |
American Eagle Platinum Proof 1 oz. Coins |
□ |
American Eagle Gold Coins |
|
|
9 |
American Eagle Gold Uncirculated 1 oz. Coins |
□ |
10 |
American Eagle Gold Proof 1 oz. Coins |
□ |
11 |
American Eagle Gold Proof ½ oz. Coins |
□ |
12 |
American Eagle Gold Proof ¼ oz. Coins |
□ |
13 |
American Eagle Gold Proof1/10 oz. Coins |
□ |
American Eagle Silver Coins |
|
|
14 |
American Eagle Silver Uncirculated 1 oz. Coins |
□ |
15 |
American Eagle Silver Proof 1 oz. Coins |
□ |
Gold Coins (Not American Eagle) |
|
|
16 |
American Buffalo Gold Coins |
□ |
17 |
First Spouse Gold Coins |
□ |
Commemorative Coins |
|
|
18 |
Gold Commemorative Coins or Commemorative Coin Sets |
□ |
19 |
Silver Commemorative Coins or Commemorative Coin Sets |
□ |
20 |
Clad Commemorative Coins or Commemorative Coin Sets |
□ |
America the Beautiful Coins |
||
21 |
5 oz. Silver America the Beautiful Coin |
□ |
Medals |
||
22 |
Medals (e.g., First Spouse, Sept. 11th 2011, Historical, Humanitarian/Cultural, Military, etc.) |
□ |
Other Coins / Coin sets |
||
24 |
Any Presidential Coin Set (not including the full proof set, please indicate proof sets above) |
□ |
25 |
Other Coins/Coin Sets (not including full proof sets, please indicate proof sets above) |
□ |
26 |
None of the Above |
|
PROGRAMMING:
Show items checked in S-6 and always show Row 26 (none of the above).
Definitions for status report [assign label if any of the rows listed are checked]
Row 8 – “Self-Report Platinum Purchase”
Rows 9-13, 16-18 – “Self-Report Gold Purchase”
Rows 4-5 (including 5b), 14-15, 19, 21 – “Self-Report Silver Purchase”
Create a variable “Self_Report_Not_Purchasing_Expected_Item” for those respondents who do not purchase the items that would qualify for their sample groups. This would be:
G1A, G1B, G2A, and G2B who do not Self-Report Platinum Purchase” or “Self-Report Gold Purchase”
G3A, G3B, G4A, and G4B who do not “Self-Report Silver Purchase”
Create a variable “Self_Report_Purchasing_Additional_Items” for those respondents who self-report purchasing items that would put them in a higher sample group. Specifically:
G3A, G3B, G4A, G4B, G5A, G5B who “Self-Report Platinum Purchase” or “Self-Report Gold Purchase”
G5A, G5B, who “Self-Report Silver Purchase”
Finally, define a variable “Self_Report_Discordant_Purchases” for those respondents who do not meet their sample group requirement, defined as either “Self_Report_Not_Purchasing_Expected_Item” or “Self_Report_Purchasing_Additional_Items”.
Status Report should track the “Self-Report<*> Purchase” totals by sample group and by monadic cell + sample group.
____________________________________________________________________________________
Spending in past 12 months |
||
1 |
$1 to $99 |
|
2 |
$100 to $499 |
|
3 |
$500 to $2,499 |
|
4 |
More than $2,500 |
|
TERMINATION SCREEN |
Based on what you know about the United States Mint, what are your impressions?
|
PROGRAMMING:
Open-ended text box.
Do not force response.
Thank you very much for taking the time to complete this survey. Your feedback is very important to the United States Mint and greatly appreciated!
Benchmark Future Purchase Intent |
Product type |
Extremely Unlikely |
Extremely Likely |
|||||
1 |
2 |
3 |
4 |
5 |
6 |
||
Annual Coin Sets |
|
||||||
|
Annual Clad Proof Sets |
|
|
|
|
|
|
1 |
- Full set |
|
|
|
|
|
|
2 |
- Quarters set |
|
|
|
|
|
|
3 |
- Presidential $1 Coin set |
|
|
|
|
|
|
|
Annual Silver Proof Sets |
|
|
|
|
|
|
4 |
- Full set |
|
|
|
|
|
|
5 |
- Quarters set |
|
|
|
|
|
|
5B |
- Limited Edition Silver Proof Set (2013-2014) |
|
|
|
|
|
|
|
Annual Clad Uncirculated Sets |
|
|||||
6A |
- Full set (the full set of P and D coins) |
|
|
|
|
|
|
6B |
- Quarters set |
|
|
|
|
|
|
7 |
- Presidential $1 Coins set |
|
|
|
|
|
|
American Eagle Platinum Coins |
|
||||||
8 |
American Eagle Platinum Proof 1 oz. Coins |
|
|
|
|
|
|
American Eagle Gold Coins |
|
||||||
9 |
American Eagle Gold Uncirculated 1 oz. Coins |
|
|
|
|
|
|
10 |
American Eagle Gold Proof 1 oz. Coins |
|
|
|
|
|
|
11 |
American Eagle Gold Proof ½ oz. Coins |
|
|
|
|
|
|
12 |
American Eagle Gold Proof ¼ oz. Coins |
|
|
|
|
|
|
13 |
American Eagle Gold Proof1/10 oz. Coins |
|
|
|
|
|
|
American Eagle Silver Coins |
|
||||||
14 |
American Eagle Silver Uncirculated 1 oz. Coins |
|
|
|
|
|
|
15 |
American Eagle Silver Proof 1 oz. Coins |
|
|
|
|
|
|
Gold Coins (Not American Eagle) |
|
||||||
16 |
American Buffalo Gold Coins |
|
|
|
|
|
|
17 |
First Spouse Gold Coins |
|
|
|
|
|
|
Commemorative Coins/Sets |
|
||||||
18 |
Gold Commemorative Coins or Commemorative Coin Sets |
|
|
|
|
|
|
19 |
Silver Commemorative Coins or Commemorative Coin Sets |
|
|
|
|
|
|
20 |
Clad Commemorative Coins or Commemorative Coin Sets |
|
|
|
|
|
|
America the Beautiful Coins |
|||||||
21 |
5 oz. Silver America the Beautiful Coins |
|
|
|
|
|
|
Medals |
|||||||
22 |
Medals (e.g., First Spouse, Sept. 11th 2011, Historical, Humanitarian/Cultural, Military, etc.) |
|
|
|
|
|
|
Other Coins / Coin sets |
|||||||
24 |
Any Presidential Coin Set (not including full proof sets, please indicate proof sets above) |
|
|
|
|
|
|
25 |
Other Coins/Coin Sets (not including full proof sets, please indicate proof sets above) |
|
|
|
|
|
|
PROGRAMMING: Ask all.
Please enter a number for each row. If you do not expect to purchase any of that coin in the next 12 months, you may enter a zero.
Product types |
Number you
Expect to Purchase from |
|
Annual Coin Sets |
|
|
|
Annual Clad Proof Sets |
|
1 |
- Full set |
______________ |
2 |
- Quarters set |
______________ |
3 |
- Presidential $1 Coin set |
______________ |
|
Annual Silver Proof Sets |
|
4 |
- Full set |
______________ |
5 |
- Quarters set |
______________ |
5B |
- Limited Edition Silver Proof Set (2013-2014) |
______________ |
|
Annual Clad Uncirculated Sets |
|
6A |
- Full set (the full set of P and D coins) |
______________ |
6B |
- Quarters set |
______________ |
7 |
- Presidential $1 Coins set |
______________ |
American Eagle Platinum Coins |
|
|
8 |
American Eagle Platinum Proof 1 oz. Coins |
______________ |
American Eagle Gold Coins |
|
|
9 |
American Eagle Gold Uncirculated 1 oz. Coins |
______________ |
10 |
American Eagle Gold Proof 1 oz. Coins |
______________ |
11 |
American Eagle Gold Proof ½ oz. Coins |
______________ |
12 |
American Eagle Gold Proof ¼ oz. Coins |
______________ |
13 |
American Eagle Gold Proof1/10 oz. Coins |
______________ |
American Eagle Silver Coins |
|
|
14 |
American Eagle Silver Uncirculated 1 oz. Coins |
______________ |
15 |
American Eagle Silver Proof 1 oz. Coins |
______________ |
Gold Coins (Not American Eagle) |
|
|
16 |
American Buffalo Gold Coins |
______________ |
17 |
First Spouse Gold Coins |
______________ |
Commemorative Coins |
|
|
18 |
Gold Commemorative Coins or Commemorative Coin Sets |
______________ |
19 |
Silver Commemorative Coins or Commemorative Coin Sets |
______________ |
20 |
Clad Commemorative Coins or Commemorative Coin Sets |
______________ |
America the Beautiful Coins |
||
21 |
5 oz. Silver America the Beautiful Coin |
______________ |
Medals |
||
22 |
Medals (e.g., First Spouse, Sept. 11th 2011, Historical, Humanitarian/Cultural, Military, etc.) |
______________ |
Other Coins / Coin sets |
||
24 |
Any Presidential Coin Set (not including the full proof set, please indicate proof sets above) |
______________ |
25 |
Other Coin/Coin Sets (not including full proof sets, please indicate proof sets above) |
______________ |
PROGRAMMING:
Ask all.
Only ask rows >1 in Q-1
Range is 0 to 9,999,999.
Define “Likely Gold Purchaser” as:
Rows 9-13, 16-18: Same row in Q1 > 3 and in Q2 > 0 (e.g., Q1 Row 11 > 3 and Q2 Row 11 >0 OR Q1 Row 12 > 3 and Q2 Row 12 > 0, etc.)
Define “Likely Silver Purchasers” as:
Rows 4,5,5B, 14-15, 19, 21: Same row in Q1 > 3 and in Q2 > 0
Allow blanks (treat as zero).
Stratify each sample group as follows (for a total of 40 stratification groups) – 10 sample groups x 4 stratification groups
Group |
Likely Silver Purchaser |
Likely Gold Purchaser |
S1 |
True |
True |
S2 |
True |
False |
S3 |
False |
True |
S4 |
False |
False |
There will be a total of 11 letters assigned to each 2015 (A-H) and 2016 (X-Z) possible survey section combinations as follows:
2015 Current Dime Silver Set
U.S. Mint produces Proof Silver Dollar Commemorative/Proof Silver Dime W-Mint Mark (set A) only
U.S. Mint produces Proof Silver dollar Commemorative/Reverse Proof Silver Dime P-Mint Mark (set B) only
U.S. Mint produces Proof Silver dollar Commemorative/Reverse Proof (P) and Proof Silver Dimes W-Mint Mark (set C) only
U.S. Mint produces A and B
U.S. Mint produces B and C
U.S. Mint produces A and C
U.S. Mint produces A, B and C
U.S. Mint produces Proof Silver Dollar Commemorative Only (No Dimes)
2016 100th Anniversary 24K Gold Mercury Dime/Walking Liberty Design
Both Gold Mercury dime and Walking Liberty are offered and each is sold separately
Gold Mercury dime is only offered
Gold Walking Liberty Half Dollar Coin is only offered
Create 24 Monadic Cells (AX, AY, AZ, BX, BY, BZ, CX, CY, CZ, DX, DY, DZ, EX, EY, EZ, FX, FY, FZ, GX, GY, GZ, HX, HY, HZ). Assign respondents in each stratification group by randomized least fill to the monadic cells (i.e., if multiple arms have same number of completes for a particular stratification group, randomly choose one and assign respondent to that monadic arm).
SECTION A: ONLY PROOF SILVER DOLLAR COMMEMORATIVE/PROOF SILVER DIME W-MINT MARK SET IS OFFERED (2015) |
PROGRAMMING: Ask Monadic cells AX, AY, AZ only
The United States Mint is considering producing a special set for the March of Dimes commemorative coin in 2015. This special set would contain a 2015 March of Dimes Proof Silver Dollar Commemorative coin with a W-Mint Mark and a Proof Silver Dime in 90% silver also with a W-Mint Mark. The dime’s reverse and obverse will be that of the current Roosevelt dime. An informational booklet will be included that will contain informational material and pictorial representations of the March of Dimes. It could include information on its history and mission, with particular emphasis on images of vaccination efforts and FDR’s own struggle with polio.
The price of the set would be approximately $60.
|
Not At All Appealing |
Extremely Appealing |
||||||
1 |
2 |
3 |
4 |
5 |
6 |
|||
1 |
Appeal of March of Dimes Commemorative Proof Silver Dollar Coin / Proof Silver Dime W-Mint Mark set |
|
|
|
|
|
|
PROGRAMMING:
Ask all.
Please select one response. Click here to see set description.
|
Extremely Unlikely |
Extremely Likely |
||||||
1 |
2 |
3 |
4 |
5 |
6 |
|||
1 |
Likelihood to purchase March of Dimes Commemorative Proof Silver Dollar Coin / Proof Silver Dime W-Mint Mark set |
|
|
|
|
|
|
A-3. How many of these special sets would you be likely to purchase in the next 12 months?
Please enter a number for each row. Click here to see set description.
|
Number Likely to Purchase |
|
1 |
March of Dimes Commemorative Proof Silver Dollar Coin / Proof Silver Dime W-Mint Mark set |
_______ |
PROGRAMMING:
Ask all.
Show A2 and A3 on the same page.
Range for A3 is 0 to 9,999,999.
A-4. Why did you rate this special set a [INSERT NUMBER FROM A2] on how likely you are to purchase this set in the next 12 months?
|
PROGRAMMING:
Ask all.
Give error message if blank on first attempt to pass, allow to proceed after second.
SECTION B: ONLY PROOF SILVER DOLLAR COMMEMORATIVE/REVERSE PROOF SILVER DIME P-MINT MARK SET IS OFFERED (2015) |
PROGRAMMING: Ask Monadic cells BX, BY, BZ only
The United States Mint is considering producing a special set for the March of Dimes commemorative coin in 2015. This special set would contain a 2015 March of Dimes Proof Silver Dollar Commemorative coin with a W-Mint Mark and a Reverse Proof Silver Dime in 90% silver with a P-Mint Mark. The dime’s reverse and obverse will be that of the current Roosevelt dime. An informational booklet will be included that will contain informational material and pictorial representations of the March of Dimes. It could include information on its history and mission, with particular emphasis on images of vaccination efforts and FDR’s own struggle with polio.
The price of the set would be approximately $60.
|
Not At All Appealing |
Extremely Appealing |
||||||
1 |
2 |
3 |
4 |
5 |
6 |
|||
1 |
Appeal of March of Dimes Commemorative Proof Silver Dollar Coin / Reverse Proof Silver Dime P-Mint set |
|
|
|
|
|
|
PROGRAMMING:
Ask all.
Please select one response. Click here to see set description.
|
Extremely Unlikely |
Extremely Likely |
||||||
1 |
2 |
3 |
4 |
5 |
6 |
|||
1 |
Likelihood to purchase March of Dimes Commemorative Proof Silver Dollar Coin / Reverse Proof Silver Dime P-Mint set |
|
|
|
|
|
|
B-3. How many of these special sets would you be likely to purchase in the next 12 months?
Please enter a number for each row. Click here to see set description.
|
Number Likely to Purchase |
|
1 |
March of Dimes Commemorative Proof Silver Dollar Coin / Reverse Proof Silver Dime P-Mint set |
_______ |
PROGRAMMING:
Ask all.
Show B2 and B3 on the same screen.
Range for B3 is 0 to 9,999,999.
B-4. Why did you rate this special set a [INSERT NUMBER FROM B2] on how likely you are to purchase this set in the next 12 months?
|
PROGRAMMING:
Ask all.
Give error message if blank on first attempt to pass, allow to proceed after second.
SECTION C: ONLY PROOF SILVER DOLLAR COMMEMORATIVE/PROOF SILVER DIME W-MINT MARK/REVERSE PROOF SILVER DIME P-MINT MARK SET IS OFFERED (2015) |
PROGRAMMING: Ask Monadic cells CX, CY, CZ only
The United States Mint is considering producing a special set for the March of Dimes commemorative coin in 2015. This special set would contain a 2015 March of Dimes Proof Silver Dollar Commemorative coin with a W-Mint Mark, a Proof Silver Dime in 90% silver with a W-Mint Mark, and a Reverse Proof Silver Dime in 90% silver with a P-Mint Mark. The dimes’ reverses and obverses will be those of the current Roosevelt dimes. An informational booklet will be included that will contain informational material and pictorial representations of the March of Dimes. It could include information on its history and mission, with particular emphasis on images of vaccination efforts and FDR’s own struggle with polio.
The price of the set would be approximately $65.
|
Not At All Appealing |
Extremely Appealing |
||||||
1 |
2 |
3 |
4 |
5 |
6 |
|||
1 |
Appeal of March of Dimes Commemorative Proof Silver Dollar Coin / Proof Silver Dime W-Mint Mark / Reverse Proof Silver Dime P-Mint Mark set |
|
|
|
|
|
|
PROGRAMMING:
Ask all.
Please select one response. Click here to see set description.
|
Extremely Unlikely |
Extremely Likely |
||||||
1 |
2 |
3 |
4 |
5 |
6 |
|||
1 |
Likelihood to purchase March of Dimes Commemorative Proof Silver Dollar Coin / Proof Silver Dime W-Mint Mark / Reverse Proof Silver Dime P-Mint Mark set |
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|
|
C-3. How many of these special sets would you be likely to purchase in the next 12 months?
Please enter a number for each row. Click here to see set description.
|
Number Likely to Purchase |
|
1 |
March of Dimes Commemorative Proof Silver Dollar Coin / Proof Silver Dime W-Mint Mark / Reverse Proof Silver Dime P-Mint Mark set |
_______ |
PROGRAMMING:
Ask all.
Show C2 and C3 on the same page.
Range for C3 is 0 to 9,999,999.
C-4. Why did you rate this special set a [INSERT NUMBER FROM C2] on how likely you are to purchase this set in the next 12 months?
|
PROGRAMMING:
Ask all.
Give error message if blank on first attempt to pass, allow to proceed after second.
SECTION D: BOTH PROOF SILVER DOLLAR COMMEMORATIVE/PROOF SILVER DIME W-MINT MARK AND PROOF SILVER DOLLAR COMMEMORATIVE/REVERSE PROOF SILVER DIME P-MINT MARK SETS ARE OFFERED (2015) |
PROGRAMMING: Ask Monadic cells DX, DY, DZ only
The United States Mint is considering producing two special sets for the March of Dimes commemorative coin in 2015. One of these special sets would contain a 2015 March of Dimes Proof Silver Dollar Commemorative coin with a W-Mint Mark and a Proof Silver Dime in 90% silver with a W-Mint Mark. An informational booklet will be included that will contain informational material and pictorial representations of the March of Dimes. It could include information on its history and mission, with particular emphasis on images of vaccination efforts and FDR’s own struggle with polio.
The price of the set would be approximately $60.
The second special set would contain a 2015 March of Dimes Proof Silver Dollar Commemorative coin with a W-Mint Mark and a Reverse Proof Silver Dime in 90% silver with a P-Mint Mark. The dimes’ reverses and obverses will be those of the current Roosevelt dimes. An informational booklet will be included that will contain informational material and pictorial representations of the March of Dimes. It could include information on its history and mission, with particular emphasis on images of vaccination efforts and FDR’s own struggle with polio.
The price of the set would be approximately $60.
|
Not At All Appealing |
Extremely Appealing |
||||||
1 |
2 |
3 |
4 |
5 |
6 |
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1 |
Appeal of March of Dimes Commemorative Proof Silver Dollar Coin / Proof Silver Dime W-Mint Mark set |
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2 |
Appeal of March of Dimes Commemorative Proof Silver Dollar Coin / Reverse Proof Silver Dime P-Mint Mark set |
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PROGRAMMING:
Ask all.
Please select one response. Click here to see set description.
|
Extremely Unlikely |
Extremely Likely |
||||||
1 |
2 |
3 |
4 |
5 |
6 |
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1 |
Likelihood to purchase March of Dimes Commemorative Proof Silver Dollar Coin / Proof Silver Dime W-Mint Mark set |
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2 |
Likelihood to purchase March of Dimes Commemorative Proof Silver Dollar Coin / Reverse Proof Silver Dime P-Mint Mark set |
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|
D-3. How many of these special sets would you be likely to purchase in the next 12 months?
Please enter a number for each row. Click here to see set descriptions.
|
Number Likely to Purchase |
|
1 |
March of Dimes Commemorative Proof Silver Dollar Coin / Proof Silver Dime W-Mint Mark set |
_______ |
2 |
March of Dimes Commemorative Proof Silver Dollar Coin / Reverse Proof Silver Dime P-Mint Mark set |
_______ |
PROGRAMMING:
Ask all.
Show D2 and D3 on the same page.
Range for D3 is 0 to 9,999,999.
D-4. Why did you rate this special set a [INSERT NUMBER FROM D2 row 1] on how likely you are to purchase this set in the next 12 months?
|
PROGRAMMING:
Ask all.
Give error message if blank on first attempt to pass, allow to proceed after second.
D-5. Why did you rate this special set a [INSERT NUMBER FROM D2 row 2] on how likely you are to purchase this set in the next 12 months?
|
PROGRAMMING:
Ask all.
Give error message if blank on first attempt to pass, allow to proceed after second.
SECTION E: BOTH PROOF SILVER DOLLAR COMMEMORATIVE/REVERSE PROOF SILVER DIME P-MINT MARK AND PROOF SILVER DOLLAR COMMEMORATIVE/PROOF SILVER DIME W-MINT MARK/REVERSE PROOF SILVER DIME P-MINT MARK SETS ARE OFFERED (2015) |
PROGRAMMING: Ask Monadic cells EX, EY, EZ only
The United States Mint is considering producing two special sets for the March of Dimes commemorative coin in 2015. One of these special sets would contain a 2015 March of Dimes Proof Silver Dollar Commemorative coin with a W-Mint Mark and a Reverse Proof Silver Dime in 90% silver with a P-Mint Mark. An informational booklet will be included that will contain informational material and pictorial representations of the March of Dimes. It could include information on its history and mission, with particular emphasis on images of vaccination efforts and FDR’s own struggle with polio.
The price of the set would be approximately $60.
The second special set would contain a 2015 March of Dimes Proof Silver Dollar Commemorative coin with a W-Mint Mark, a Proof Silver Dime in 90% silver with a W-Mint Mark, and a Reverse Proof Silver Dime in 90% silver with a P-Mint Mark. The dimes’ reverses and obverses will be those of the current Roosevelt dimes. An informational booklet will be included that will contain informational material and pictorial representations of the March of Dimes. It could include information on its history and mission, with particular emphasis on images of vaccination efforts and FDR’s own struggle with polio.
The price of the set would be approximately $65.
|
Not At All Appealing |
Extremely Appealing |
||||||
1 |
2 |
3 |
4 |
5 |
6 |
|||
1 |
Appeal of March of Dimes Commemorative Proof Silver Dollar Coin / Reverse Proof Silver Dime P-Mint Mark set |
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2 |
Appeal of March of Dimes Commemorative Proof Silver Dollar Coin / Proof Silver Dime W-Mint Mark / Reverse Proof Silver Dime P-Mint Mark set |
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|
PROGRAMMING:
Ask all.
Please select one response. Click here to see set description.
|
Extremely Unlikely |
Extremely Likely |
||||||
1 |
2 |
3 |
4 |
5 |
6 |
|||
1 |
Likelihood to purchase March of Dimes Commemorative Proof Silver Dollar Coin / Reverse Proof Silver Dime P-Mint Mark set |
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|
|
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|
|
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2 |
Likelihood to purchase March of Dimes Commemorative Proof Silver Dollar Coin / Proof Silver Dime W-Mint Mark / Reverse Proof Silver Dime P-Mint Mark set |
|
|
|
|
|
|
E-3. How many of these special sets would you be likely to purchase in the next 12 months?
Please enter a number for each row. Click here to see set descriptions.
|
Number Likely to Purchase |
|
1 |
March of Dimes Commemorative Proof Silver Dollar Coin / Reverse Proof Silver Dime P-Mint Mark set |
_______ |
2 |
March of Dimes Commemorative Proof Silver Dollar Coin / Proof Silver Dime W-Mint Mark / Reverse Proof Silver Dime P-Mint Mark set |
_______ |
PROGRAMMING:
Ask all.
Show E2 and E3 on the same page.
Range for E3 is 0 to 9,999,999.
E-4. Why did you rate this special set a [INSERT NUMBER FROM E2 row 1] on how likely you are to purchase this set in the next 12 months?
|
PROGRAMMING:
Ask all.
Give error message if blank on first attempt to pass, allow to proceed after second.
E-5. Why did you rate this special set a [INSERT NUMBER FROM E2 row 2] on how likely you are to purchase this set in the next 12 months?
|
PROGRAMMING:
Ask all.
Give error message if blank on first attempt to pass, allow to proceed after second.
SECTION F: BOTH PROOF SILVER DOLLAR COMMEMORATIVE/PROOF SILVER DIME W-MINT MARK AND PROOF SILVER DOLLAR COMMEMORATIVE/PROOF SILVER DIME W-MINT MARK/REVERSE PROOF SILVER DIME P-MINT MARK SETS ARE OFFERED (2015) |
PROGRAMMING: Ask Monadic cells FX, FY, FZ only
The United States Mint is considering producing two special sets for the March of Dimes commemorative coin in 2015. One of these special sets would contain a 2015 March of Dimes Proof Silver Dollar Commemorative coin with a W-Mint Mark and a Proof Silver Dime in 90% silver with a W-Mint Mark. An informational booklet will be included that will contain informational material and pictorial representations of the March of Dimes. It could include information on its history and mission, with particular emphasis on images of vaccination efforts and FDR’s own struggle with polio.
The price of the set would be approximately $60.
The second special set would contain a 2015 March of Dimes Proof Silver Dollar Commemorative coin with a W-Mint Mark, a Proof Silver Dime in 90% silver with a W-Mint Mark, and a Reverse Proof Silver Dime in 90% silver with a P-Mint Mark. The dimes’ reverses and obverses will be those of the current Roosevelt dimes. An informational booklet will be included that will contain informational material and pictorial representations of the March of Dimes. It could include information on its history and mission, with particular emphasis on images of vaccination efforts and FDR’s own struggle with polio.
The price of the set would be approximately $65.
|
Not At All Appealing |
Extremely Appealing |
||||||
1 |
2 |
3 |
4 |
5 |
6 |
|||
1 |
Appeal of March of Dimes Commemorative Proof Silver Dollar Coin / Proof Silver Dime W-Mint Mark set |
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2 |
Appeal of March of Dimes Commemorative Proof Silver Dollar Coin / Proof Silver Dime W-Mint Mark / Reverse Proof Silver Dime P-Mint Mark set
|
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|
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|
PROGRAMMING:
Ask all.
Please select one response. Click here to see set description.
|
Extremely Unlikely |
Extremely Likely |
||||||
1 |
2 |
3 |
4 |
5 |
6 |
|||
1 |
Likelihood to purchase March of Dimes Commemorative Proof Silver Dollar Coin / Proof Silver Dime W-Mint Mark set |
|
|
|
|
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|
2 |
Likelihood to purchase March of Dimes Commemorative Proof Silver Dollar Coin / Proof Silver Dime W-Mint Mark / Reverse Proof Silver Dime P-Mint Mark set |
|
|
|
|
|
|
F-3. How many of these special sets would you be likely to purchase in the next 12 months?
Please enter a number for each row. Click here to see set descriptions.
|
Number Likely to Purchase |
|
1 |
March of Dimes Commemorative Proof Silver Dollar Coin / Proof Silver Dime W-Mint Mark set |
_______ |
2 |
March of Dimes Commemorative Proof Silver Dollar Coin / Proof Silver Dime W-Mint Mark / Reverse Proof Silver Dime P-Mint Mark set |
_______ |
PROGRAMMING:
Ask all.
Show F2 and F3 on the same page.
Range for F3 is 0 to 9,999,999.
F-4. Why did you rate this special set a [INSERT NUMBER FROM F2 row 1] on how likely you are to purchase this set in the next 12 months?
|
PROGRAMMING:
Ask all.
Give error message if blank on first attempt to pass, allow to proceed after second.
F-5. Why did you rate this special set a [INSERT NUMBER FROM F2 row 2] on how likely you are to purchase this set in the next 12 months?
|
PROGRAMMING:
Ask all.
Give error message if blank on first attempt to pass, allow to proceed after second.
SECTION G: ALL 3 SETS ARE OFFERED |
PROGRAMMING: Ask Monadic cells GX, GY, GZ only
The United States Mint is considering producing three special sets for the March of Dimes commemorative coin in 2015. The first of these special sets would contain a 2015 March of Dimes Proof Silver Dollar Commemorative coin with a W-Mint Mark and a Proof Silver Dime in 90% silver with a W-Mint Mark. An informational booklet will be included that may contain informational material and pictorial representations of the March of Dimes. It could include information on its history and mission, with particular emphasis on images of vaccination efforts and FDR’s own struggle with polio.
The price of the set would be approximately $60.
The second special set would contain a 2015 March of Dimes Proof Silver Dollar Commemorative coin with a W-Mint Mark and a Reverse Proof Silver Dime in 90% silver with a P-Mint Mark. An informational booklet will be included that may contain informational material and pictorial representations of the March of Dimes. It could include information on its history and mission, with particular emphasis on images of vaccination efforts and FDR’s own struggle with polio.
The price of the set would be approximately $60.
The third special set would contain a 2015 March of Dimes Proof Silver Dollar Commemorative coin with a W-Mint Mark, a Proof Silver Dime in 90% silver with a W-Mint Mark, and a Reverse Proof Silver Dime in 90% silver with a P-Mint Mark. The dimes’ reverses and obverses will be those of the current Roosevelt dimes. An informational booklet will be included that may contain informational material and pictorial representations of the March of Dimes. It could include information on its history and mission, with particular emphasis on images of vaccination efforts and FDR’s own struggle with polio.
The price of the set would be approximately $65.
|
Not At All Appealing |
Extremely Appealing |
||||||
1 |
2 |
3 |
4 |
5 |
6 |
|||
1 |
Appeal of March of Dimes Commemorative Proof Silver Dollar Coin / Proof Silver Dime W-Mint Mark set |
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2 |
Appeal of March of Dimes Commemorative Proof Silver Dollar Coin / Reverse Proof Silver Dime P-Mint Mark set |
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3 |
Appeal of March of Dimes Commemorative Proof Silver Dollar Coin / Proof Silver Dime W-Mint Mark / Reverse Proof Silver Dime P-Mint Mark set |
|
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|
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PROGRAMMING: Ask all.
G-2. How likely would you be to purchase each of the special sets listed below from the U.S. Mint in the next 12 months?
Please select one response. Click here to see set descriptions.
|
Extremely Unlikely |
Extremely Likely |
||||||
1 |
2 |
3 |
4 |
5 |
6 |
|||
1 |
Likelihood to purchase March of Dimes Commemorative Proof Silver Dollar Coin / Proof Silver Dime W-Mint Mark set |
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|
2 |
Likelihood to purchase March of Dimes Commemorative Proof Silver Dollar Coin / Reverse Proof Silver Dime P-Mint Mark set |
|
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|
|
3 |
Likelihood to purchase March of Dimes Commemorative Proof Silver Dollar Coin / Proof Silver Dime W-Mint Mark / Reverse Proof Silver Dime P-Mint Mark set |
|
|
|
|
|
|
G-3. How many of these special sets would you be likely to purchase in the next 12 months?
Please enter a number for each row. Click here to see set description.
|
Number Likely to Purchase |
|
1 |
March of Dimes Commemorative Proof Silver Dollar Coin / Proof Silver Dime W-Mint Mark set |
_______ |
2 |
March of Dimes Commemorative Proof Silver Dollar Coin / Reverse Proof Silver Dime P-Mint Mark set |
_______ |
3 |
March of Dimes Commemorative Proof Silver Dollar Coin / Proof Silver Dime W-Mint Mark / Reverse Proof Silver Dime P-Mint Mark set |
_______ |
PROGRAMMING:
Ask all
Show G2 and G3 on the same page
Range for G3 is 0 to 9,999,999.
G-4. Why did you rate this special set a [INSERT NUMBER FROM G2 row 1] on how likely you are to purchase this set in the next 12 months?
|
PROGRAMMING:
Ask all.
Give error message if blank on first attempt to pass, allow to proceed after second.
G-5. Why did you rate this special set a [INSERT NUMBER FROM G2 row 2] on how likely you are to purchase this set in the next 12 months?
|
PROGRAMMING:
Ask all. Give error message if blank on first attempt to pass, allow to proceed after second.
G-6. Why did you rate this special set a [INSERT NUMBER FROM G2 row 3] on how likely you are to purchase this set in the next 12 months?
|
PROGRAMMING: Ask all. Give error message if blank on first attempt to pass, allow to proceed after second.
SECTION H: ONLY PROOF SILVER DOLLAR COMMEMORATIVE COIN IS OFFERED (2015) |
PROGRAMMING: Ask Monadic cells HX, HY, HZ only
The United States Mint is considering producing a special set for the March of Dimes commemorative coin in 2015. This special coin set would contain a 2015 March of Dimes Proof Silver Dollar Commemorative coin with a W-Mint Mark. An informational booklet will also be included that will contain informational material and pictorial representations of the March of Dimes. It could include information on its history and mission, with particular emphasis on images of vaccination efforts and FDR’s own struggle with polio.
The price of the set would be approximately $55.
|
Not At All Appealing |
Extremely Appealing |
||||||
1 |
2 |
3 |
4 |
5 |
6 |
|||
1 |
Appeal of March of Dimes Commemorative Proof Silver Dollar special set |
|
|
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|
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|
PROGRAMMING:
Ask all.
Please select one response. Click here to see set description.
|
Extremely Unlikely |
Extremely Likely |
||||||
1 |
2 |
3 |
4 |
5 |
6 |
|||
1 |
Likelihood to purchase March of Dimes Commemorative Proof Silver Dollar special set |
|
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|
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|
H-3. How many of these special sets would you be likely to purchase in the next 12 months?
Please enter a number for each row. Click here to see set description.
|
Number Likely to Purchase |
|
1 |
March of Dimes Commemorative Proof Silver Dollar special set |
_______ |
PROGRAMMING:
Ask all.
Show H2 and H3 on the same page.
Range for H3 is 0 to 9,999,999.
H-4. Why did you rate this special set a [INSERT NUMBER FROM H2] on how likely you are to purchase this set in the next 12 months?
|
PROGRAMMING:
Ask all.
Give error message if blank on first attempt to pass, allow to proceed after second.
SECTION X: BOTH 24K GOLD MERCURY DIME AND 24K GOLD WALKING LIBERTY HALF DOLLAR COIN OFFERED AND EACH SOLD SEPARATELY (2016) |
PROGRAMMING: Ask Monadic cells AX, BX, CX, DX, EX, FX, GX, and HX only
The United States Mint is considering producing a 24 karat Gold Mercury Dime in 2016 in celebration of the 100th Anniversary of the Mercury Dime. The coin would be approximately 1/10th of an ounce (dime size). The coin’s obverse would be the depiction of a young Liberty and the reverse depicts a fasces, symbolizing unity and strength, and an olive branch signifying peace.
The price of this coin would be approximately $200.
The United States Mint is also considering producing a 24 karat Gold Walking Liberty Half Dollar Coin. The coin would feature the Walking Liberty on the obverse and a newly designed eagle on the reverse.
The price of this coin would be approximately $1,275.
Note: Pricing for gold coin products is tied to the market price for one ounce of gold and can vary dependent upon changes in the market value.
X-1. How appealing would each of the following coins be to you?
|
Not At All Appealing |
Extremely Appealing |
||||||
1 |
2 |
3 |
4 |
5 |
6 |
|||
1 |
24 karat Gold Mercury Dime |
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|
2 |
24 karat Gold Walking Liberty Half Dollar Coin |
|
|
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|
|
|
PROGRAMMING: Ask all.
Please select one response for each row. Click here to see coin descriptions.
|
Extremely Unlikely |
Extremely Likely |
||||||
1 |
2 |
3 |
4 |
5 |
6 |
|||
1 |
24 karat Gold Mercury Dime |
|
|
|
|
|
|
|
2 |
24 karat Gold Walking Liberty Half Dollar Coin |
|
|
|
|
|
|
X-3. How many of these coins would you be likely to purchase in the next 12 months?
Please enter a number for each row. Click here to see coin descriptions.
|
Number Likely to Purchase |
|
1 |
24 karat Gold Mercury Dime |
_______ |
2 |
24 karat Gold Walking Liberty Half Dollar Coin |
_______ |
PROGRAMMING:
Ask all.
Show X2 and X3 on the same page.
Keep rows in same order for X2 and X3
Range for X3 is 0 to 9,999,999.
X-4. Why did you rate the 24K Gold Mercury Dime coin a [INSERT NUMBER FROM X2 row 1] on how likely you are to purchase it in the next 12 months?
|
PROGRAMMING:
Ask all.
Give error message if blank on first attempt to pass, allow to proceed after second.
X-5. Why did you rate the 24K Gold Walking Liberty Half Dollar coin a [INSERT NUMBER FROM X2 row 2] on how likely you are to purchase it in the next 12 months?
|
PROGRAMMING:
Ask all.
Give error message if blank on first attempt to pass, allow to proceed after second.
SECTION Y: ONLY 24K GOLD MERCURY DIME IS OFFERED (2016) |
PROGRAMMING: Ask Monadic cells AY, BY, CY, DY, EY, FY, GY, and HY only
The United States Mint is considering producing a 24 karat Gold Mercury Dime in 2016 in celebration of the 100th Anniversary of the Mercury Dime. The coin would be approximately 1/10th of an ounce (dime size). The coin’s obverse would be the depiction of a young Liberty and the reverse depicts a fasces, symbolizing unity and strength, and an olive branch signifying peace.
The price of this coin would be approximately $200.
Note: Pricing for gold coin products is tied to the market price for one ounce of gold and can vary dependent upon changes in the market value.
Y-1. How appealing would the 24K Gold Mercury Dime be to you?
|
Not At All Appealing |
Extremely Appealing |
||||||
1 |
2 |
3 |
4 |
5 |
6 |
|||
1 |
24 karat Gold Mercury Dime |
|
|
|
|
|
|
PROGRAMMING: Ask all.
Please select one response for each row. Click here to see coin descriptions.
|
Extremely Unlikely |
Extremely Likely |
||||||
1 |
2 |
3 |
4 |
5 |
6 |
|||
1 |
24 karat Gold Mercury Dime |
|
|
|
|
|
|
Y-3. How many 24K Gold Mercury Dimes would you be likely to purchase in the next 12 months?
Please enter a number for each row. Click here to see coin descriptions.
|
Number Likely to Purchase |
|
1 |
24 karat Gold Mercury Dime |
_______ |
PROGRAMMING:
Ask all.
Show Y2 and Y3 on the same page.
Keep rows in same order for Y2 and Y3
Range for Y3 is 0 to 9,999,999.
Y-4. Why did you rate the 24K Gold Mercury Dime a [INSERT NUMBER FROM Y2] on how likely you are to purchase it in the next 12 months?
|
PROGRAMMING:
Ask all.
Give error message if blank on first attempt to pass, allow to proceed after second.
SECTION Z: ONLY 24K GOLD WALKING LIBERTY HALF DOLLAR COIN IS OFFERED (2016) |
PROGRAMMING: Ask Monadic cells AZ, BZ, CZ, DZ, EZ, FZ, GZ, and HZ only
The United States Mint is considering producing a 24 karat Gold Walking Liberty Half Dollar Coin. The coin would feature the Walking Liberty on the obverse and a newly designed eagle on the reverse.
The price of this coin would be approximately $1,275.
Note: Pricing for gold coin products is tied to the market price for one ounce of gold and can vary dependent upon changes in the market value.
Z-1. How appealing would the 24 karat Gold Walking Liberty Half Dollar coin be to you?
|
Not At All Appealing |
Extremely Appealing |
||||||
1 |
2 |
3 |
4 |
5 |
6 |
|||
1 |
24 karat Gold Walking Liberty Half Dollar Coin |
|
|
|
|
|
|
PROGRAMMING: Ask all.
Please select one response for each row. Click here to see coin descriptions.
|
Extremely Unlikely |
Extremely Likely |
||||||
1 |
2 |
3 |
4 |
5 |
6 |
|||
1 |
24 karat Gold Walking Liberty Half Dollar Coin |
|
|
|
|
|
|
Z-3. How many 24 karat Gold Walking Liberty Half Dollar coins would you be likely to purchase in the next 12 months?
Please enter a number for each row. Click here to see coin descriptions.
|
Number Likely to Purchase |
|
1 |
24 karat Gold Walking Liberty Half Dollar Coin |
_______ |
PROGRAMMING:
Ask all.
Show Z2 and Z3 on the same page.
Keep rows in same order for Z2 and Z3
Range for Z3 is 0 to 9,999,999.
Z-4. Why did you rate the 24K Gold Walking Liberty Half Dollar coin a [INSERT NUMBER FROM Z2] on how likely you are to purchase it in the next 12 months?
|
PROGRAMMING:
Ask all.
Give error message if blank on first attempt to pass, allow to proceed after second.
DEMOGRAPHIC INFORMATION |
These last few questions are for classification purposes only…]
1 |
Grade school (8th grade or less) |
|
2 |
Some high school |
|
3 |
High school graduate |
|
4 |
Some college, no degree |
|
5 |
Vocational training/2–year college |
|
6 |
4-year college/bachelor’s degree |
|
7 |
Post-graduate training/degree |
|
PROGRAMMING:
Ask all.
1 |
Full-time |
|
2 |
Part-time |
|
3 |
Retired |
|
4 |
Student or not employed |
|
PROGRAMMING:
Ask all.
Your best estimate is fine.
1 |
Less than $10,000 |
|
2 |
$10,000 to $19,999 |
|
3 |
$20,000 to $29,999 |
|
4 |
$30,000 to $39,999 |
|
5 |
$40,000 to $49,999 |
|
6 |
$50,000 to $74,999 |
|
7 |
$75,000 to $99,999 |
|
8 |
$100,000 or more |
|
9 |
Prefer Not to Answer |
|
PROGRAMMING:
Ask all.
Track number responding “Prefer Not to Answer” to this question in status report.
____________________________________________________________________________________
1 |
Yes |
|
2 |
No |
|
PROGRAMMING:
Ask all.
____________________________________________________________________________________
1 |
Yes |
|
2 |
No |
|
PROGRAMMING:
Ask those who answer L_1 to D-5.
1 |
Yes |
|
2 |
No |
|
PROGRAMMING:
Ask all.
Please select one or more.
1 |
American Indian or Alaska Native? |
□ |
2 |
Asian? |
□ |
3 |
Black or African American? |
□ |
4 |
Native Hawaiian or other Pacific Islander? |
□ |
5 |
White? |
□ |
6 |
Prefer Not to Answer |
|
PROGRAMMING:
Ask all.
Thank you for participating in this survey.
Programmer: Add any necessary language for exiting the survey.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | Note to reader: Bold lines in between questions signify page/screen breaks |
Author | Adine Frank |
File Modified | 0000-00-00 |
File Created | 2021-01-31 |