Tracking Study Above the Influence SCREENER

Above the Influence

Multi-Platform Communications

Campaign Tracking and Assessment

Baseline #37452

SCREENER

AGE

What is your age? [ALLOW 13-17] QUOTA FOR 13, 14-16, AND 17

GENDER

What is your gender?

Male

Female

EN01CTY

In what country do you live?

USA [CONTINUE]

ZIP

What is your 5-digit zip code? [NUMERIC OPEN END]

ERROR MESSAGE IF LESS THAN FIVE DIGITS: “Please type your five digit zip code.”

ONLY INCLUDE VALID ZIP CODES

US01PST

Please tell us which of the following types of online surveys you have completed in the past 3 months.

Please select all that apply.

Automotive

Beauty/Cosmetics

Beverages – Alcoholic [TERMINATE]

Beverages - Non Alcoholic

Education

Electronics/Computer/Software

Fashion/Clothing

Financial Services/Insurance

Food/Snacks

Healthcare/Pharmaceuticals

Home Entertainment (DVD, VHS)

Home Improvement/Real Estate/Construction

Movies

Music

Personal Care/Toiletries

Pets

Politics

Publishing (Newspaper, Magazines, Books) Restaurants

Sports

Telecommunications (phone, cell phone, cable)

Television (Network/Cable/Satellite)

Toys

Transportation/Shipping

Travel

Video Games

Websites/Internet/E-Commerce

Other online survey

None of the above [EXCLUSIVE]

US01RAC

Which of the following best describes you?

Hispanic or Latino?

US01ETH

Which of the following best describes you?

White or Caucasian

Black or African-American

Asian/Pacific Islander

Native American, Alaska Native, Aleutian

Prefer not to answer

ATIGrade

What grade are you currently in?

7^th grade

8^th grade

9^th grade

10^th grade

11^th grade

12^th grade

None of the above [TERMINATE]

SENSATIONSEEKING

Next, we would like to know how much you agree or disagree with each of the following statements. Please be honest.

[SCALE ACROSS THE TOP]

Disagree a lot

Disagree a little

Neither agree nor disagree

Agree a little

Agree a lot

[DOWN THE SIDE - RANDOMIZE]

I like to do scary things

I like new and exciting experiences, even if I have to break the rules

I would like to explore strange places

I prefer friends who are exciting and unpredictable