Common all Versions - GfK MRI

PERSONAL CARE, DIET AND BODY CARE PRODUCTS
Page 14
BODY POWDER
009
You Personally:
Used in Times/
last 6 last 7
months days
TOTAL: ................ 00
BRANDS:
Ammens ............... 01
Avon .................. 02
Burt’s Bees. ............ 03
Gold Bond Powder ....... 04
Gold Bond Baby Powder .. 05
Johnson’s Baby Powder ... 06
Johnson’s Baby Powder
Pure Corn Starch ...... 07
Shower to Shower ....... 08
999
OTHER (Write In)
DIET CONTROL/
EATING HABITS
Are you presently controlling your diet?
095-0
Yes ............................... 1
No. ............................... 2
If yes, reason for diet control:
Blood sugar level .................... 3
Cholesterol level. .................... 4
Lactose intolerance .................. 5
Maintain weight ..................... 6
Physical fitness. ..................... 7
Regularity .......................... 8
Salt restriction ...................... 9
Weight loss. ........................ 0
Other ............................. X
Do you buy foods specifically
labeled as: 096-0
Fat-free. ........................... 1
Gluten-free ......................... 2
High fiber .......................... 3
High protein ........................ 4
Lactose-free ........................ 5
Low-calorie. ........................ 6
Low-carb. .......................... 7
Low-cholesterol ..................... 8
Low-fat ............................ 9
Low-sodium ........................ 0
15R-0
Natural or Organic ................... 1
Probiotic ........................... 2
Sugar-free ......................... 3
Do you consider yourself to be:
Semi-vegetarian ..................... 4
Vegetarian ......................... 5
Vegan ............................. 6
If you are dieting, which methods are you using:
097-0
Alli ............................... 1
Jenny Craig ........................ 2
LA Weight Loss Center. ............... 3
NutriSystem ........................ 4
South Beach Diet .................... 5
Weight Watchers .................... 6
Other diet organization or
club ............................. 7
Atkins diet. ......................... 8
Doctor’s care/diet .................... 9
Diet control book .................... 0
Exercise program .................... X
Other ............................. Y
You Personally:
LACTOSE
Used in Times/
INTOLERANCE
last 6 last 30
PRODUCTS months days
098
TOTAL: ................ 00
BRANDS:
Dairy Ease ............. 01
Lactaid ................ 02
999
OTHER (Write In)
You Personally:
MEAL/DIETARY/
Used in Times/
WEIGHT LOSS last 6 last 7
SUPPLEMENTS months days
099
TOTAL: ................ 00
TYPES:
Liquid ................. 01
Powder ................ 02
Tablet ................. 03
BRANDS:
Alli ................... 04
Atkins Advantage ........ 05
Boost ................. 06
Carnation Instant Breakfast . 07
Dexatrim. .............. 08
Ensure ................ 09
Glucerna. .............. 10
Hydroxycut ............. 11
Relacore. .............. 12
Sensa ................. 13
Slim-Fast .............. 14
Slim-Fast Optima ........ 15
SlimQuick .............. 16
999
OTHER (Write In)
Used For: 15Q-0
Weight Loss ............ 1
Gain/Maintain Weight ..... 2
Nutritional Supplement. ... 3
Meal Replacement ....... 4
INCONTINENCE
PRODUCTS
You Personally:
Used in Bought in
last 6 last 6
months months
101 1 2
Yes .................... 01
BRANDS:
Depend ................. 02
Poise ................... 03
Tena Serenity ............ 04
Other ................... 05
You Personally:
Bought in
CONDOMS last 6
months
102-0
Yes ...................... 1
KINDS:
Latex. .................... 2
Natural Skin ............... 3
BRANDS:
Durex .................... 4
LifeStyles ................. 5
Naturalamb. ............... 6
Trojan .................... 7
Trojan-ENZ ................ 8
Trojan Her Pleasure ......... 9
Trojan Magnum. ............ 0
Other .................... X
You Personally:
BLEACH AND
Used in Times/
DEPILATORIES
last 6 last 30
(Hair Removal) months days
104
TOTAL: ................ 00
TYPES:
Bleach ................ 01
Cream ................ 02
Gel ................... 03
Lotion ................. 04
Spray ................. 05
Wax .................. 06
BRANDS:
Hair Off. ............... 07
Jolen. ................. 08
Nair. .................. 09
Sally Hansen ........... 10
Veet .................. 11
999
OTHER (Write In)
You Personally:
SUNTAN &
Used in Times/last
SUNSCREEN
last 12 30 days
PRODUCTS months (in season)
105
TOTAL: ................ 00
TYPES:
SPF 1-8 ............... 01
SPF 15 ............... 02
SPF 30 + .............. 03
KINDS:
Suntan Lotion/Sunscreen. . 04
Sunless Tanner. ......... 05
FORMS:
Gel ................... 06
Lotion ................. 07
Oil. ................... 08
Spray ................. 09
Tube (cream) ........... 10
BRANDS:
Aveeno Continuous
Protection ............ 11
Bain de Soleil ........... 12
Banana Boat ........... 13
Banana Boat Sport. ...... 14
Bull Frog ............... 15
Bull Frog Mosquito Coast .. 16
Clarins ................ 17
Clinique ............... 18
Coppertone Sport. ....... 19
Other Coppertone ....... 20
Estée Lauder ........... 21
Hawaiian Tropic ......... 22
Johnson’s Baby Oil. ...... 23
Lancôme Sôleil Bronzer ... 24
L’Oréal Sublime Bronze ... 25
Mary Kay .............. 26
Neutrogena Instant Bronze . 27
Neutrogena Sunblock. .... 28
Neutrogena Sunless
Tanning .............. 29
Other Neutrogena ....... 30
No Ad ................ 31
Ocean Potion ........... 32
Panama Jack ........... 33
Sea & Ski .............. 34
999
OTHER (Write In)
SUNBURN
REMEDIES
106
You Personally:
Used in Times/last
last 12 30 days
months (in season)
TOTAL: ................ 00
TYPES:
Cream ................ 01
Gel ................... 02
Spray ................. 03
BRANDS:
Avon .................. 04
Bactine ................ 05
Banana Boat ........... 06
Lanacane Spray ......... 07
Noxzema .............. 08
Solarcaine ............. 09
999
OTHER (Write In)