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Common all Versions - GfK MRI

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FOOD/GROCERY SHOPPING<br />

Page 102<br />

INSTANT OR<br />

FREEZE-DRIED<br />

COFFEE<br />

Your Household:<br />

Used in Cups or<br />

last 6 glasses/<br />

months average day<br />

876<br />

TOTAL: ................ 00<br />

TYPES:<br />

Freeze-Dried ........... 01<br />

Instant Powdered/Buds ... 02<br />

BRANDS:<br />

Folgers Crystals (Regular) . 03<br />

Folgers Crystals (Decaf) .. 04<br />

Folgers Singles. ......... 05<br />

Maxwell House Coffee<br />

Singles .............. 06<br />

Maxwell House (Regular). . 07<br />

Maxwell House (Decaf) ... 08<br />

Nescafé Classic ......... 09<br />

Nescafé Taster’s Choice<br />

(Regular). ............ 10<br />

Nescafé Taster’s Choice<br />

(Decaf) .............. 11<br />

Sanka ................. 12<br />

Store’s Own Brand ....... 13<br />

999<br />

OTHER (Write In)<br />

FLAVORED INSTANT<br />

COFFEE<br />

Your Household:<br />

Used in Cups or<br />

last 6 glasses/<br />

months last 7 days<br />

877<br />

TOTAL: ................ 00<br />

TYPES:<br />

Decaffeinated ........... 01<br />

Regular. ............... 02<br />

Sugar Free ............. 03<br />

Fat Free ............... 04<br />

BRANDS:<br />

Folgers Cappuccino ...... 05<br />

General Foods International Coffees:<br />

Café Vienna .......... 06<br />

French Vanilla Café. .... 07<br />

French Vanilla Decaf. ... 08<br />

Hazelnut Belgian Café .. 09<br />

Suisse Mocha ......... 10<br />

Other. ............... 11<br />

Hills Bros. Cappuccino .... 12<br />

Nescafé Taster’s Choice. .. 13<br />

999<br />

OTHER (Write In)<br />

ORGANIC FOODS<br />

Your Household:<br />

Used in last<br />

6 months<br />

990-0<br />

TOTAL: ................... 1<br />

ORGANIC FOODS:<br />

Baby Food ............... 2<br />

Bread ................... 3<br />

Breakfast Cereals. ......... 4<br />

Cheese. ................. 5<br />

Chocolate ................ 6<br />

Coffee. .................. 7<br />

Fish/Seafood .............. 8<br />

Frozen Foods ............. 9<br />

Granola ................. 0<br />

Ice Cream. ............... X<br />

Meat ....................<br />

Y<br />

991-0<br />

Pasta ................... 1<br />

Peanut Butter ............. 2<br />

Poultry .................. 3<br />

Soup. ................... 4<br />

Spaghetti/Pasta Sauce. ..... 5<br />

Tea ..................... 6<br />

__________________________ 7<br />

OTHER (Write In)<br />

FOOD PREPARED<br />

FROM SCRATCH<br />

Your Household:<br />

Made in Times/<br />

last 6 last 30<br />

months days<br />

879<br />

TOTAL: ................ 00<br />

FOODS:<br />

Baby Food ............. 01<br />

Biscuits. ............... 02<br />

Bread ................. 03<br />

Cake. ................. 04<br />

Candy. ................ 05<br />

Chili .................. 06<br />

Cookies ............... 07<br />

Dips .................. 08<br />

Frosting ............... 09<br />

Gravies. ............... 10<br />

Ice Cream. ............. 11<br />

Jambalaya ............. 12<br />

Jams. ................. 13<br />

Jellies ................. 14<br />

Macaroni Salad ......... 15<br />

Pancakes .............. 16<br />

Pasta ................. 17<br />

Pies .................. 18<br />

Pizza ................. 19<br />

Potato Salad. ........... 20<br />

Salad Dressing. ......... 21<br />

Soup. ................. 22<br />

Spaghetti Sauce. ........ 23<br />

Stew .................. 24<br />

Tomato Sauce .......... 25<br />

Other Sauces ........... 26<br />

Tuna Casserole ......... 27<br />

Waffles . . . . . . . . . . . . . . . . . 28<br />

999<br />

OTHER (Write In)<br />

MICROWAVE USAGE<br />

Your Household:<br />

Used in Times/<br />

last 6 last 7<br />

months days<br />

880<br />

TOTAL: ................ 00<br />

For Which Meal(s):<br />

Breakfast .............. 01<br />

Lunch ................. 02<br />

Dinner. ................ 03<br />

Snack ................ 04<br />

REASON:<br />

Cook. ................. 05<br />

Defrost/Thaw ........... 06<br />

Reheat leftovers ......... 07<br />

TYPES OF FOOD:<br />

Baking Mixes ........... 08<br />

Food prepared from scratch 09<br />

Fresh vegetables ........ 10<br />

Frozen breakfast foods. ... 11<br />

Frozen desserts . . . . . . . . . . 12<br />

Frozen dinner/dinner<br />

entrees .............. 13<br />

Frozen side dishes ....... 14<br />

Pasta ................. 15<br />

Popcorn ............... 16<br />

Shelf Stable (Non-<br />

Refrigerated). ......... 17<br />

Soup. ................. 18<br />

Take-out food ........... 19<br />

999<br />

OTHER (Write In)<br />

PRODUCT SAMPLES<br />

987-0<br />

In the last 6 months, have you used a product<br />

sample?<br />

Yes ........................... 1<br />

If yes, how did you obtain the product<br />

sample(s) you used?<br />

Delivered in the mail. ............. 2<br />

Included with the newspaper ....... 3<br />

Obtained in-store ................ 4<br />

Other ......................... 5<br />

In the last 6 months, have you purchased a<br />

product after using its sample?<br />

Yes ........................... 6<br />

GROCERY<br />

SHOPPING<br />

How often do you go<br />

grocery shopping<br />

in an average week?<br />

Number of trips _______________881-0<br />

In the past week, what day(s) did you shop for<br />

groceries?<br />

882-0<br />

Sunday ............... 1<br />

Monday. .............. 2<br />

Tuesday .............. 3<br />

Wednesday. ........... 4<br />

Thursday. ............. 5<br />

Friday ................ 6<br />

Saturday. ............. 7<br />

Distance from your home to the store where<br />

you most frequently shop for groceries:<br />

Less than 1 mile ........ 8<br />

1–2 miles ............. 9<br />

3–5 miles ............. 0<br />

6–10 miles ............ X<br />

11+ miles ............. Y<br />

Time of day you usu<strong>all</strong>y shop for groceries<br />

(Check one): 883-0<br />

Morning .............. 1<br />

Afternoon ............. 2<br />

Evening .............. 3<br />

Various Times. ......... 4<br />

Do you prepare a written grocery shopping<br />

list in advance? 884-0<br />

Always ............... 1<br />

Sometimes ............ 2<br />

Never ................ 3<br />

In the past 30 days, have you purchased 989-0<br />

groceries over the Internet/online? Yes 1<br />

In the past 30 days, did you use a 997-0<br />

grocery store loyalty card? Yes 1<br />

CENTS OFF<br />

COUPONS<br />

Your Household:<br />

Used in Times<br />

last 12 used/last<br />

months 3 months<br />

885<br />

TOTAL: ................ 00<br />

Where redeemed:<br />

Discount Store .......... 01<br />

Drug Store ............. 02<br />

Grocery Store/Supermarket . 03<br />

Other ................. 999<br />

Received or clipped from: 886-0<br />

Handed out by person in store ...... 1<br />

In or on packages. ............... 2<br />

Magazine ...................... 3<br />

Mail. .......................... 4<br />

Sunday newspaper/inserts ........ 5<br />

Weekday newspaper/inserts ........ 6<br />

In-store circulars .................. 7<br />

Instant coupon machine/Shelf coupons 8<br />

Preferred customer/loyalty card ..... 9<br />

Coupons at register .............. 0<br />

Internet or E-mail ................ X<br />

Use coupons to: 887-0<br />

Save as much money as I can ...... 1<br />

Save on brands I use now ......... 2<br />

Try new products ................ 3<br />

Other ......................... 4<br />

Types of products used for:<br />

Beverages ..................... 5<br />

Cleaning products ............... 6<br />

Cosmetics ..................... 7<br />

Food products .................. 8<br />

Tobacco ....................... 9<br />

Toiletry items ................... 0<br />

Other ......................... X<br />

Total number of coupons used, last<br />

30 days: 994-0<br />

(Write in number)

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