 
The Quantitative MindReading Agency
| United States Mint: Concept Creator | |
| Client | C-E / United States Mint | 
| Client Contact | Steve Kennedy steve.kennedy@c-e.comTel: + 1 586 558 7764 | 
| Account Team
 | Alex Hunt alex.hunt@brainjuicer.com Tel : +1 917 293 7484 Mandolin Lextrait mandolin.lextrait@brainjuicer.com Tel : +1 646-322-7553 Katie O’Connor katie.oconnor@brainjuicer.com Tel: + 1 917 225 5483 | 
| BJ Project No. | P110426 | 
| Date | May 17th, 2010 | 
	
	
		
		
	
Target Audience
	
Market: US
	
Length of Juicer: 20 mins
	
Sampling: Two cells:
	
300 General Market / US Adults (90% incidence)
	
300 Past 24 Month Purchasers of Collectable Coins (29%)
	
Survey Flow
 
	
 
|  | Email invitation from Panel | 
| 
				 | 
				 | 
| Instructions: | Email inviting respondents to take part in the BrainJuicer®, URL link to the survey | 
	
|  | Start | 
| 
				 | 
				 | 
| 
				 | 
				 
					Hello! May
					I take a moment to juice your brain? Click
					here to start (takes about 20 mins) | 
	
|  | Explanation & Confidentiality | 
| 
				 | 
				 | 
| 
				 | 
				 
					Just
					before we get started (particularly if you’re new to
					BrainJuicer), a quick explanation of how a Juicer works... | 
	
|  | Freeform | 
				 | 
				 | 
| 
				 | 
				 | ||
| Freeform | BrainJuicer uses an innovative approach to asking questions; rather than restrict you to choosing from a list of possible answers compiled by us we'd like you to give us your own answers - whatever they may be! | ||
	
|  | Freeform | 
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| 
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				 | ||
| Freeform | Before you continue, please confirm the following: I agree not to disclose the contents of the survey to anyone else. I agree that any ideas discussed or generated as a result of your participation will belong to our client. | ||
	
|  | Radio button | Mandatory | 
				 | 
| 
				 | 
				 | ||
| Question: | Do you accept the terms above? | ||
| Answers: | Yes | 
				 | |
| 
				 | No | Reject | |
	
|  | Sample Filter and Respondent Profiling | 
| 
				 | 
				 | 
| 
				 | 
				 
					Thanks.
					First a few questions about you. | 
|  | Dropdown | Mandatory | 
				 | 
| 
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				 | ||
| Question: | Your age? | ||
| Answers: | 17 or younger | Screenout | |
| 
				 | 18 | 
				 | |
| 
				 | 19 | 
				 | |
| 
				 | … | 
				 | |
| 
				 | 63 | 
				 | |
| 
				 | 64 | 
				 | |
| 
				 | 65 or older | Screenout | |
| Instructions: | For National Cell, quota 20% each 18-27, 28-34, 35-44, 45-54 and 55-64 | 
				 | |
|  | Radio button | Mandatory | 
				 | |
| 
				 | 
				 | |||
| Question: | Your gender? | |||
| Answers: | Male | National Cell – 50% | ||
| 
				 | Female | National Cell – 50% | ||
|  | Checkbox | Mandatory | 
				 | 
| 
				 | 
				 | ||
| Question: | Please indicate if you or a member of your household works in any of these professions. | ||
| Answers: | Accountancy | 
				 | |
| 
				 | Advertising, Media, Publishing | Screenout | |
| 
				 | Beverage Manufacture or Distribution | 
				 | |
| 
				 | Education | 
				 | |
| 
				 | Health, Nursing, Social Services | 
				 | |
| 
				 | IT/Telecoms | 
				 | |
| 
				 | Journalism | Screenout | |
| 
				 | Legal | 
				 | |
| 
				 | Marketing | Screenout | |
| 
				 | Market Research | Screenout | |
| 
				 | Not for Profit / Charities | 
				 | |
| 
				 | Public Relations | Screenout | |
| 
				 | Recruitment | 
				 | |
| 
				 | Retail | 
				 | |
| 
				 | Travel, Leisure, Tourism | Screenout | |
| 
				 | U.S. Government Employee | Screenout | |
| 
				 | None of the above | 
				 | |
	
|  | Dropdown | Mandatory | 
				 | 
| 
				 | 
				 | ||
| Question: | What state do you live in? | ||
| Answers: | 
				 | 
				 | |
| Instructions: | List of all US states. Ensure District of Columbia is included in list | 
				 | |
	
|  | Text box | Mandatory | 
				 | 
| 
				 | 
				 | ||
| Question: | What is your first name? This is simply to personalize the study for you. | ||
| Answers: | 
				 | 
				 | |
| Tech note: | [FirstName] | 
				 | |
	
	
	
|  | Coin Purchaser Screening | 
| 
				 | 
				 | 
| 
				 | 
				 
					In
					the past two
					years
					have you…?(please
					check all that apply) | 
	
|  | Check box | Mandatory | 
				 | |
| Question: | In the past two years have you…(please check all that apply) | |||
| Answer: | Purchased a collectable coin or coin set | Qualify as past 24 month collectable coin purchaser | ||
| Answer: | Put aside or collected coins from your pocket change to keep because you found them interesting | 
				 | ||
| Answer: | Purchased a collectable coin or coin set for someone as a gift | Qualify as past 24 month collectable coin purchaser | ||
| Answer: | None of the above | Exclusive | ||
	
|  | Intro | 
| 
				 | 
				 | 
| 
				 | 
				 
					Thanks
					for participating! We are now going to show you three ideas for
					collectable coins or coin sets. We want to know what you think
					of each idea! | 
	
| 
				 | Start of Rotation Sequence | 
| 
				 | 
				 | 
| Instructions: | Present first product idea in a reducible window to the left of the Juicer. Each respondent sees all 3 product idea in a randomized order. 
 Product Concepts for Testing (will include associated images) America the Beautiful Quarters Proof Set 
 
 
 
 
 
 
 
 | 
	
	
|  | Purchase Intention for Product Idea | 
| 
				 | 
				 | 
| 
				 | 
				 
					Still
					thinking about the
					product idea
					in the window on the left, please indicate how likely you
					would be to purchase this product. | 
	
|  | Dropdown | Mandatory | 
				 | 
| 
				 | 
				 | ||
| Question: | Still thinking about the product idea in the window on the left, please indicate how likely you would be to purchase this product. | ||
| Answers: | Definitely would buy | 
				 | |
| 
				 | Probably would buy | 
				 | |
| 
				 | Might or might not buy | 
				 | |
| 
				 | Probably would not buy | 
				 | |
| 
				 | Definitely would not buy | 
				 | |
	
	
|  | Reason for Purchase Intention of Product Idea | 
| 
				 | 
				 | 
| 
				 | 
				 
					Please
					say why you ‘[answer from above]’ this
					product.
					(Please
					type your answers below or click to select it from the
					existing answer buttons) | 
	
|  | MindReader | 1 answer x 1 order | 
				 | 
| 
				 | 
				 | ||
| Question: | Please say why you ‘[answer from above]’ this product. (Please type your answer below or click to select it from the existing answer buttons) | ||
| Instructions: | Use the answer from the previous question as the title for this MindReader on why | ||
	
|  | Custom Ratings of Product Idea | 
| 
				 | 
				 | 
| 
				 | 
				 
					Thinking
					about the idea to the window in the left, please indicate how
					much you agree or disagree with each of the following
					statements. 
					 | 
	
|  | 5-agreement scale | Mandatory | 
				 | ||||
| 
				 | 
				 | ||||||
| Answers: | Agree strongly | Agree slightly | Neither agree nor disagree | Disagree slightly | Disagree strongly | ||
| 
				 | 
				 | ||||||
| Question: | Is a product which is fun and interesting | 
				 | |||||
| Question: | Is a good value for the money and should be a good investment over time | 
				 | |||||
| Question: | Is a nice way to capture a piece of American history | 
				 | |||||
| Question: | Is a great way I can learn about and remember the National Parks and other Sites | 
				 | |||||
| Question: | Is a product I would want to pass onto my children later in life | 
				 | |||||
	
	
| 
				 | End Of Rotation | 
| 
				 | 
				 | 
| Instructions: | If respondent has answered for 3 product ideas, continue. Otherwise, loop back. | 
	
	
| 
				 | Start of New Rotation Sequence – pop up window | 
| 
				 | 
				 | 
| Instructions: | Show all three product ideas on screen | 
	
|  | Product Idea Forced Choice | 
| 
				 | 
				 | 
| 
				 | 
				 
					Thanks!
					Now thinking about all three ideas you have just seen for
					collectable coins or coin sets, please tell us which idea you
					would be most
					likely to purchase. | 
	
|  | Radio Button | Mandatory | 
				 | 
| Question: | Thanks! Now thinking about all three ideas you have just seen for collectable coins or coin sets, please tell us which idea you would be most likely to purchase. | ||
| Answers: | 2010 America the Beautiful Quarters Proof Set™ | 
				 | |
| 
				 | 2010 America the Beautiful Quarters Silver Proof Set™ | 
				 | |
| Randomize list | 2010 United States Mint Proof Set™ | 
				 | |
	
|  | Reason for Product Idea Forced Choice Selection | 
| 
				 | 
				 | 
| 
				 | 
				 
					Please
					tell us why you said the [insert product idea selected] is the
					collectable coin set you would be most likely to purchase.
					(Please
					type your answer below or click to select it from the
					existing answer buttons) | 
	
|  | MindReader | 1 answer x 1 orders | 
				 | 
| 
				 | 
				 | ||
| Question: | Please tell us why you said the [insert product idea selected] is the collectable coin set you would be most likely to purchase. (Please type your answer below or click to select it from the existing answer buttons) | ||
	
|  | How To Improve Preferred Product Idea | 
| 
				 | 
				 | 
| 
				 | 
				 
					Thanks,
					[first name]! Now imagine that you could modify the [insert
					product idea selected].
					Apart from lowering the price, what improvements would you make?
					(Please
					type your answer below or click to select it from the
					existing answer buttons) | 
	
|  | MindReader | 1 answer x 1 order | 
				 | 
| 
				 | 
				 | ||
| Question: | Thanks, [first name]! Now imagine that you could modify the [insert product idea selected]. Apart from lowering the price, what improvements would you make? (Please type your answer below or click to select it from the existing answer buttons) | ||
|  | Intro | 
| 
				 | 
				 | 
| 
				 | 
				 
					Thanks
					[first name]! Still thinking about collectable coins and coin
					sets, we’d like you to think creatively to help us build a
					new TV commercial advertising the 2010 America the Beautiful
					Quarters Proof SetTM
					from the United States Mint. | 
	
|  | Freeform | Mandatory | 
				 | 
| Question: | First of all we’re going to show you a series of pictures and descriptions that will come together to form the beginning, middle and end of a television commercial for The United States Mint. Please review these pictures and descriptions and imagine what the commercial would look like when it is finished. 
 Please click next to see the series of pictures and descriptions. 
 | ||
	
|  | Next button | Mandatory | 
				 | 
| 
				 | 
				 | ||
| Answer: | Next | ||
	
Tech Note: Present base communications concept.
|  | Intro | 
| 
				 | 
				 | 
| 
				 | 
				 
					Now
					we’d like you to help us select between different options
					for the voiceover that will accompany the beginning,
					middle
					and end
					of this TV commercial for the United States Mint. | 
	
	
	
	
	
	
	
	
	
|  | Preferred Beginning Statement | 
| 
				 | 
				 | 
| 
				 | 
				 
					Please
					look at the beginning
					of the TV commercial again. This time imagine that a person
					would be reading each of the following statements. Please tell
					us which of the following statements would make you most
					interested
					in seeing the rest of the commercial and learning more about the
					2010 America the Beautiful Quarters Proof SetTM
					from the United States Mint.? | 
	
| 
				 | Preferred Beginning Statement | 
| 
				 | 
				 | 
| Instructions: | Present intro pictures and description alongside below statements in a randomized order. | 
	
|  | Radio button | Mandatory | 
				 | 
| Question: | Please look at the beginning of the TV commercial again. This time imagine that a person would be reading each of the following statements. Please tell us which of the following statements would make you most interested in seeing the rest of the commercial and learning more about the 2010 America the Beautiful Quarters Proof SetTM from the United States Mint? | ||
| Answer: | Landmarks in American history are now landmarks in American currency | 
				 | |
| 
				 | See what it’s like to hold 84 million acres of wilderness in the palm of your hand | 
				 | |
| 
				 | Soaring cliffs. Majestic wilderness. Only The United States Mint is able to preserve our nation’s treasures in currency | 
				 | |
| 
				 | Majestic. Magnificent. Monumental. We wouldn’t have captured them any other way | 
				 | |
	
| 
				 | Preferred Beginning | 
| 
				 | 
				 | 
| Instructions: | Present beginning pictures and description and preferred beginning statement in pop-up window to the left | 
	
|  | Preferred Beginning Statement – Why | 
| 
				 | 
				 | 
| 
				 | 
				 
					Please
					tell us why you said this statement would make you most
					interested in seeing
					the rest of the commercial and learning more about the 2010
					America the Beautiful Quarters Proof SetTM
					from the United States Mint..
					(Please type your answer below or click to select it from the
					existing answer buttons) | 
	
|  | MindReader | 1 answers x 1 order | 
				 | 
| 
				 | 
				 | ||
| Question: | Please tell us why you said this statement would make you most interested in seeing the rest of the commercial and learning more about the 2010 America the Beautiful Quarters Proof SetTM from the United States Mint.. (Please type your answer below or click to select it from the existing answer buttons) | ||
	
Tech Note: Continue to present beginning pictures and description and preferred beginning statement in a pop-up window to the left. Present middle pictures and description and statements within main Juicer window. Show statements in randomized order.
	
|  | Preferred Middle Statement | 
| 
				 | 
				 | 
| 
				 | 
				 
					Now
					take another look at the middle of this TV commercial. Imagine
					that as these pictures are shown one of the following statements
					is being read in support of the statement you have selected to
					start the TV commercial (shown in the pop up window to the
					left). Please tell us which of the following statements offers
					the most
					compelling
					support for the start of this commercial you have selected. | 
	
|  | Radio button | Mandatory | 
				 | 
| Question: | Now take another look at the middle of this TV commercial. Imagine that as these pictures are shown one of the following statements is being read in support of the statement you have selected to start the TV commercial (shown in the pop up window to the left). Please tell us which of the following statements offers the most appealing support for the start of this commercial you have selected. | ||
| Answer: | Introducing the America the Beautiful Quarters Proof Set™. Digitally mastered and laser-frosted to make the ultimate collectable. The first five quarters in the series make up this premier edition, only $14.95 at usmintquarters1.gov. | 
				 | |
| 
				 | Introducing the America the Beautiful Quarters Proof Set™. Double-struck for incredible detail. Mirror-like finish for a brilliant shine. This year’s first five quarters come in this premium set for only $14.95 at usmintquarters1.gov. | 
				 | |
| 
				 | Introducing the America the Beautiful Quarters Proof Set™. Digitally mastered and double-struck for incredible detail not found in circulation. For $14.95 get the first five quarters of this annual commemorative set only at usmintquarters1.gov. | 
				 | |
| 
				 | Announcing the America the Beautiful Quarters Proof Set™ from the United States Mint. Artistry, digitally mastered for vivid detail. Mirror-like finish for unequaled luminance. The first five quarters of this distinguished annual series can be yours for $14.95 at usmintquarters1.gov. | 
				 | |
	
| 
				 | Preferred Beginning + Middle | 
| 
				 | 
				 | 
| Instructions: | Add preferred middle pictures, description and statement to pop-up window to the left. | 
	
|  | Preferred Middle Statement - Why | 
| 
				 | 
				 | 
| 
				 | 
				 
					Please
					tell us why you said this statement offers the most appealing
					support point.(Please
					type your answer below or click to select it from the
					existing answer buttons) 
					 | 
	
|  | MindReader | 1 answers x 1 order | 
				 | 
| 
				 | 
				 | ||
| Question: | Please tell us why you said this statement offers the most appealing support point. (Please type your answer below or click to select it from the existing answer buttons) | ||
	
	
	
	
	
Tech Note: Continue to present beginning pictures and description and preferred beginning statement and middle pictures and description and preferred middle statement in a pop-up window to the left. Present end pictures and description and statements within main Juicer window. Show statements in randomized order.
		Now
		take a final look at the end of this TV commercial. Imagine
		that as these pictures are shown one of the following statements is
		being read in support of the two statements you have selected to
		form the beginning and middle of the commercial (shown in the pop
		up window to the left). Please tell us which of the following
		statements offers the most
		compelling
		end to the TV commercial. 
		
		
		
		
		
	
|  | Preferred End Statement | 
| 
				 | 
				 | 
| 
				 | 
				 | 
	
|  | Radio button | Mandatory | 
				 | 
| Question: | Now take a final look at the end of this TV commercial. Imagine that as these pictures are shown one of the following statements is being read in support of the two statements you have selected to form the beginning and middle of the commercial (shown in the pop up window to the left). Please tell us which of the following statements offers the most appealing end to the TV commercial. | ||
| Answer: | Get these landmarks in American currency as only one Mint can bring them to you, the United States Mint. | 
				 | |
| 
				 | Mother nature made America beautiful. Only the official United States Mint could make it collectible. | 
				 | |
| 
				 | The authentic beauty of America as only the United States Mint could capture it. | 
				 | |
| 
				 | Only minted in 2010. Only by us. Because no other mint is the United States Mint. | 
				 | |
	
| 
				 | Preferred Beginning, Middle and End | 
| 
				 | 
				 | 
| Instructions: | Add preferred end pictures, description and statement to pop-up window to the left. | 
	
|  | Preferred End Statement – Why | 
| 
				 | 
				 | 
| 
				 | 
				 
					Please
					tell us why you say this statement would offer the most
					appealing end to the TV commercial.
					(Please type your answer below or click to select it from the
					existing answer buttons) | 
	
|  | MindReader | 1 answers x 1 order | 
				 | 
| 
				 | 
				 | ||
| Question: | Please tell us why you say this statement would offer the most appealing end to the TV commercial. (Please type your answer below or click to select it from the existing answer buttons) | ||
	
Tech Note: Continue to present beginning pictures and description and preferred statement, middle pictures and description and preferred statement, and end pictures and description and preferred statement in a pop-up window to the left.
	
|  | Intro | 
| 
				 | 
				 | 
| 
				 | 
				 
					Congratulations!
					You have created a new TV commercial for the
					2010 America the Beautiful Quarters Proof SetTM
					from the United States Mint..
					Please review the series of pictures, descriptions and
					statements you have selected which are presented in the pop up
					window to the left then select ‘Next’ to continue. | 
	
|  | Purchase Intention for Optimal Communications Concept | 
| 
				 | 
				 | 
| 
				 | 
				 
					Please
					imagine how this commercial would look if you saw the finished
					version on TV and indicate how likely
					the
					commercial would be to make
					you to purchase
					the 2010
					America the Beautiful Quarters Proof SetTM
					from the United States Mint.? | 
	
|  | Dropdown | Mandatory | 
				 | 
| 
				 | 
				 | ||
| Question: | Please imagine how this commercial would look if you saw the finished version on TV and indicate how likely the commercial would be to make you to purchase the collectable coin or set of coins that are being advertised? | ||
| Answers: | Definitely would buy | 
				 | |
| 
				 | Probably would buy | 
				 | |
| 
				 | Might or might not buy | 
				 | |
| 
				 | Probably would not buy | 
				 | |
| 
				 | Definitely would not buy | 
				 | |
	
|  | Reason for Purchase Intention for Optimal Communications Concept | 
| 
				 | 
				 | 
| 
				 | 
				 
					Please
					say why you ‘[answer from above]’ a collectable coin
					or coin set after seeing this television commercial. (Please
					type your answer below or click to select it from the
					existing answer buttons) | 
	
|  | MindReader | 1 answer x 1 order | 
				 | 
| 
				 | 
				 | ||
| Question: | Please say why you ‘[answer from above]’ a collectable coin or coin set after seeing this television commercial. (Please type your answer below or click to select it from the existing answer buttons) | ||
| Instructions: | Use the answer from the previous question as the title for this MindReader on why | ||
	
|  | FaceTrace for Product Idea | 
| 
				 | 
				 | 
| 
				 | 
				 
					Again,
					please imagine how this commercial would look if you saw the
					finished version on TV . Now please choose which of these faces
					best expresses how you feel about this commercial? (Please click
					on the appropriate face)  
					 | 
	
	
|  | Checkbox | Mandatory | 
				 | 
| 
				 | Again, please imagine how this commercial would look if you saw the finished version on TV . Now please choose which of these faces best expresses how you feel about this commercial? (Please click on the appropriate face) 
 | ||
	
 
	
|  | Emotional Intensity | 
| 
				 | 
				 | 
| 
				 | 
				 
					Now,
					to what degree do you feel [selected emotion]? | 
	
|  | FaceTrace | Mandatory | 
				 | 
| 
				 | 
				 | ||
| Question: | Now, to what degree do you feel [selected emotion]? | ||
 
 
 
 
	
|  | Reason for Face Selection | 
| 
				 | 
				 | 
| 
				 | 
				 
					What
					is it about this
					commercial
					that
					made you feel this way? (Please
					type your answer below or click to select it from the
					existing answer buttons) | 
	
|  | MindReader | 1 answer x 1 order | 
				 | 
| 
				 | 
				 | ||
| Question: | What is it about this commercial made you feel this way? (Please type your answer below or click to select it from the existing answer buttons) | ||
| Instructions: | Use the answer from the previous question as the title for this MindReader on why | ||
	
	
	
	
	
	
	
	
	
	
	
	
	
	
|  | How To Improve Optimal Communications Concept | 
| 
				 | 
				 | 
| 
				 | 
				 
					Thanks,
					[first name]! Now imagine that you could improve this television
					commercial. Please tell us what other images might you show?
					What other things would you say? (Please
					type your answer below or click to select it from the
					existing answer buttons) | 
	
|  | MindReader | 1 answer x 1 order | 
				 | 
| 
				 | 
				 | ||
| Question: | Thanks, [first name]! Now imagine that you could improve this television commercial. Please tell us what other images might you show? What other things would you say? (Please type your answer below or click to select it from the existing answer buttons) | ||
| 
				 | End Rotation | 
| 
				 | 
				 | 
| Instructions: | Close pop-up window | 
	
|  | United States Mint Coins Purchased | 
| 
				 | 
				 | 
| 
				 | 
				 
					Thanks
					for your help so far – almost there! You said that in the
					past
					two years
					you have purchased a collectable coin or coin set either for
					yourself or as a gift for someone else. Please tell us if the
					you have purchased any of the following coins from The United
					States Mint in the past two years.(Please
					check all that apply) 
 | 
	
|  | Check box | Mandatory | 
				 | 
| Question: | Thanks for your help so far – almost there! You said that in the past two years you have purchased a collectable coin or coin set either for yourself or as a gift for someone else. Please tell us if the you have purchased any of the following coins from The United States Mint in the past two years.(Please check all that apply) | ||
| Answer: | Obama Coin | 
				 | |
| Answer: | 9/11 Coin | 
				 | |
| Answer: | Painted or colorized quarters | 
				 | |
| Answer: | Presidential $1 coins in display frame, wooden box or safe | 
				 | |
| Answer: | Full set of all 50 state quarters | 
				 | |
| Answer: | Gold Plated quarters | 
				 | |
| Answer: | None of the above | Anchor Exclusive | |
| Instructions | Randomize list | 
				 | |
|  | Competitive Coins Purchased | 
| 
				 | 
				 | 
| 
				 | 
				 
					Similarly,
					please tell us you purchased a collectable coin or coin set from
					any of the following companies or organizations in the past
					2 years.
					(Please
					check all that apply) 
 | 
|  | Check box | Mandatory | 
				 | 
| Question: | Similarly, please tell us you purchased a collectable coin or coin set from any of the following companies or organizations in the past 2 years. (Please check all that apply) | ||
| Answer: | Franklin Mint | 
				 | |
| Answer: | World Reserve Monetary Exchange | 
				 | |
| Answer: | National Collectors Mint | 
				 | |
| Answer: | Littleton Coin Company | 
				 | |
| Answer: | None of the above | Anchor Exclusive | |
| Instructions | Randomize list | 
				 | |
	
|  | Final Profiling | 
| 
				 | 
				 | 
| 
				 | 
				 
					And
					finally, just a few questions about you! Please keep in mind
					that these questions are for statistical purposes only. Your
					answers will be treated as strictly confidential. | 
	
|  | Dropdown | Mandatory | 
				 | 
| Question: | Which of the following is the highest level of education you have completed? | ||
| Answers: | Some high school | 
				 | |
| Answers: | Completed high school/GED/HSED | 
				 | |
| Answers: | Some College | 
				 | |
| Answers: | 4-year college degree/Bachelor’s degree | 
				 | |
| Answers: | Completed or started post-college graduate school | 
				 | |
	
|  | Dropdown | Mandatory | 
				 | 
| 
				 | 
				 | ||
| Question: | Which of the following best describes your current employment status? | ||
| Answers: | Employed full-time | 
				 | |
| 
				 | Employed part-time | 
				 | |
| 
				 | Not currently employed but looking for work | 
				 | |
| 
				 | Retired | 
				 | |
| 
				 | Not employed outside the home | 
				 | |
	
|  | Dropdown | Mandatory | 
				 | 
| 
				 | 
				 | ||
| Question: | What is your current marital status? | ||
| Answers: | Single (includes never married, widowed, or divorced) | 
				 | |
| 
				 | Married/living with partner | 
				 | |
	
|  | Dropdown | Mandatory | 
				 | 
| 
				 | 
				 | ||
| Question: | Are you of Hispanic or Latino origin? | ||
| Answers: | Yes | 
				 | |
| 
				 | No | 
				 | |
	
|  | Check box | Mandatory | 
				 | 
| 
				 | 
				 | ||
| Question: | What is your race? Please select one or more | ||
| Answers: | White | 
				 | |
| 
				 | Black or African American | 
				 | |
| 
				 | Asian | 
				 | |
| 
				 | Native Hawaiian or other Pacific Islander | 
				 | |
| 
				 | American Indian or Alaska Native | 
				 | |
| 
				 | 
				 | 
				 | |
	
|  | Dropdown | Mandatory | 
				 | 
| Question: | Which of the following best describes your total annual household income before taxes? | ||
| Answers: | Under $30,000 | 
				 | |
| Answers: | $30,000 to $34,999 | 
				 | |
| Answers: | $35,000-$44,999 | 
				 | |
| Answers: | $45,000-$49,999 | 
				 | |
| Answers: | $50,000-$64,999 | 
				 | |
| Answers: | $65,000-$74,999 | 
				 | |
| Answers: | $75,000-$99,999 | 
				 | |
| Answers: | $100,000-$124,999 | 
				 | |
| Answers: | $125,000-$149,999 | 
				 | |
| Answers: | $150,000 or more | 
				 | |
	
|  | Finish | 
| 
				 | 
				 | 
| 
				 | 
				 
					That’s
					it! Thank you for participating in our research. | 
	
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| File Type | application/msword | 
| File Title | BrainJuicer ConceptTest Proposal v3 | 
| Author | Mike Carey | 
| Last Modified By | Justin S. Kieffer | 
| File Modified | 2010-05-18 | 
| File Created | 2010-05-18 |