Grocery survey for Jill Pokorny
Name (optional): 


  1. What is your gender?
    Male
    Female
    would rather not disclose


  1. What is your age?
    13 or younger
    14 - 18
    19 - 23
    24 - 36
    37 or older
    would rather not say


  1. What product factors are important when you make a decision about purchasing an item?
    Price
    Quantity
    Quality
    Color
    Brand
    Health (low salt, low sugar, etc.)
    Vegetarian/Vegan
    Taste/smell


  1. Would you purchase an off- brand item because it is less expensive?
    Yes
    No


  1. How important is it to you to buy brand-name food items?
    little or no importance
    moderate unimportance
    neutral importance
    moderate importance
    high or extreme importance


  1. When buying cereal, do you prefer the TASTE of brand- name or off brand?
    Brand name
    Off brand
    There is no difference in taste


  1. How important is it for purchased food to be healthy (low sodium, sugar free, etc.)?
    little or no importance
    moderate
    neutral
    moderate
    high


  1. When buying drinks (milk, soda, juice, etc.) is name brand more preferable than generic brand?
    Yes
    No


  1. Is quality a factor in purchasing food items?
    slight factor
    moderate factor
    high factor
    extreme factor


  1. Do you prefer to buy in bulk or in small or single packages?
    Bulk
    Small/single packages
    Depends on the product


  1. Are you more likely to shop at a bulk store (ex: Sam’s Club) or a general store (ex: Dillon’s)?
    Bulk
    General


  1. Rate the following factors in order of importance. 1 being most and 8 being least important.
        1 2 3 4 5 6 7 8
    Price  
    Quantity  
    Quality  
    Color  
    Brand  
    Health (low salt, low sugar, etc.)  
    Vegetarian/Vegan  
    Taste/smell  


  1. Are you more likely to purchase a food product because of a promotion or an ad campaign?
    Yes
    No


  1. Are you more likely to purchase a food product you have seen advertised in the media?
    Yes
    No


  1. Is it important for you to know where your food comes from?
    Yes
    No


  1. Is it important for you to know all ingredients of a product before purchasing said product?
    Yes
    No


  1. Do you believe it is healthier to consume organic foods?
    Never
    Not usually
    Neutral
    Occasionally
    Always


  1. Would you pay more for organic food?
    Never
    Not usually
    Neutral
    Occasionally
    Always


  1. Do you think that the food industry has enough health and safety regulations? If no, state why not.


  1. Which most closely describes your occupation?
    Would rather not say
    Management
    Business/Financial Operations
    Computer or Mathematical
    Architecture or Engineering
    Life, Physical, or Social Science
    Community or Social Service
    Legal
    Education, Training, or Library
    Arts, Design, Entertainment, Sports, or Media
    Healthcare Practitioners and Technical
    Healthcare Support
    Protective Service
    Food Preparation or Serving
    Building and Grounds Cleaning or Maintenance
    Personal Care or Service
    Office or Administrative Support
    Sales
    Farming, Fishing, or Forestry
    Installation, Maintenance or Repair
    Construction or Extraction
    Production
    Transportation or Material Moving
    Homemaker
    No occupation at this time





Cheryl Shepherd-Adams