SM M4 Betlomy-Carrigg Inc:_ Job" 10906 5.3- WTYToEIEX' Otober , 1984 PAUZKWAY 25.4. NC Z710 1834 cd P 8 EXTENDED USE CONCEPT /PRODUCT  TEST SCREENER Kl YLL 2 2 RESPONDENT ' NXL: Lle To ADDREss 42 42: CITY: STATZI L2ziPHONE:_ [2[12 6 243.ZZ RREX CODE: DATE: 4 INTERVIEHED BY : (INTERVIEW KOHEN ONLY ) Hello_ Fron (YOUR_COPPA independant marketing regearch conpany Htre conducting survey vith Jbout various ucten Products_ (ASX To SPEAK consum= TO FEMALE 18+ YEARS OLDER Lollowing Into vhich the does Your 490 490 groupe belong? Ar" (READLIST) YoV: Under 18 . TERHINATZ ERASE AND RE-OSE 18-24 _ CHECK QOOTA T0 DETERMINE 25-34 NEEDED _ OVER QUOTA ASK FOR AOTHER FEHALE] IN AGE 35-49 _ Group_NEEDED Rafuued TERHIMATL ERASE NID]_RE-USE tollowing which che products daily? You u3e thaints cen Houthyash _ Cigarettes . = Gel toothpaste E Crean toothpasta . CONTINUE ONLY CIGARETTES CHECKED ABOVE In 0.2 . OTHERWISE ASK FOR ANOTHER FESAALE]HOUSEKOLD MEMBER AND GO BacK]TO NONE TERHINATE ERASE AND RE- USE _ tolloving which o the brands have You uged the Yeek? Past Certs breathalnts_ : Clorets breathainto. Topa 1 coothpaste AquA Fresh toothpaste 8 Clinonint Scope _ Listerine
SM M4 Job" 10906 Otober , 1984 Betlomy-Carrigg Inc:_ WTYToEIEX' PAUZKWAY NC Z710 5.3- 25.4. 1834 P cd 8 EXTENDED USE CONCEPT /PRODUCT  TEST SCREENER Kl RESPONDENT ' NXL: YLL 2 2 ADDREss 42 Lle CITY: To RREX CODE: L2ziPHONE:_ 6 243.ZZ INTERVIEHED BY : 4 42: [2[12 STATZI DATE: (INTERVIEW KOHEN ONLY ) Hello_ Fron (YOUR_COPPA independant marketing conpany regearch Htre conducting survey vith ucten Jbout various consum= Products_ (ASX To SPEAK TO FEMALE 18+ YEARS OLDER the Lollowing 490 groupe does Your 490 belong? Ar" YoV: Into vhich (READLIST) Under 18 . TERHINATZ ERASE AND RE-OSE 18-24 _ 25-34 35-49 _ CHECK QOOTA T0 DETERMINE NEEDED _ OVER QUOTA ASK FOR AOTHER FEHALE] IN AGE Group_NEEDED Rafuued TERHIMATL ERASE NID]_RE-USE che tollowing products which You u3e daily? cen thaints Houthyash _ Cigarettes . = Gel toothpaste E Crean toothpasta . CONTINUE ONLY CIGARETTES CHECKED ABOVE In 0.2 . OTHERWISE ASK FOR ANOTHER FESAALE]HOUSEKOLD MEMBER AND GO BacK]TO NONE TERHINATE ERASE AND RE- USE _ which o the tolloving brands have You uged the Past Yeek? Certs breathalnts_ Clorets breathainto. Topa 1 coothpaste AquA Fresh toothpaste Clinonint Scope _ Listerine : 8