OFFICE USE ONLY CEC CECX CECC OEC OECX OECC Occ RECOL DRAFT #1 INFORMATION SYSTEMS MARKETING INC _ #832489 100 Sylvan Avenue Engoo-o8d-{623f201*947-eg08 07632 Cliffs New Jersey Movember 1989 BUCKS_ADL2_PACK TESI (Screener) He ]l0 I 'm of Marketing Information Systems re conducting opinion survey of 18 between today and the ages and about among men women various products used the household and ike few questions ask you CARD COL First of a11 , are you between the of 18 and 54? ages Yes THANK AND ' TERMINATE) (RECORD Exact AGE AT What THEN "X" CORRESPONDING is_your exact age? LEFT BELOW; AGE CATEGORY ) 21 . ) -2 ) -3 (CHECK QUOTA) TEXACT  AGE ) 25 29 _ )-6 35 )-8 44 )-9 (CHECK QUOTA) )-0 )-x (RECORD , DO NOT ASK: ) Ma le. )-1 (CHECK QUOTAS) )-2 Fema Ie_ (RECORD, DO NoT ASK:) 10 ( White ) -1 Black. ) -2 1 Next I'm going Tist For each read you products read please one (REAE ENeiRe tell me the product The first you yourse use one LISI ONE 'AT A"FIME ANC RECORD) Yes )-1 Antacids )-2 Aspirin_ Beer. Breakfast cerea Cigarettes_ )-5 [HANK AD TERMAIE Diet soda_ )-6
OFFICE USE ONLY CEC CECX CECC OEC OECX OECC Occ RECOL DRAFT #1 #832489 MARKETING INFORMATION SYSTEMS INC _ 100 Sylvan Avenue Engoo-o8d-{623f201*947-eg08 Cliffs New Jersey 07632 BUCKS_ADL2_PACK TESI (Screener) Movember 1989 He ]l0 I 'm of Marketing Information Systems re conducting opinion survey today among men and women between the ages of 18 and about various products used the household and ike ask you few questions CARD COL First of a11 , are you between the ages of 18 and 54? Yes THANK AND ' TERMINATE) What is_your exact age? (RECORD Exact AGE AT LEFT BELOW; THEN "X" CORRESPONDING AGE CATEGORY ) 21 . ) -2 ) -3 (CHECK QUOTA) TEXACT  AGE ) 25 29 _ )-6 35 )-8 )-9 )-0 )-x 44 (CHECK QUOTA) (RECORD , DO NOT ASK: ) Ma le. Fema Ie_ )-1 )-2 (CHECK QUOTAS) (RECORD, DO NoT ASK:) 10 ( White Black. ) -1 ) -2 Next I'm going read you Tist products For each one read please tell me you yourse use the product The first one (REAE ENeiRe LISI ONE 'AT A"FIME ANC RECORD) 1 Yes Antacids )-1 Aspirin_ )-2 Beer. Breakfast cerea Cigarettes_ )-5 [HANK AD TERMAIE Diet soda_ )-6