Supermarket Customer Listening Group

Name

Email address

Age

Date of Birth

Gender

Ethnicity

Occupation

Address

Contact Number

Have you ever attended a Market Research group or session?

Yes, in the last 6 monthsYes, between 6 and 12 months agoYes, more than 12 months agoNo

Are you currently;

Cohabiting/married/single without childrenCohabiting/married/single with children under 10 living at homeCohabiting/married/single with children aged 11 to 17 living at homeCohabiting/married/single with children aged over 18 living at homeCohabiting/married/single and children have left homeIn full/part time educationWorking full timeWorking part timeNon-workingRetiredUnemployed

Which of the following statements best describes how you feel you would behave when in a group of people having a discussion?

Down to earth and not afraid to speak upOutgoing and chattyQuiet and shyLet other people do the talking

Are you responsible for managing your personal/household finances?

I have sole responsibilityI have joint responsibilityI have no responsibility

Which of the following supermarkets do you shop in most often and spend most money in?

M&S (food department)DunnesAsdaCo-opAldiLidlSupervaluTescoSainsbury'sIcelandOther (please specify)

Other supermarket

Which of the following supermarkets do you shop in occasionally or use for top-up shopping?

M&S (food department)DunnesAsdaCo-opAldiLidlSupervaluTescoSainsbury'sIcelandOther (please specify)

Other supermarket

Which of the following supermarkets do you never shop in or choose not to shop in?

M&S (food department)DunnesAsdaCo-opAldiLidlSupervaluTescoSainsbury'sIceland

What is the location of the Asda store you use most often?