TAMMADGE MARKET RESEARCH, INC (Consumer Database)
Personal Information:
Name:
Birtdate:
Gender:
Male
Female
Street Address:
City:
Zip:
Email Address:
Phone:
Ethnicity:
Caucasian
African-American
Hispanic
Asian
Other
Marital:
Single
Married
Living together
Divorced
Separated
Widowed
HH Income:
under $25,000
$25 to $50,000
$50 to $75,000
$75 to $100,000
$100 to $150,000
$150,000 or more
Education:
less than HS
HS graduate/GED
some college
college graduate
post graduate
technical school
Children:
Children in HH:
yes
no
Child 1:
gender
Male
Female
Child 2:
gender
Male
Female
Child 3:
gender
Male
Female
Child 4:
gender
Male
Female
Child 5:
gender
Male
Female
Child 6:
gender
Male
Female
Occupation:
Company:
# of EE's in company:
Job Title:
Industry:
Company:
# of EE's in company:
Job Title:
Industry:
Vehicles Owned:
Make:
Model:
Year:
Make:
Model:
Year:
Make:
Model:
Year:
Product Preferences:
Favorite beer:
Next Favorite:
Favorite radio station:
Next Favorite:
Do you smoke, if so what brand?
Stores shopped at:
Central Market:
yes
no
HEB:
yes
no
Sam's/Costco:
yes
no
Wal-Mart:
yes
no
Whole Foods
yes
no
Food types buy regularly:
Fast Foods:
yes
no
Herbs & Vitamins:
yes
no
Juices:
yes
no
Soy Products:
yes
no
Technology Interests:
Own a computer?
yes
no
Desktop:
yes
no
Laptop:
yes
no
Brands currently own:
When last purchased a computer?
When will purchase next computer?
no current plans to buy
within next 6 months
next 6 to 12 months
next year sometime
Computer Skills:
beginner
intermediate
advanced
expert
Who is your Internet Provider?
Connection:
dial-up
DSL
Cable Modem
Cell Phone Provider:
Cable/Satellite TV Provider:
TV type:
regular cable
digital cable
satellite
Do you own:
PDA/Palm Pilot:
yes
no
MP3 player:
yes
no
Xbox:
yes
no
Playstation 1 or2:
yes
no
Digital camera:
yes
no