Your Shopping Habits!

We are working on behalf of a well-known supermarket to gather feedback on your shopping habits!

This research is in the form of a 90 minute group discussion taking place in Central London and Sheffield

As a thank you for your time we are offering £35 cash!

London - Monday 1st June

Details as follows:

Date – Monday 1st June
Times - Evening
Duration – 90 minutes
Location - London
Incentive - £45 cash incentive
Type of research - Group Discussion

When completing the form please answer carefully and as honestly as possible, there are no right or wrong answers, all answers will be looked at individually when checking that you are applicable for the research.

If you do fit the profile of respondent that we are looking for, then one of our team will call you to book you in.

Your Details

First Name *

Surname *

Daytime Contact Telephone Number *

Alternative Contact Telephone Number

Email Address *

Your Current Life Stage...

Gender * Male Female Other

Which of the following age bands do you fall into? * Under 18 18 - 25 25 - 35 35 - 45 45 - 55 Over 55 Prefer not to say

What is your exact age?

Do you have Children? * No Yes, I have 1 child living at home Yes, I have 2 children living at home Yes, I have 3+ children living at home Yes, but they don’t live at home anymore

What are the age(s) of your children? (please tick all that apply)

0 - 2

3 - 5

6 - 9

10 - 12

13 - 15

16 - 18

18+

Which of these statements best describes your current life stage? Empty Nester No Dependants - never had children Older Family - children aged 11-18 Pre-Family - No children yet Young Family - children aged 0-10

What is your current living status? * Single Married Divorced Widowed Co-habiting

What is your ethnic group? White Mixed / Multiple ethnic group Asian / Asian British Black / African / Caribbean / Black British Other ethnic group

How long have you been living in the UK? Up to 3 months 3 - 6 months 6 - 12 months 1 - 2 years 2 - 3 years 3 - 5 years 6 - 10 years More than 10 years

Which of the following Supermarkets do you shop at? (Please tick all that apply)

Tesco

Sainsburys

Morrisons

Waitrose

Asda

Aldi

Lidl

Co-operative

None of these

Which of the following do you shop at? (Please tick all that apply)

Boots

Costa

Ikea

Debenhams

Starbucks

None of the above

Can you please tell me if you have any of the following loyalty cards? *

Tesco Clubcard

Nectar Card

Boots Advantage Card

Costa

Starbucks

My Waitrose

Debenhams beauty card

IKEA Family

O2 Priority Moments

Morrison's Match & More

None of these

Your Employment...

What is your employment status? * Employed Un-employed Self Employed Student Retired Other

Your Role...

Occupation

Industry/Sector

Your Nectar Card

How do you like to redeem your Nectar points on your card? (Please tick all that apply)

Use for fuel discount

Grocery shopping discount

Meals Out

Days Out

None of the above

OtherOther

How long have you had your Nectar card? Under 3 months 3-6 months 6 months - 1 year 1 year - 3 years 3 years+

Your Boots Advantage Card

How do you like to redeem your Boots Advantage card points? (Please tick all that apply)

In-store

Coupons, money-off certain products listed in-store.

Get point if you spend over certain amount of money

None of the above

OtherOther

How long have you had your Boots Advantage card? Under 3 months 3-6 months 6 months - 1 year 1 year - 3 years 3 years+

Your Tesco Clubcard

Can you tell me if you remember receiving your most recent Tesco Clubcard statement for May?

Yes

No

Can you tell me what the amount of your voucher was in your statement? (You can find this out by logging onto your clubcard account) Less than £5 £5 or more Don't know

Can you tell me if you currently purchase fuel from Tesco?

Yes

No

Can you tell me how you currently spend/redeem your Tesco clubcard vouchers?

Clubcard Exchange/Boost (exchange their vouchers in store for twice their value in specific areas of the Tesco store i.e. Baby and Toddler or Home) Mainly redeem this way (have done it at least twice before) Have redeemed this way before but do not do it all the time Never redeemed this way

Boosted with partners (exchanged them for meal vouchers or days out) Mainly redeem this way (have done it at least twice before) Have redeemed this way before but do not do it all the time) Never redeemed this way

Spend vouchers at Face Value Mainly redeem this way (have done it at least twice before) Have redeemed this way before but do not do it all the time Never redeemed this way

Do you ever redeem your product coupons?

Yes

No

Can you tell me on average how many product coupons you redeem per statement? Less than 3 vouchers each time More than 3 vouchers each time

Your Contact Information...

County *

Nearest major city/town to your location

Which Borough of London do in live in?

Project Name

Finally

This information will be held confidentially and securely by Roots Research Ltd in accordance with the Data Protection Act 1998 and Market Research Society Code of Conduct.

I understand that my information will only be used to provide me with the opportunity to participate in occasional paid research. I am aware that I am under no obligation to participate and I am entitled to have my data removed at any point. *

Agree

Disagree

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