CHICAGO AREA MARKET RESEARCH OPPORTUNITY
Topic:
Personal Care Products
Incentive:
$100 FOR 1 HOUR
Genders:
MALES
Ages:
18-35
Type of study:
IN-PERSON
Length of study:
1 HOUR
Dates:
Thursday, October 4th
Location
: CHICAGO, IL
CONTINUE TO NEXT PAGE FOR OUR PRE-QUALIFYING SURVEY
Contact & Basic Info
First Name
Last Name
Mobile Phone
Email
Gender
Please select...
Female
Male
Transgender
City
State
Zip Code
Metro Area
Please select...
Atlanta-Sandy Springs-Roswell, GA
Austin-Round Rock, TX
Boston-Cambridge-Newton, MA-NH
Charlotte-Concord-Gastonia, NC-SC
Chicago-Naperville-Elgin, IL-IN-WI
Cincinnati, OH-KY-IN
Dallas-Fort Worth-Arlington, TX
Denver-Aurora-Lakewood, CO
Detroit-Warren-Dearborn, MI
Houston-The Woodlands-Sugar Land, TX
Los Angeles-Long Beach-Anaheim, CA
Miami-Fort Lauderdale-West Palm Beach, FL
Milwaukee-Waukesha-West Allis, WI
Minneapolis-St. Paul-Bloomington, MN-WI
Nashville-Davidson–Murfreesboro–Franklin, TN
New York-Newark-Jersey City, NY-NJ-PA
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD
Phoenix-Mesa-Scottsdale, AZ
Portland-Vancouver-Hillsboro, OR-WA
Sacramento–Roseville–Arden-Arcade, CA
San Antonio-New Braunfels, TX
San Diego-Carlsbad, CA
San Francisco–Oakland–Hayward, CA
San Jose-Sunnyvale-Santa Clara, CA
Seattle-Tacoma-Bellevue, WA
St. Louis, MO-IL
OTHER
Birthdate (mm/dd/yyyy)
Age
Ethnicity
Please select...
African American or Black
American Indian or Alaska Native
Asian American
Caucasian or White
Hispanic, Latino or Spanish Origin
Middle Eastern or North African
Native Hawaiian or Pacific Islander
Multi-Racial
Other
What is your...?
Highest level of education attained
Please select...
Some High School
High School Graduate
Some College
AA, 2-year or Trade Degree
BA or 4-year Degree
Some Post Graduate
Post Graduate Degree
Employment Status
Please select...
Full-time
Part-time
Self-employed
Stay at Home Parent
Retired
Student
Unemployed
In which industry are you employed?
Please select...
Agriculture & Forestry
Arts, Entertainment & Recreation
Business/Professional Services
Construction
Consumer Services
Education
Finance & Insurance
Government
Health Care
Lodging
Management of Companies & Enterprises
Manufacturing
Media
Membership Organizations
Non-classifiable establishments
Nonprofit Institutions
Oil & Gas or Mining
Public Utilities
Private Households
Real Estate
Religious Organizations
Rental & Leasing
Restaurants, Bars & Food Services
Retail
Transportation Services
Wholesale
What is your job title and occupation?
Martial Status
Please select...
Married
Widowed
Separated
Divorced
Domestic Partner
Living with Significant Other
Single
Household Income
Please select...
Under $25k
$25-49K
$50-74K
$75-99K
$100-149K
$150-199K
$200-499K
$500K or more
Family
What is your exact age?
Do you have any children under 18 living in your home?
Please select...
Yes
No
Last page
Do you experience any of the following?
Skin Allergies
Fragrance/Perfume allergies or sensitivity
Anosmia (no sense of smell)
Allergy to starch
Kidney Disease
Allergy to Latex
Any other health condition that impedes your sense of smell.
None of the above
Currently prone to acne and/or chronic breakouts
Which of the following types of products, if any, do you use regularly? (Select all that apply.)
Facial skin care, such as facial cleansers, toner or astringents, milky lotion, facial moisturizers, beauty essence or serums, eye cream or gel, whitening products, etc.
Body care products, such as hand and body lotion, body scrubs, body moisturizers, etc.
Make up remover wipes
Deodorant
Hairspray
Body Wash/bar Soap
What types of stores do you buy your facial care products from most of the time? (Select all that apply,)
Department stores e.g. Macys, Kohl’s
Beauty chain stores selling multiple brands e.g. Sephora
Skin and body care store e.g. Bath & Body Works, The Body Shop, Avon
Drugstore e.g. CVS, Rite Aid, Walgreens
Supermarket e.g. A&P, Shop Rite, Stop & Shop
Mass Merchandiser e.g. Wal-Mart, Target, K-Mart
Online
Other
Who purchases the personal care items you use?
Myself
Other individual in my household
How often do you apply an underarm product (antiperspirant/deodorant)?
More than 2x a day
2x a day
1x a day
5-6x a week
3-4x a week
1-2x a week
Less than once a week
Never
What types of these products have you, yourself ever used?
Clinical Strength antiperspirant / deodorant
- prescription strength antiperspirant active ingredients available over-the-counter typically sold in a carton or box.
Prescription Strength antiperspirant / deodorant
- prescribed by a doctor and sold through a pharmacy.
Regular Strength antiperspirant / deodorant
- Typical underarm products - either antiperspirant / deodorants or deodorant sticks or sprays - sold in most stores, not in a carton or box.
Aerosol deodorant body spray
- an aerosol spray perfume product which is intended to be used elsewhere on the body besides the armpits, it contains no antiperspirant active ingredients.
Have never used any of these types of products
In the past 6 months, what are
ALL
of the types of underarm products you, yourself, have used on your underarms?
White Solid,
including invisible solid
(white stick that goes on white / clear)
Soft Solid (cream-like product that comes up through holes/slits in top)
Deodorant stick (product is a colored stick that goes on clear)
Clear Gel (gel that comes up through holes/slits in the top)
Roll-on (has ball on top for application)
Aerosol Spray Antiperspirant (including Dry Spray)
Do you currently own a Smartphone that you use daily?
Yes
No
Please indicate whether you have the following social apps on your smartphone:
Facebook
Instagram
Snapchat
Pinterest
Music.ly
Twitter
LinkedIN
Which brands of acne treatment/acne skin care products have you personally used in the past year? (Select all that apply.)
Aveeno
CeraVe
Basis
Differin
Olay
Phisoderm
Biore
Stridex
Cetaphil
Neutrogena
PanOxyl
Kiehls
OxeDerm
Clean & Clear
Noxema
Proactiv
Dr. Murad
La Roche-Posay
Nivea
Origins
Dermalogica
Clinique
Vichy
Burt’s Bees
Philosophy
Other
What type of facial treatments do you use at least weekly? (Select all that apply.)
ο Daily Acne Wash
ο Acne Cream/ Lotion
ο Acne Gel
ο Acne Pads
ο Prescription Acne Cream and/or Gel
ο Acne Care System
None of the above
Need assistance with this form?