Non-HispanicPages1-2 4/21/05 6:13 AM Page 1

National Consumer Survey www.SimmonsSurvey.com

THANKS FOR TAKING PART IN THIS IMPORTANT CONSUMER SURVEY.

AKESKLET ST RM AND $2,000OMPLETED BOO OMPLETEOUR THIS CO WIN FO $2,000!! SY! C ’S EA IT ONG WITH Y SWEEPOUR CHANCE T R Y MAIL ITFO AL

Name If you have any questions about the Simmons National Consumer Survey,

Address please call 1-800-551-6425, or visit our website at www.SimmonsSurvey.com. We will be pleased to help you. City This is your opportunity to tell businesses and advertisers about the State products you like and the types of media you prefer. PLEASE MAKE YOUR OPINIONS COUNT BY Zip Code COMPLETING THIS BOOKLET. Your survey starts on Page 4.

Phone Number If you would like to be entered into the $2,000 Sweepstakes drawing, Email Address (Optional) please fill out the form on the left. Non-HispanicPages1-2 4/21/05 6:13 AM Page 2

National Consumer Survey www.SimmonsSurvey.com

Sweepstakes Official Rules

1. NO PURCHASE NECESSARY. To enter, neatly complete the front of this form (including your name and complete address) and return completed booklet in the enclosed postage paid envelope. One entry per person. No mechanically produced entries will be accepted. Sweepstakes begins May 21, 2005, and your entry must be received by the date on the front cover of this booklet.

2. On or about October 31, 2005, AKES winners will be selected in a random drawing from among all eligible entries ST received by Simmons Market Research Bureau, Inc. Simmons decisions concerning $2,000 the sweepstakes are final.

3. Sweepstakes is open to people living in the U.S., SWEEP aged 18 and older except employees, and members of their families living in the same household, of Simmons Market Research Bureau, Inc., its parent company and its subsidiaries, affiliates, brokers, distributors, retailers and advertising, promotion and production agencies. Void where prohibited.

4. (1) Grand Prize — $2,000 (two thousand dollars). Taxes and all other expenses are the responsibility of the winner. Odds of winning depend on the number of eligible entries received.

5. One prize per person, address or household. Sponsor not responsible for late, lost, stolen or misdirected mail or entries. No cash substitutions, transfers or assignments of prizes allowed, except by Sponsor for reason of unavailability, in which case a prize of equal or greater value will be awarded. Each prize winner must execute an affidavit of eligibility and liability/publicity release, which must be returned within fifteen (15) days of prize notification attempt or prize will be forfeited and an alternate winner will be selected.

6. For the names of the prize winners (available after October 31, 2005), send a self-addressed, stamped envelope to:

Simmons Market Research Bureau, Inc. A National Marketing Research Firm 700 West Hillsboro Boulevard Suite 4-201 Deerfield Beach, FL 33441-1620 Attention: NCS PRIZE LIFESTYLE Lifestyle 1

SPORTS & FITNESS EVENTS

Here are some events that people experience. Please mark the box for each of the events Please mark the sports in which you played or participated in the last 12 months. you experienced in the last 12 months and also mark those which you expect to expe- For each sport marked, please indicate how often you played or participated rience within the next 12 months. during the last 12 months. Experienced Expect in to in Participated in Last 12 Months Last 12 Next 12 Event Months Months Played or Every Participated in Chance Last 12 Months I Get Occasionally Seldom Graduation from School □ □ Basketball □ □ □ □ Change job - to better job □ □ Baseball □ □ □ □ Change job - same level/ pay □ □ Football □ □ □ □ Change job - lower level/ pay □ □ Hockey □ □ □ □ Change job - to something different □ □ Soccer □ □ □ □ Lose job - laid off/ went out of business □ □ Softball □ □ □ □ Buy first home □ □ Volleyball □ □ □ □ Buy new home (not first home) □ □ Golf □ □ □ □ Refinancing your home □ □ Tennis □ □ □ □ First time financial investment □ □ Racquetball □ □ □ □ Get married □ □ Billiards/ Pool □ □ □ □ Separated/ Divorced □ □ Bowling □ □ □ □ Make major home improvement □ □ Ice Skating □ □ □ □ Sell or change home □ □ In-line Skating/ Roller Skating □ □ □ □ Buy a used car or light truck □ □ Skateboarding □ □ □ □ Lease or buy new car or light truck □ □ Snowboarding □ □ □ □ First child is born □ □ Snowmobiling □ □ □ □ Second child is born □ □ Downhill/ Cross Country Oldest child enters school □ □ Snow Skiing □ □ □ □ Child enters college □ □ Water Skiing □ □ □ □ Youngest child graduates college □ □ Jet Skiing/ Wave Running/ Youngest child leaves home □ □ Water Biking □ □ □ □ Youngest son gets married □ □ Skin Diving/ Snorkeling □ □ □ □ Youngest daughter gets married □ □ Swimming □ □ □ □ Make last home mortgage payment □ □ Surfing/ Windsurfing □ □ □ □ Grandchild is born □ □ Power Boating □ □ □ □ Retire or take early retirement □ □ Sailing □ □ □ □ Collect lump sum from company pension, Canoeing/ Kayaking □ □ □ □ savings or stock plan □ □ Fly Fishing □ □ □ □ Death in the Family □ □ Fresh Water Fishing □ □ □ □ None of these □ □ Salt Water Fishing □ □ □ □ Horseback Riding □ □ □ □ PHYSICAL FITNESS PROGRAMS Hunting □ □ □ □ Have you engaged in a regular exercise program in the last 12 months where Target Shooting □ □ □ □ you exercised strenuously, either at home or elsewhere? Archery □ □ □ □

Backpacking/ Hiking □ □ □ □ Yes No Camping Trips (Overnight) □ □ □ □ □ □ Mountain/ Rock Climbing □ □ □ □ IF YES Fitness Walking/ Exercise/ Walking □ □ □ □ Where do you exercise?

Jogging/ Running □ □ □ □ At Home □ Aerobics □ □ □ □ At Private Club □ Karate/ Martial Arts/ Kickboxing □ □ □ □ At YMCA/ YWCA □ Weight Training □ □ □ □ Other Facility □ Yoga □ □ □ □ How many times a week do you exercise? Bicycling - Stationary □ □ □ □

Bicycling - Mountain/ Road □ □ □ □ 5 or more □ Rowing - Stationary/ Outdoor □ □ □ □ 3 - 4 □ Use Cardio Machines □ □ □ □ 2 □ Motorcycling □ □ □ □ 1 □ Auto Racing or Rallying □ □ □ □ None □ Other Sports □ □ □ □ None of These □

4 1 Lifestyle

MEMBERSHIPS LIVE THEATER/ CONCERTS/ DANCE CASINO GAMBLING

Have you visited a casino in the last 12 months? To which, if any, of the following do you belong? Thinking only about professional music, dance or Yes No theater performances by nationally or regionally known □ □ A Body of Local Government □ performers or groups, what have you attended in the IF YES American Association of Retired last 12 months: Persons (AARP) □ Number of visits in the last 12 months: Yes No Arts Associations (Museum, Symphony, More than 10 times Comedy Club □ □ □ Opera, Dance) □ 6 - 10 times Concert □ □ □ Business Clubs (such as Jaycees, Chamber 3 - 5 times □ of Commerce) □ Dance Performance □ □ 1 - 2 times □ Church/ Temple/ Synagogue □ Live Theater □ □

Church Board □ Where did you visit a casino in the Civic Clubs (such as Kiwanis, Lions, Rotary) □ IF YES last 12 months? Country Club □ How many times did you attend in the Atlantic City □ last 12 months?(For each type you attended) Environmentalist Organization □ The Caribbean Islands □ Fraternal Orders (such as Elks, Masons, Times in Last 12 Months Cruise Ships □ Eastern Star) □ 5 or more 3-4 1-2 Europe □ Hospital Board □ Comedy Club □ □ □ Indian Reservation □ Human Rights Organization (Amnesty Int., ACLU, etc.) □ Concert - Classical □ □ □ Las Vegas □ PTA/ Parents Association □ Concert - Country □ □ □ Laughlin □ Regional Development Committee □ Concert - Rock/ Pop □ □ □ Mississippi’s Gulf Coast (Gulfport/ Biloxi)□ Religious Clubs (such as Hadassah, Knights Dance Performance □ □ □ Reno/ Lake Tahoe □ of Columbus) □ Live Theater □ □ □ Riverboat □ School or College Board □ Tunica (MS) □ Union □ COLLECTING & COLLECTIBLES Other □ Veterans Clubs (such as V.F.W., American Legion) □ Please mark which of the following items you None of These □ personally collect. Then mark the items you STATE LOTTERY purchased for yourself or as a gift for someone else in the Have you purchased any state Yes No LEISURE ACTIVITIES/ HOBBIES last 12 months. lottery tickets in the last 12 months? □ □ Bought in Last Please mark the leisure activities or hobbies in 12 Months IF YES which you participated in the last 12 months. How often did you purchase tickets in the Personally For As A Collect Self Gift last 12 months?

Antique Shopping/ Shows □ Animation Art (Collectible More than once a week Bird Watching □ Animation Cells) □ □ □ □ Once a week Board Games □ Antique Toys □ □ □ □ 2 or 3 times a month Card Games □ Coins (Numismatic) □ □ □ □ Once a month Cooking for Fun □ Cottages/ Houses (Porcelain) □ □ □ □ Less than once a month Dining Out (Not Fast Food) □ Crystal Figures/ Objects □ □ □ □

Education Courses □ Decorative/ Commemorative/ Types played in last 12 months and last 30 days: Limited Edition Plates Gardening □ □ □ □ Die-Cast/ Miniatures Cars □ □ □ Last 12 Last 30 Go Carting □ Months Days Other Miniatures □ □ □ Going to Bars/ Nightclubs/ Dancing □ Daily Drawing □ □ Disney (Particular Character Going to a Beach/ Lake □ Instant Game □ □ or Theme Park) □ □ □ Listening to Music □ Weekly Drawing □ □ Dolls (Collectible Type) □ □ □ Needlework/ Quilting □ Ornaments □ □ □ Painting, Drawing, Sculpting □ Paper Collectibles (Comic ARMED FORCES Photography □ Books, Postcards, etc.) □ □ □ Playing Bingo □ Porcelain Figurines □ □ □ Have you ever served in the Yes No Playing a Musical Instrument □ Sports Memorabilia/ United States armed forces? □ □ Reading Books □ Trading Cards □ □ □

Reading Comics □ Stamps □ □ □ Are you currently serving on Yes No Reading Gaming Magazines □ Warner Bros., active duty in the U.S. armed forces? □ □ Hanna Barbera, Other Video Games □ □ □ □ Wood/ Metal Sculptures □ □ □ Visit State Fair(s) □ Are you currently serving Yes No Other □ □ □ Visiting an Aquarium □ in the military reserves? □ □ None Visiting Museums □ □ □ □ Visiting a Zoo □ Woodworking/ Furniture Refinishing □ None of These □

5 The personal questions that are asked help businesses answer the question, “What kinds of people are my Lifestyle 1 customers?” Any personal information that you give to Simmons will be held in strictest confidence.

Self-employed and: PERSONAL INFORMATION (If not married) Work at home and have employees □ At the present time are Yes No Work at home and have you engaged to be married? □ □ SEX no other employees □ Please mark Male or Female. Work outside of home □ (If married)Have you been Yes No Male □ Go to your own place of business □ married 12 months or less? □ □ Female □ Operate own farm or leased farm □

(If married)Is your husband/ AGE wife employed, either full-time Yes No INDUSTRY OR EMPLOYER Please mark your age. or part-time? □ □ 18 □ Please describe your current employment. If you have more than one job, please describe the one at which 19 □ (If married)Is this your first Yes No you work the most hours. 20 □ marriage? □ □ 21 □ What kind of business or industry do you 22 - 24 □ (If No)Have you been Yes No work in?If you are not sure, please describe the main 25 - 29 □ divorced before? □ □ activity at your employer. (For example: hospital, newspa- 30 - 34 □ per publishing, auto repair, legal, transportation, govern- 35 - 39 □ ment, agriculture, advertising, etc.) EMPLOYMENT STATUS 40 - 44 □ 45 - 49 □ At the present time, are you employed full time, part time or not at all? (Do you do something for which you 50 - 54 □ earn money?) 55 - 59 □ 60 - 64 □ Employed Full Time □ 65 - 69 □ Employed Part Time □ 70 - 74 □ Not Employed: 75 or Older □ Retired □ OCCUPATION Temporarily Unemployed □ EDUCATION Disabled □ What kind of work do you do?(For example: Other than technical/ vocational training, what is the Full-Time Student □ registered nurse, personnel manager, auto mechanic, accountant, attorney, bus driver, administrative highest grade or year of regular school you completed? Homemaker □ assistant, agricultural inspector, marketing manager etc.) Never Worked □ No formal schooling □

Some Grade school - 8 years or less □ (If not employed) Yes No High school - 9-11 years □ Have you ever been employed? □ □ High school - 12 years (graduated) □

College - Less than 1 year □ Which of these descriptions best fit your future College - 1 full year □ work plans? College - 2 full years □ Plan to go to work in the next year □ Please write in your job title. College - 3 full years □ Plan to go to work sometime in College - 4 years (graduated) □ the future, but not in the next year□ Attended graduate school − Do not plan to go to work at all □ no degree □ Not sure □ Attended graduate school - degree □ Do you work for a Yes No Fortune 500 company? □ □

Have you ever attended a special, technical or IF NOT EMPLOYED, SKIP TO PARENTING vocational school? Yes No How many people, in total, work for your ON PAGE 7 □ □ company, including all its branches, divisions and locations? Which of these descriptions best fits your Are you a full or part-time college student now? present job? Myself only □ 2 to 4 □ Full-time □ Employed by others, and: 5 to 9 □ Part-time □ Work for a private company, corporation or private individual □ 10 to 24 □ Neither □ Work for a private school, private 25 to 49 □ hospital or other private 50 to 99 □ institution □ MARITAL STATUS 100 to 499 □ Work for a local, state or federal What is your current marital status? office, institution or school system□ 500 to 999 □ 1,000 to 4,999 □ Single (Never Married) □ (If employed by others) Yes No 5,000 to 9,999 □ Married □ Do you primarily work at home? □ □ 10,000 or more □ Legally Separated □ Other Separated □ Widowed □ Continued on next page Divorced □

6 1 Lifestyle

What is your religious preference? How long have you been working at your present PURCHASING DECISIONS company or employer? Muslim □

Less than 1 year □ Please mark the products that you bought in the last 12 months. Pentecostal/ Charismatic □ 1 year but less than 3 years □ Then thinking about the last time you bought that product, please Other Evangelical Christian □ 3 years but less than 5 years □ mark how the decision was made. Presbyterian □ 5 years but less than 7 years □ Last Time Bought Russian, Greek or Eastern Orthodox □ 7 years but less than 9 years □ Joint Unitarian □ Bought Joint Decision Joint 9 years but less than 11 years □ in Decision with Decision United Church of Christ (Congregationalist) □ Last Sole with Children with 11 years or longer □ 12 Purchase Spouse/ in Other months Decision Partner Household Individual Other Protestant □ Other Religion □ How many hours do you usually work each week? Automobile □ □ □ □ □ No Religious Preference □ 1 to 14 hours □ Automotive Accessories □ □ □ □ □ 15 to 29 hours □ 30 to 39 hours □ Clothing □ □ □ □ □ TRAVEL 40 hours □ Food Products □ □ □ □ □ Use the grid below to answer the following 41 to 50 hours □ Home questions: 51 hours or more □ Electronics □ □ □ □ □

What is the annual income you personally Household How many miles, in total, did you personally travel in Furnishings □ □ □ □ □ get - before taxes - from this job and any other the last 7 days either as a driver or a passenger in a employment you may have in salary, bonuses, Household car, van or truck? share of profits and so forth? Products □ □ □ □ □

Less than $5,000 □ Major If None in Last 7 Days $5,000 - $7,499 □ Household Appliances □ □ □ □ □ How many miles, in total, did you personally travel in $7,500 - $9,999 □ Sporting the last 4 weeks either as a driver or passenger in a $10,000 - $12,499 □ Goods □ □ □ □ □ car, van or truck? $12,500 - $14,999 □ Truck □ □ □ □ □ $15,000 - $19,999 □ None of These □ For miles traveled in last 7 days or last 4 weeks $20,000 - $24,999 □ How many of these miles were in a town, city or suburb? $25,000 - $29,999 □ LANGUAGE IN THE HOME $30,000 - $34,999 □ Miles $35,000 - $39,999 □ Miles Miles Of City/ Thinking about the languages you use in the home, do you speak: In Last In Last Suburban $40,000 - $44,999 □ 7 Days 4 Weeks Travel In the $45,000 - $49,999 □ Home Under 35 miles □ □ □ $50,000 - $59,999 □ Only English □ 35 - 49 miles □ □ □ $60,000 - $74,999 □ Mostly English, but some Spanish □ 50 - 99 miles □ □ □ $75,000 - $99,999 □ Mostly Spanish, but some English □ 100 - 199 miles □ □ □ $100,000 - $149,999 □ Only Spanish □ 200 - 299 miles □ □ □ $150,000 - $249,999 □ Both English and Spanish equally □ 300 - 399 miles □ □ □ $250,000 or more □ Mostly Some Other Language □ 400 - 499 miles □ □ □ 500 miles or more □ □ □ If you checked both English and Spanish equally None □ □ □ PARENTING We understand that you speak both English and Spanish

Are you the parent or guardian of in your home. Of the two languages, do you speak: Use the grid below to answer the following any children either living with Yes No questions. In the you or in another location? □ □ Home How many people, including yourself, were in the English slightly more than Spanish □ vehicle the last time you traveled in a car, van Yes No Spanish slightly more than English □ or truck? Are you a grandparent? □ □ Neither language is used more than the other□ If more than one, how many, including yourself, ORIGIN/ RACE RELIGION were adults 18 years or older?

Are you of Spanish, Hispanic or Yes No What is your religious preference? Number Number of Latino origin or descent? □ □ of People People 18+ (Please mark one box only.) 1 □ □ What race do you consider yourself to be? Baptist □ 2 □ □ White □ Catholic □ 3 □ □ Black or African American □ Christian Church (Disciples of Christ) □ 4 □ □ Asian □ Church of Jesus Christ of Latter Day Saints □ 5 □ □ Some Other Race □ Episcopal □ 6 □ □ Jewish □ 7 □ □ Lutheran □ 8 □ □ Methodist □ 9 or more □ □ (Please Specify Other Race)

7 Lifestyle 1

BUSINESS PURCHASING DECISIONS DRIVER’S LICENSE

Do you currently have Yes No a driver’s license? □ □ People in business frequently take part in purchasing decisions for products and services. Sometimes, these decisions are made in order to decide what is to be bought or to decide against a purchase. At other times it is to make suggestions and recommendations about a purchasing decision. As part of your job in the MOTORCYCLE DRIVER’S LICENSE last 12 months, have you been involved in decisions regarding purchases totaling $5,000 or more in Do you hold a driver’s license that Yes No any one of the categories listed below? Yes No permits you to drive a motorcycle? □ □ □ □ IF YES How are you involved in purchasing decisions? PUBLIC TRANSPORTATION

Have you used public transportationYes No Determine need □ in the last 30 days? □ □ Specify brands □ Specify vendors or suppliers □ Authorize purchase □ PURCHASE INFLUENCE

Are you the person with the most In which categories were you personally involved in the last 12 months and what was the total amount influence on the purchase decisions Yes No of expenditure for each? made in your household? □ □

Dollars Spent in Last 12 Months

Involved $500,000 $100,000- $10,000- $5,000- in Decision or More $499,999 $99,999 $9,999

Computer Servers for Business □ □ □ □ □ Laptop/ Desktop Computers (or Workstations) for Business □ □ □ □ □ Computer Software for Business □ □ □ □ □ Other Computer Equipment □ □ □ □ □ Fax & Copier Machines □ □ □ □ □

Telephone Systems/ Telecommunications Equipment & Services □ □ □ □ □ Office Furniture □ □ □ □ □ Other Office Equipment □ □ □ □ □ Meeting/ Convention Site Selection □ □ □ □ □ Building Sites □ □ □ □ □

Building/ Construction Materials □ □ □ □ □ Building & Grounds Maintenance □ □ □ □ □ Materials/ Ingredients for Manufacturing □ □ □ □ □ Products for Retail/ Commercial Sales □ □ □ □ □ Trucks or Other Vehicles (2 or More) for Business □ □ □ □ □

Advertising Media/ Marketing/ Promotions □ □ □ □ □ Consulting Services □ □ □ □ □ Freight/ Shipping/ Distribution Services □ □ □ □ □ Banking Services for Business □ □ □ □ □ Investment of Corporate/ Employee Funds, Pension Plans and Financial Services □ □ □ □ □

Medical Group Insurance □ □ □ □ □ Travel Arrangements □ □ □ □ □ Other Services for Business □ □ □ □ □ Other Purchases □ □ □ □ □

8 NEWSPAPERS, INTERNET & MAGAZINES Newspapers, Internet & Magazines 1

LAST NEWSPAPER READ YELLOW PAGES

Did you look at every page of the entire newspaper or did you read About how often do you use the “Yellow Pages” or look at only some pages or sections? at home, at work or elsewhere?

At Work Last Last At or Daily Sunday/ Weekend Home Elsewhere More than once a day □ □ Every Page □ □ Once a day □ □ Only Some Pages/ Sections □ □ 2 or 3 times a week □ □ Once a week □ □ If only some pages or sections — 2 or 3 times a month □ □ Which pages or sections did you read or look at? Once a month □ □ Less often than once a month □ □ Business/ Finance □ □ Never □ □ Classified □ □ Comics □ □ When was the last time, before today, that you used the “Yellow Pages” Editorial □ □ classified section of the telephone directory at home? And when was the last Entertainment time you used the “Yellow Pages” at your place of work or elsewhere? (Movies, Restaurants, etc.) □ □ Fashion □ □ At Work At or Food or Cooking □ □ Home Elsewhere Front Page □ □ Yesterday □ □ General News □ □ Before yesterday, but within last 7 days □ □ Home/ Furnishings/ Gardening □ □ Over 1 week ago, but within last 4 weeks □ □ Movie Listings & Reviews □ □ Over 4 weeks ago, but within last 2 months □ □ Science & Technology □ □ Over 2 months ago, but within last Sports □ □ 3 months □ □ Travel □ □ Over 3 months ago □ □ TV or Radio Listings □ □ Other Pages or Sections □ □

10 1 Newspapers, Internet & Magazines

NEWSPAPERS

People read or glance through newspapers in many different places, such as beauty parlors, barber shops, doctor’s offices, libraries, airports and newsstands, as well as in their own home.

Please think carefully about any newspaper(s) you may have read or looked into at any time in the last 6 months, either at home or away from home. (To help you, a bookmark that lists some of the newspapers in your area may be enclosed.)

SUNDAY (OR WEEKEND) NEWSPAPERS DAILY NEWSPAPERS

– For each Sunday (or weekend) newspaper that you may have read or looked – For each weekday (Monday-Friday) newspaper that you may have read or into in the last 6 months, please “X” the “Read or Looked Into” box next to the looked into in the last 6 months, please “X” the “Read or Looked Into” box next to newspaper’s name. the newspaper’s name.

— For each paper marked, please “X” the number of issues you read or looked — For each paper marked, please “X” the number of issues you read or looked into, on average, out of every 4 issues. Is it less often than 1 issue in 4, or is it into, on average, out of every 5 issues. Is it less often than 1 issue in 5, or is it 1 1 issue, 2 issues, 3 issues, or 4 of 4 issues? issue, 2 issues, 3 issues, 4 issues, or 5 of 5 issues?

Please list ALL weekday newspapers read even if you have already listed that newspaper as a Sunday (or weekend) newspaper. — — – Number of Issues You Read or – Read or Looked Into, on Average, Number of Issues You Read Looked of Every 4 Issues Read or or Looked Into, on Average, Into In Less Looked of Every 5 Issues the Last Than 1 2 3 4 Into in Less 6 Months 1 Issue Issue Issues Issues Issues the Last Than 1 2 3 4 5 6 Months 1 Issue Issue Issues Issues Issues Issues

□ □ □ □ □ □ □ □ □ □ □ □ □ (Write-in name of SUNDAY newspaper) (Write-in name of DAILY newspaper)

□ □ □ □ □ □ □ □ □ □ □ □ □ (Write-in name of SUNDAY newspaper) (Write-in name of DAILY newspaper)

□ □ □ □ □ □ □ □ □ □ □ □ □ (Write-in name of SUNDAY newspaper) (Write-in name of DAILY newspaper)

□ □ □ □ □ □ □ □ □ □ □ □ □ (Write-in name of SUNDAY newspaper) (Write-in name of DAILY newspaper)

□ □ □ □ □ □ □ □ □ □ □ □ □ (Write-in name of SUNDAY newspaper) (Write-in name of DAILY newspaper)

□ □ □ □ □ □ □ □ □ □ □ □ □ (Write-in name of SUNDAY newspaper) (Write-in name of DAILY newspaper)

Did not read or look into any Sunday (or weekend) newspapers in the last 6 months □ Did not read or look into any daily newspapers in the last 6 months □

11 Newspapers, Internet & Magazines 1 INTERNET

ONLINE/ INTERNET IF USE ONLINE/ INTERNET SERVICE How many times did you access the Internet for COMPUTER SERVICES Where do you access the Internet? something other than e-mail in the last 7 days? Most Also At At Do you use any online/ Internet computer services Where Accessed: Often Access Home Work or similar services either at home, work or somewhere Home □ □ More than 25 times □ □ else? Work □ □ 21 - 25 times □ □ Yes No School □ □ 16 - 20 times □ □ □ □ Library □ □ 11 - 15 times □ □ IF NO Restaurants/ Coffee Shops □ □ 6 - 10 times □ □ Do you plan to use any online/ Internet computer Hotels □ □ 3 - 5 times □ □ services or similar services, either at home, work, or Airports □ □ 1 - 2 times □ □ somewhere else in the next 12 months? Other □ □ None □ □ Yes No How do you access the Internet? □ □ How much time did you spend on the Internet At At IF YES, PLAN TO USE for something other than e-mail in the last 7 days? Devices of access: Home Work Which of the following methods of access do you plan Cellular/ Wireless Telephone □ □ At At on using? Home Work Desktop Computer □ □ More than 20 hours □ □ Cable Modem □ Handheld/ PDA □ □ 15 to 20 hours □ □ DSL □ Laptop Computer □ □ 10 to 14 hours □ □ Internet TV □ Television □ □ 5 to 9 hours □ □ ISDN □ Other Device □ □ 1 to 4 hours □ □ Phone Modem (Dial-up) □ At At Less than 1 hour □ □ Satellite □ Methods of access currently use: Home Work None □ □ Other □ Cable Modem □ □ IF EVER USED OR PLAN TO USE DSL □ □ How many unique or different web sites did you For each service listed below, please indicate which Internet TV □ □ visit in the last 7 days?(Please do not count the same you have used in the last 30 days or plan to use ISDN □ □ web site visited twice.) Phone Modem (Dial-up) □ □ sometime in the future. At At Satellite □ □ Home Work Used In Last 30 Plan To Other □ □ More than 25 □ □ Days Use 21 - 25 □ □ Adelphia □ □ Do you plan to add or change to a different 16 - 20 □ □ America Online (AOL) □ □ method of access at home in the next 12 months? 11 - 15 □ □ AT&T Worldnet □ □ Yes No 6 - 10 □ □ BellSouth □ □ □ □ 3 - 5 □ □ Comcast □ □ IF YES 1 - 2 □ □ CompuServe □ □ Which of the following methods of access do you None □ □ Earthlink □ □ plan to start using at home?(Please do not mark any MSN □ □ Do you or your household subscribe to an online/ methods currently used.) Internet service? MSN TV/ WebTV □ □ Yes No Netscape □ □ Cable Modem □ □ □ Road Runner □ □ DSL □ IF YES SBC Yahoo! □ □ Internet TV □ When did you or your household first subscribe United Online (Net Zero/ Juno) □ □ ISDN □ to your current online/ Internet service? Verizon □ □ Phone Modem (Dial-up) □ Other Local Telephone Company □ □ Satellite □ Less than a year ago □ Other Internet Providers □ □ Other □ 1 - 2 years ago □ Do you connect to the Internet through a 3 - 5 years ago □ wireless/ wi-fi connection? Yes No 6 years ago or more □ □ □

12 1 Newspapers, Internet & Magazines

ONLINE ACTIVITIES WEB APPLICATIONS

For the following activities or types of web sites, please mark the ones you used or visited in the last 30 days. For Have you used any web applications in the last 12 months? those you used/ visited, please mark the number of times in the last 30 days. Number of times in last 30 days Yes No Last 30 □ □ Days 30 or more 16-29 6-15 1-5 Airline/ Car/ Hotel Information or Reservations □ □ □ □ □ IF YES Auctions □ □ □ □ □ Please indicate which of the following web Banking □ □ □ □ □ applications you have used in the last 12 months. Blogs/ Blogging (Reading and/ or Writing Personal For those you have used, please indicate how Online Journals/ Diaries) □ □ □ □ □ often you have used them in the last week. Bulletin/ Message Boards □ □ □ □ □ Chat Forums □ □ □ □ □ Digital Imaging/ Photo Albums Online □ □ □ □ □ Number of Times Used in Last Week Download Music Files □ □ □ □ □ Used in last 12 7 or Employment Search □ □ □ □ □ months more 3-6 1-2 None E-mail □ □ □ □ □ Adobe Acrobat Reader □ □ □ □ □ Financial Information/ Stock Trading □ □ □ □ □ AIM (AOL Instant Instant Messaging (IM) □ □ □ □ □ Messenger) □ □ □ □ □ Listen to Internet Radio □ □ □ □ □ Gnutella □ □ □ □ □ Maintain Homepage □ □ □ □ □ ICQ □ □ □ □ □ Medical Services and Information □ □ □ □ □ iTunes □ □ □ □ □ News/ Weather □ □ □ □ □ Kazaa □ □ □ □ □ Personal Ads/ Dating Services □ □ □ □ □ Lime Wire □ □ □ □ □ Play/ Download Online Games □ □ □ □ □ MSN Messenger □ □ □ □ □ Online Gambling □ □ □ □ □ Radio@Netscape □ □ □ □ □ Read Magazines/ Newspapers □ □ □ □ □ Real Player □ □ □ □ □ Real Estate Listings □ □ □ □ □ Winamp □ □ □ □ □ Research/ Education □ □ □ □ □ Windows Media Send Electronic Greeting Cards □ □ □ □ □ Player □ □ □ □ □ Shopping: Gathered Information for Shopping □ □ □ □ □ Yahoo Messenger □ □ □ □ □ Shopping: Made a Purchase □ □ □ □ □ Other □ □ □ □ □ Sports □ □ □ □ □ Watching Streaming Video (TV or Movie-like Broadcasts) □ □ □ □ □ Yellow Pages □ □ □ □ □ Other Activities □ □ □ □ □ None □

INTERNET ADVERTISING

Thinking about the different kinds of advertising you see online, how useful do you generally find each of the following? Very Somewhat Not Very Not at all Useful Useful Useful Useful Useful

Banner Ads □ □ □ □ □ E-mail Ads □ □ □ □ □ Pop-up/ Under Window Ads □ □ □ □ □ Webpage Links □ □ □ □ □

ATTITUDES/ OPINIONS ABOUT THE INTERNET

Surfing the Internet is an experience that can be different for everyone. Please tell us how you use the Internet in your life. Please tell us the extent to which you agree or disagree with each statement by marking one box opposite each statement. If you are not sure, please mark “Neither Agree Nor Disagree” and go on to the next statement.

Neither Agree Agree Agree Nor Disagree Disagree A Lot A Little Disagree A Little A Lot

I like web sites that take special care to protect my privacy □ □ □ □ □ I like web sites that show me local information □ □ □ □ □ I like to go to web sites that I have never been to before □ □ □ □ □ I get more and more of my news from the Internet □ □ □ □ □ I like to look for new and interesting web sites □ □ □ □ □ I am doing more of my shopping on the Internet than before □ □ □ □ □ I go back to web sites that make it easy to find what I need □ □ □ □ □ I tend to trust the information on web sites that I have heard a lot about □ □ □ □ □ I like to hear about new products and services via e-mail □ □ □ □ □

13 Newspapers, Internet & Magazines 1

WEB SITES/ SEARCH ENGINES Number of Times Visited in the Last 30 Days Last 30 30 or Have you used/ visited any web sites or search engines in the last 30 days? Days More 16-29 6-15 1-5 Yes No Iwon.com □ □ □ □ □ □ □ Juno/ Netzero.com □ □ □ □ □ IF YES Latimes.com □ □ □ □ □ For the following list of web sites, please mark the ones which you visited in the Lycos.com □ □ □ □ □ last 30 days. For those web sites that you visited in the last 30 days, please mark MapQuest.com □ □ □ □ □ how many times in the last 30 days you visited that specific web site.

Marketwatch.com □ □ □ □ □ Number of Times Visited in the Last 30 Days Match.com □ □ □ □ □ Last 30 30 or MLB.com □ □ □ □ □ Days More 16-29 6-15 1-5 Monster.com □ □ □ □ □ 1800flowers.com □ □ □ □ □ MSN.com □ □ □ □ □ ABC.com □ □ □ □ □ About.com □ □ □ □ □ MSNBC.com □ □ □ □ □ Altavista.com □ □ □ □ □ MyFamily.com □ □ □ □ □ Amazon.com □ □ □ □ □ NASCAR.com □ □ □ □ □ NBA.com □ □ □ □ □ Americangreetings.com □ □ □ □ □ NBC.com □ □ □ □ □ AmericanSingles.com □ □ □ □ □ AOL.com □ □ □ □ □ Netscape.com □ □ □ □ □ Ask.com (AskJeeves) □ □ □ □ □ NFL.com □ □ □ □ □ ATT.com (AT&T) □ □ □ □ □ NHL.com □ □ □ □ □ NYTimes.com □ □ □ □ □ Barnesandnoble.com □ □ □ □ □ Orbitz.com □ □ □ □ □ BestBuy.com □ □ □ □ □ Bizrate.com □ □ □ □ □ PGATour.com □ □ □ □ □ CBS.com □ □ □ □ □ Reuters.com □ □ □ □ □ CBS.sportsline.com □ □ □ □ □ SBC.com □ □ □ □ □ Sony.com □ □ □ □ □ CircuitCity.com □ □ □ □ □ SportingNews.com □ □ □ □ □ Classmates.com □ □ □ □ □ CNET.com □ □ □ □ □ Sprint.com □ □ □ □ □ CNN.com □ □ □ □ □ TheWB.com □ □ □ □ □ ColumbiaHouse.com □ □ □ □ □ Ticketmaster.com □ □ □ □ □ Time.com □ □ □ □ □ Coolsavings.com □ □ □ □ □ Travelocity.com □ □ □ □ □ Dell.com □ □ □ □ □ Disney.com □ □ □ □ □ Travelzoo.com □ □ □ □ □ Dogpile.com □ □ □ □ □ UPN.com □ □ □ □ □ Earthlink.com □ □ □ □ □ USAToday.com □ □ □ □ □ Verizon.com □ □ □ □ □ Ebay.com □ □ □ □ □ WashingtonPost.com □ □ □ □ □ Emode.com □ □ □ □ □ ESPN.com □ □ □ □ □ Weather.com □ □ □ □ □ Excite.com □ □ □ □ □ Webcrawler.com □ □ □ □ □ Expedia.com □ □ □ □ □ Women.com □ □ □ □ □ WSJ.com □ □ □ □ □ FOX.com □ □ □ □ □ Yahoo.com □ □ □ □ □ Geocities.com □ □ □ □ □ ZDNet.com □ □ □ □ □ Go.com □ □ □ □ □ Google.com □ □ □ □ □ Other (Please Specify) Hotbot.lycos.com □ □ □ □ □ □ □ □ □ □ Hotjobs.com □ □ □ □ □ Hotmail.com □ □ □ □ □ □ □ □ □ □ HP.com □ □ □ □ □ Infospace.com □ □ □ □ □ iVillage.com □ □ □ □ □ □ □ □ □ □

14 1 Newspapers, Internet & Magazines

INTERNET USAGE AT HOME (EXCLUDING E-MAIL) IN THE LAST 7 DAYS

Did you use the Internet at your physical home for Yes No something other than e-mail in the last 7 days? □ □

IF YES, – Show us when you used the Internet at — home. Anytime you used the Internet (for something Show us how much time you used the other than e-mail) in the Last 5 Weekdays or the Last Internet at home. Please mark an “X” in the column that Weekend, even just for a few minutes, please mark an represents the total time you used the Internet, for “X” beside the time period. something other than e-mail, in the last 7 days.

AT HOME ᮢ – ᮢ— Total Time You Used the Internet at Home Over the Last 7 Days 1/2 Hr 1 Hr 2 Hrs 3 Hrs 4 Hrs Used in Last Used Last Less than but less but less but less but less but less 5 Hrs Time Periods Used 5 Weekdays Weekend 1/2 Hr than 1 Hr than 2 Hrs than 3 Hrs than 4 Hrs than 5 Hrs or more EXAMPLE □X □X □ □ □ □ □X □ □ 5 AM - 7 AM □ □ □ □ □ □ □ □ □ 7 AM - 9 AM □ □ □ □ □ □ □ □ □ 9 AM - 4 PM □ □ □ □ □ □ □ □ □ 4 PM - 7 PM □ □ □ □ □ □ □ □ □ 7 PM - 11 PM □ □ □ □ □ □ □ □ □ 11 PM - 2 AM □ □ □ □ □ □ □ □ □ 2 AM - 5 AM □ □ □ □ □ □ □ □ □

Of the total time spent using the Internet, excluding e-mail, in your own home, over the last 7 days, what percentage of that time was work related? Less than 10% 10 to 25% 26 to 50% 51 to 75% 76 to 90% 91 to 100% □ □ □ □ □ □

INTERNET USAGE AT WORK (EXCLUDING E-MAIL) IN THE LAST 7 DAYS

Did you use the Internet at work (not in your home) for Yes No something other than e-mail in the last 7 days? □ □

IF YES, – Show us when you used the Internet at work. Anytime you used the Internet (for something — Show us how much time you used the other than e-mail) in the Last 5 Weekdays or the Last Internet at work. Please mark an “X” in the column that Weekend, even just for a few minutes, please mark an represents the total time you used the Internet, for “X” beside the time period. something other than e-mail, in the last 7 days.

AT WORK ᮢ –ᮢ — Total Time You Used the Internet at Work Over the Last 7 Days 1/2 Hr 1 Hr 2 Hrs 3 Hrs 4 Hrs Used in Last Used Last Less than but less but less but less but less but less 5 Hrs Time Periods Used 5 Weekdays Weekend 1/2 Hr than 1 Hr than 2 Hrs than 3 Hrs than 4 Hrs than 5 Hrs or more EXAMPLE □X □X □ □ □ □ □ □X □ 5 AM - 7 AM □ □ □ □ □ □ □ □ □ 7 AM - 9 AM □ □ □ □ □ □ □ □ □ 9 AM - 4 PM □ □ □ □ □ □ □ □ □ 4 PM - 7 PM □ □ □ □ □ □ □ □ □ 7 PM - 11 PM □ □ □ □ □ □ □ □ □ 11 PM - 2 AM □ □ □ □ □ □ □ □ □ 2 AM - 5 AM □ □ □ □ □ □ □ □ □

Of the total time spent using the Internet, excluding e-mail, at your work place, over the last 7 days, what percentage of that time was personal related? Less than 10% 10 to 25% 26 to 50% 51 to 75% 76 to 90% 91 to 100% □ □ □ □ □ □

15 Newspapers, Internet & Magazines 1 MAGAZINES

— MAGAZINES – Number You Read or Looked Into of Every 4 This section asks about your reading of magazines. People read or glance through Have Read or Less magazines in many different places, such as beauty parlors, grocery stores, barber shops, Looked Into in Than 1 2 3 4 Last 6 Months 1 Issue Issue Issues Issues Issues doctor’s offices, libraries, airports and newsstands, as well as in their own home.

The titles of magazines are listed on the following pages. Please indicate which magazines □ □ □ □ □ □ you may have read or looked into in the last 6 months. We want to know if you yourself Published Bi-Monthly (Every 60 Days) have read or looked into any copy, whether it belonged to you or not. It doesn’t matterArthritis Today whether you read it or just looked into it.

□ □ □ □ □ □ If you have read or looked into the magazine in the last 6 months, ؆X؆ the box – Published Monthly (Every 30 Days) next to the title. The Atlantic Monthly — For each magazine marked, please ЉXЉ the number of issues you read or looked into, on average, out of every 4 issues. Is it less often than 1 issue in 4, □ □ □ □ □ □ or is it 1 issue, 2 issues, 3 issues, or 4 of 4 issues? Published Monthly (Every 30 Days)

Automobile

— □ □ □ □ □ □ – Number You Read or Looked Into of Every 4 Published Weekly (Every 7 Days) Have Read or Less Looked Into in Than 1 2 3 4 Last 6 Months 1 Issue Issue Issues Issues Issues AutoWeek

□ □ □ □ □ □ □ □ □ □ □ □ Published Bi-Monthly (Every 60 Days) Published Monthly (Every 30 Days)

AARP The Magazine American Baby

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Allure Babytalk

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Weekly (Every 7 Days)

The American Legion Barron’s

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

American Rifleman Bassmaster

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Architectural Digest Harper’s Bazaar

I did not read or look into any of the magazines I did not read or look into any of the magazines in this column in the last 6 months □ in this column in the last 6 months □

16 1 Newspapers, Internet & Magazines

Number You Read or Number You Read or Looked Into of Every 4 Looked Into of Every 4 Have Read or Less Have Read or Less Looked Into in Than 1 2 3 4 Looked Into in Than 1 2 3 4 Last 6 Months 1 Issue Issue Issues Issues Issues Last 6 Months 1 Issue Issue Issues Issues Issues

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Better Homes and Gardens Child Magazine

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Bicycling Magazine Consumer Reports

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Black Enterprise Cooking Light

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Blender Cosmopolitan

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Boating Country Home

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Bon Appetit Country Living

□ □ □ □ □ □ □ □ □ □ □ □ Published Bi-Monthly (Every 60 Days) Published Bi-Weekly (Every 14 Days)

Bride’s Country Weekly

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Arthur Frommer’s Budget Travel Cycle World

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Business 2.0 Details

□ □ □ □ □ □ □ □ □ □ □ □ Published Weekly (Every 7 Days) Published Monthly (Every 30 Days)

Business Week Discover

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Bi-Monthly (Every 60 Days)

Car and Driver Ducks Unlimited

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Car Craft Ebony

I did not read or look into any of the magazines I did not read or look into any of the magazines in this column in the last 6 months □ in this column in the last 6 months □

17 Newspapers, Internet & Magazines 1

Number You Read or Number You Read or Looked Into of Every 4 Looked Into of Every 4 Have Read or Less Have Read or Less Looked Into in Than 1 2 3 4 Looked Into in Than 1 2 3 4 Last 6 Months 1 Issue Issue Issues Issues Issues Last 6 Months 1 Issue Issue Issues Issues Issues

□ □ □ □ □ □ □ □ □ □ □ □ Published Weekly (Every 7 Days) Published Monthly (Every 30 Days)

The Economist Fast Company

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

ELLE FHM

□ □ □ □ □ □ □ □ □ □ □ □ Published Bi-Monthly (Every 60 Days) Published Monthly (Every 30 Days)

ELLE Decor Field & Stream

□ □ □ □ □ □ □ □ □ □ □ □ Published Bi-Monthly (Every 60 Days) Published Tri-Weekly (Every 21 Days)

Endless Vacation First for Women

□ □ □ □ □ □ □ □ □ □ □ □ Published Weekly (Every 7 Days) Published Bi-Monthly (Every 60 Days)

Entertainment Weekly North American Fisherman

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Entrepreneur Fitness

□ □ □ □ □ □ □ □ □ □ □ □ Published Bi-Weekly (Every 14 Days) Published Monthly (Every 30 Days)

ESPN The Magazine Flying

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Esquire Food & Wine

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Bi-Weekly (Every 14 Days)

Essence Forbes

□ □ □ □ □ □ □ □ □ □ □ □ Published Tri-Weekly (Every 21 Days) Published Bi-Weekly (Every 14 Days)

Family Circle Fortune

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

FamilyFun Petersen’s 4 Wheel & Off-Road

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

The Family Handyman Four Wheeler

I did not read or look into any of the magazines I did not read or look into any of the magazines in this column in the last 6 months □ in this column in the last 6 months □

18 1 Newspapers, Internet & Magazines

Number You Read or Number You Read or Looked Into of Every 4 Looked Into of Every 4 Have Read or Less Have Read or Less Looked Into in Than 1 2 3 4 Looked Into in Than 1 2 3 4 Last 6 Months 1 Issue Issue Issues Issues Issues Last 6 Months 1 Issue Issue Issues Issues Issues

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

GamePro Movieline’s Hollywood Life

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Glamour Home

□ □ □ □ □ □ □ □ □ □ □ □ Published Weekly (Every 7 Days) Published Monthly (Every 30 Days)

Globe Hot Rod

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Golf Digest House & Garden

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Golf Magazine House Beautiful

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Bi-Monthly (Every 60 Days)

Good Housekeeping North American Hunter

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Gourmet Magazine Petersen’s Hunting

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

GQ In Style

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Weekly (Every 7 Days)

Guns & Ammo In Touch Weekly

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Health Inc.

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Hispanic Business Jane

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Weekly (Every 7 Days)

Hispanic Magazine Jet

I did not read or look into any of the magazines I did not read or look into any of the magazines in this column in the last 6 months □ in this column in the last 6 months □

19 Newspapers, Internet & Magazines 1

Number You Read or Number You Read or Looked Into of Every 4 Looked Into of Every 4 Have Read or Less Have Read or Less Looked Into in Than 1 2 3 4 Looked Into in Than 1 2 3 4 Last 6 Months 1 Issue Issue Issues Issues Issues Last 6 Months 1 Issue Issue Issues Issues Issues

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Kiplinger’s Personal Finance Men’s Health

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Ladies’ Home Journal Men’s Journal

□ □ □ □ □ □ □ □ □ □ □ □ Published Bi-Monthly (Every 60 Days) Published Monthly (Every 30 Days)

Latin Style Metropolitan Home

□ □ □ □ □ □ □ □ □ □ □ □ Published Bi-Monthly (Every 60 Days) Published Bi-Monthly (Every 60 Days)

Latina Style Midwest Living

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Bi-Monthly (Every 60 Days)

Lowrider Modern Bride

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Lucky Money Magazine

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Macworld More

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Mad Magazine Motor Trend Magazine

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Marie Claire Muscle & Fitness

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Weekly (Every 7 Days)

Martha Stewart Living The National Enquirer

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Weekly (Every 7 Days)

Maxim National Examiner

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Men’s Fitness National Geographic

I did not read or look into any of the magazines I did not read or look into any of the magazines in this column in the last 6 months □ in this column in the last 6 months □

20 1 Newspapers, Internet & Magazines

Number You Read or Number You Read or Looked Into of Every 4 Looked Into of Every 4 Have Read or Less Have Read or Less Looked Into in Than 1 2 3 4 Looked Into in Than 1 2 3 4 Last 6 Months 1 Issue Issue Issues Issues Issues Last 6 Months 1 Issue Issue Issues Issues Issues

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Natural History Penthouse

□ □ □ □ □ □ □ □ □ □ □ □ Published Weekly (Every 7 Days) Published Weekly (Every 7 Days)

New York Magazine People Magazine

□ □ □ □ □ □ □ □ □ □ □ □ Published Weekly (Every 7 Days) Published Monthly (Every 30 Days)

The New Yorker Teen People

□ □ □ □ □ □ □ □ □ □ □ □ Published Weekly (Every 7 Days) Published Bi-Monthly (Every 60 Days)

Newsweek American Photo

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

O, The Oprah Magazine Playboy

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Organic Style Popular Mechanics

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Outdoor Life Popular Photography & Imaging

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Outside Popular Science

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Parenting Premiere

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Parents Prevention

□ □ □ □ □ □ □ □ □ □ □ □ Published Bi-Weekly (Every 14 Days) Published Monthly (Every 30 Days)

PC Magazine Reader’s Digest

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

PC World Real Simple

I did not read or look into any of the magazines I did not read or look into any of the magazines in this column in the last 6 months □ in this column in the last 6 months □

21 Newspapers, Internet & Magazines 1

Number You Read or Number You Read or Looked Into of Every 4 Looked Into of Every 4 Have Read or Less Have Read or Less Looked Into in Than 1 2 3 4 Looked Into in Than 1 2 3 4 Last 6 Months 1 Issue Issue Issues Issues Issues Last 6 Months 1 Issue Issue Issues Issues Issues

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Redbook SmartMoney

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Road & Track Smithsonian

□ □ □ □ □ □ □ □ □ □ □ □ Published Bi-Weekly (Every 14 Days) Published Weekly (Every 7 Days)

Rolling Stone Soap Opera Digest

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Weekly (Every 7 Days)

Runner’s World Soap Opera Weekly

□ □ □ □ □ □ □ □ □ □ □ □ Published Bi-Monthly (Every 60 Days) Published Monthly (Every 30 Days)

The Saturday Evening Post Sound & Vision

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Scientific American The Source

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Self Magazine Southern Living

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Seventeen Spin

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Weekly (Every 7 Days)

Shape Sporting News

□ □ □ □ □ □ □ □ □ □ □ □ Published Bi-Monthly (Every 60 Days) Published Weekly (Every 7 Days)

Sierra Magazine Sports Illustrated

□ □ □ □ □ □ □ □ □ □ □ □ Published Bi-Monthly (Every 60 Days) Published Weekly (Every 7 Days)

Ski Star

□ □ □ □ □ □ □ □ □ □ □ □ Published Bi-Monthly (Every 60 Days) Published Monthly (Every 30 Days)

Skiing Stuff

I did not read or look into any of the magazines I did not read or look into any of the magazines in this column in the last 6 months □ in this column in the last 6 months □

22 1 Newspapers, Internet & Magazines

Number You Read or Number You Read or Looked Into of Every 4 Looked Into of Every 4 Have Read or Less Have Read or Less Looked Into in Than 1 2 3 4 Looked Into in Than 1 2 3 4 Last 6 Months 1 Issue Issue Issues Issues Issues Last 6 Months 1 Issue Issue Issues Issues Issues

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Weekly (Every 7 Days)

Sunset Us Weekly

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Tennis Vanity Fair

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Texas Monthly Vibe

□ □ □ □ □ □ □ □ □ □ □ □ Published Weekly (Every 7 Days) Published Monthly (Every 30 Days)

Time Vogue

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Town & Country W Magazine

□ □ □ □ □ □ □ □ □ □ □ □ Published Bi-Monthly (Every 60 Days) Published Bi-Monthly (Every 60 Days)

Traditional Home Weight Watchers

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Travel + Leisure Wired

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Tri-Weekly (Every 21 Days)

Condé Nast Traveler Woman’s Day

□ □ □ □ □ □ □ □ □ □ □ □ Published Bi-Monthly (Every 60 Days) Published Weekly (Every 7 Days)

National Geographic Traveler Woman’s World

□ □ □ □ □ □ □ □ □ □ □ □ Published Weekly (Every 7 Days) Published Bi-Monthly (Every 60 Days)

TV Guide Workbench

□ □ □ □ □ □ □ □ □ □ □ □ Published Monthly (Every 30 Days) Published Monthly (Every 30 Days)

Urban Latino Working Mother

□ □ □ □ □ □ □ □ □ □ □ □ Published Weekly (Every 7 Days) Published Monthly (Every 30 Days)

U.S. News & World Report Yankee

I did not read or look into any of the magazines I did not read or look into any of the magazines in this column in the last 6 months □ in this column in the last 6 months □

23 Newspapers, Internet & Magazines 1

AIRLINE/ INFLIGHT MAGAZINES

The following publications are distributed onboard airlines. You may have read or glanced through them on a plane, in your home or office or in any other place. For each publication shown below, please mark whether you may have read or looked into that publication in the last 6 months.

For each publication that you read or looked into in the last 6 months, mark the box that indicates, on average, out of four issues published, how many you read or looked into.

Number You Read or Looked Into of Every 4 Have Read or Less Looked Into in Than 1 2 3 4 Last 6 Months 1 Issue Issue Issues Issues Issues

□ □ □ □ □ □ Published Bi-Weekly (Every 14 Days)

American Way (American Airlines)

□ □ □ □ □ □ Published Monthly (Every 30 Days)

Attaché (US Airways)

□ □ □ □ □ □ Published Monthly (Every 30 Days)

Continental

□ □ □ □ □ □ Published Monthly (Every 30 Days)

Hemispheres (United Airlines)

□ □ □ □ □ □ Published Monthly (Every 30 Days)

Sky (Delta Airlines)

□ □ □ □ □ □ Published Monthly (Every 30 Days)

Spirit (Southwest Airlines)

I did not read or look into any of the magazines in this column in the last 6 months □

24 TV, MOVIES & RADIO TV, Movies & Radio 1

CABLE TELEVISION/ For those networks you viewed, which of the letters During which time periods do you usually watch the PREMIUM CHANNELS below best describes the amount of time you spent network, first on a typical weekday (Monday-Friday), watching in the last 7 days? and then on a typical weekend (Saturday-Sunday)? Listed below are the names and logos of cable Time Period television networks. Which of these have you Time Spent Viewing in Last 7 Days G − 6:00 AM - 9:00 AM L − 7:00 PM - 8:00 PM H − 9:00 AM - NOON M − 8:00 PM - 9:00 PM viewed in the last 7 days? A − Less than 1 hour D − 5 hours to less than 7 I − NOON - 3:00 PM N − 9:00 PM - 11:00 PM B − 1 hour to less than 3 E − 7 hours to less than 10 J − 3:00 PM - 5:00 PM O − 11:00 PM - 1:00 AM C − 3 hours to less than 5 F − 10 hours or more K −5:00 PM - 7:00 PM

Viewed in Time Spent Viewing in Last 7 Days Time Period (check as many as apply) Last 7 Days ABCDEFGHIJKLMNO

A&E (Arts & Entertainment □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Network) Weekend □ □ □ □ □ □ □ □ □

ABC Family □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Adult Swim □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

AMC (American Movie Classics) □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Animal Planet □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

BBC America □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

BET (Black Entertainment TV) □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Bloomberg Television □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Bravo □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Cartoon Network □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Cinemax □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

CMT (Country Music Television) □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

CNBC □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

26 1 TV, Movies & Radio

Time Spent Viewing in Last 7 Days Time Period CABLE TELEVISION/ G - 6:00 AM - 9:00 AM L - 7:00 PM - 8:00 PM A - Less than 1 hour D - 5 hours to less than 7 H - 9:00 AM - NOON M - 8:00 PM - 9:00 PM PREMIUM CHANNELS B - 1 hour to less than 3 E - 7 hours to less than 10 I- NOON - 3:00 PM N - 9:00 PM - 11:00 PM C - 3 hours to less than 5 F - 10 hours or more J - 3:00 PM - 5:00 PM O - 11:00 PM - 1:00 AM K - 5:00 PM - 7:00 PM

Viewed in Time Spent Viewing in Last 7 Days Time Period (check as many as apply) Last 7 Days A B C D E F G H I J K L M N O

CNN (Cable News Network) □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

CNN Headline News □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Comedy Central □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Court TV (Courtroom Television Network) □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Discovery Channel □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Discovery Health Channel □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Discovery Home □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Discovery Times □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Disney Channel □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

DIY (Do-It-Yourself) □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

E! (Entertainment Television) □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Encore □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

ESPN □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

ESPN 2 □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

27 TV, Movies & Radio 1

Time Spent Viewing in Last 7 Days Time Period CABLE TELEVISION/ G - 6:00 AM - 9:00 AM L - 7:00 PM - 8:00 PM A - Less than 1 hour D - 5 hours to less than 7 H - 9:00 AM - NOON M - 8:00 PM - 9:00 PM PREMIUM CHANNELS B - 1 hour to less than 3 E - 7 hours to less than 10 I- NOON - 3:00 PM N - 9:00 PM - 11:00 PM C - 3 hours to less than 5 F - 10 hours or more J - 3:00 PM - 5:00 PM O - 11:00 PM - 1:00 AM K - 5:00 PM - 7:00 PM

Viewed in Time Spent Viewing in Last 7 Days Time Period (check as many as apply) Last 7 Days A B C D E F G H I J K L M N O

ESPN Classic □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

ESPN News □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

FamilyNet □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Fine Living □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Food Network □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

FOX News Channel □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

FSN (Formerly Fox □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Sports Network) Weekend □ □ □ □ □ □ □ □ □

Fuse □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

FX □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

G4 (Formerly G4TechTV) □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

GAC (Great American □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Country) Weekend □ □ □ □ □ □ □ □ □

The Golf Channel □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

GSN (Formerly Game □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Show Network) Weekend □ □ □ □ □ □ □ □ □

Hallmark Channel □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

28 1 TV, Movies & Radio

Time Spent Viewing in Last 7 Days Time Period CABLE TELEVISION/ G - 6:00 AM - 9:00 AM L - 7:00 PM - 8:00 PM A - Less than 1 hour D - 5 hours to less than 7 H - 9:00 AM - NOON M - 8:00 PM - 9:00 PM PREMIUM CHANNELS B - 1 hour to less than 3 E - 7 hours to less than 10 I- NOON - 3:00 PM N - 9:00 PM - 11:00 PM C - 3 hours to less than 5 F - 10 hours or more J - 3:00 PM - 5:00 PM O - 11:00 PM - 1:00 AM K - 5:00 PM - 7:00 PM

Viewed in Time Spent Viewing in Last 7 Days Time Period (check as many as apply) Last 7 Days A B C D E F G H I J K L M N O

HBO (Home Box Office) □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

HGTV (Home & □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Garden Television) Weekend □ □ □ □ □ □ □ □ □

The History Channel □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

IFC (Independent Film Channel) □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

In Demand □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

INSP (Inspirational Network) □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Lifetime □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Lifetime Movie Network □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Military Channel □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

The Movie Channel (TMC) □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

MSNBC □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

MTV (Music Television) □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

MTV2 □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

National Geographic Channel □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

29 TV, Movies & Radio 1

Time Spent Viewing in Last 7 Days Time Period G − 6:00 AM - 9:00 AM L − 7:00 PM - 8:00 PM CABLE TELEVISION/ A − Less than 1 hour D − 5 hours to less than 7 H - 9:00 AM - NOON M - 8:00 PM - 9:00 PM B - 1 hour to less than 3 E - 7 hours to less than 10 PREMIUM CHANNELS I- NOON - 3:00 PM N - 9:00 PM - 11:00 PM C - 3 hours to less than 5 F - 10 hours or more J - 3:00 PM - 5:00 PM O - 11:00 PM - 1:00 AM K - 5:00 PM - 7:00 PM

Viewed in Time Spent Viewing in Last 7 Days Time Period (check as many as apply) Last 7 Days A B C D E F G H I J K L M N O

Nick at Nite □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Nickelodeon □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

The Outdoor Channel □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

OLN (Outdoor Life Network) □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Oxygen □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

The Science Channel □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Sci-Fi Channel □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Showtime □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

SoapNet □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Spike TV □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Speed Channel □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Starz! □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Style □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Sundance Channel □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

30 1 TV, Movies & Radio

Time Spent Viewing in Last 7 Days Time Period CABLE TELEVISION/ G - 6:00 AM - 9:00 AM L - 7:00 PM - 8:00 PM A - Less than 1 hour D - 5 hours to less than 7 H - 9:00 AM - NOON M - 8:00 PM - 9:00 PM PREMIUM CHANNELS B - 1 hour to less than 3 E - 7 hours to less than 10 I- NOON - 3:00 PM N - 9:00 PM - 11:00 PM C - 3 hours to less than 5 F - 10 hours or more J - 3:00 PM - 5:00 PM O - 11:00 PM - 1:00 AM K - 5:00 PM - 7:00 PM

Viewed in Time Spent Viewing in Last 7 Days Time Period (check as many as apply) Last 7 Days A B C D E F G H I J K L M N O

Superstation WGN □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

TBS Superstation □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

TCM (Turner □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Classic Movies) Weekend □ □ □ □ □ □ □ □ □

TLC (The Learning Channel) □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

TNT (Turner Network Television) □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Toon Disney □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Travel Channel □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

TV Guide Channel □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

TV Land □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

USA Network □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

VH1 (Video Hits One) □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

WE (Women’s □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Entertainment) Weekend □ □ □ □ □ □ □ □ □

The Weather Channel □ □ □ □ □ □ □ Weekday □ □ □ □ □ □ □ □ □ Weekend □ □ □ □ □ □ □ □ □

Other Cable Networks □

If you did not view any cable networks in the last 7 days, please mark this box □

31 TV, Movies & Radio 1

Watched Watched How Much Attention If Last 4 Last 7 Watched in Last 7 Days CABLE PROGRAMS Weeks Days Full Most Some BRAVO Which of the programs listed below did you watch in the last 4 weeks? Blow Out □ □ □ □ □ For each program watched in the last 4 weeks, did you watch the program in Celebrity Poker Showdown □ □ □ □ □ the last 7 days? Hidden Howie □ □ □ □ □ If you watched the program in the last 7 days, how much attention were you paying? Inside the Actors Studio □ □ □ □ □ Queer Eye for the Straight Girl □ □ □ □ □ Watched Watched How Much Attention If Last 4 Last 7 Watched in Last 7 Days Queer Eye for the Straight Guy □ □ □ □ □ Weeks Days Showdog Moms & Dads □ □ □ □ □ Full Most Some Situation: Comedy □ □ □ □ □ A&E Sports Kids Moms and Dads □ □ □ □ □ Airline □ □ □ □ □ The West Wing □ □ □ □ □ American Justice □ □ □ □ □

Biography □ □ □ □ □ CMT Caesar’s 24/ 7 □ □ □ □ □ CMT Inside Fame □ □ □ □ □ City Confidential □ □ □ □ □ CMT Insider □ □ □ □ □ Cold Case Files □ □ □ □ □ CMT Music Awards □ □ □ □ □ Dog the Bounty Hunter □ □ □ □ □ Country’s Most Shocking Moments □ □ □ □ □ Family Plots □ □ □ □ □ Cowboy Cool Theater □ □ □ □ □ The First 48 □ □ □ □ □ Cowboy U □ □ □ □ □ Growing up Gotti □ □ □ □ □ Coyote Ugly □ □ □ □ □ Crossroads □ □ □ □ □ ADULT SWIM (On Cartoon Network) Popularity Contest □ □ □ □ □ Aqua Teen Hunger Force □ □ □ □ □ Top 20 Countdown □ □ □ □ □ The Brak Show □ □ □ □ □

Family Guy □ □ □ □ □ CNBC Futurama □ □ □ □ □ The Big Idea with Donny Deutsch □ □ □ □ □ Harvey Birdman, Attorney at Law □ □ □ □ □ Closing Bell with Maria Bartiromo □ □ □ □ □ InuYasha □ □ □ □ □ Dennis Miller □ □ □ □ □ Lupin the 3rd □ □ □ □ □ Kudlow & Company □ □ □ □ □ Robot Chicken □ □ □ □ □ Mad Money □ □ □ □ □ Sealab 2021 □ □ □ □ □ Morning Call □ □ □ □ □ The Venture Bros. □ □ □ □ □ Power Lunch □ □ □ □ □ Squawk Box □ □ □ □ □ AMC Street Signs □ □ □ □ □ DVD_TV □ □ □ □ □ The Suze Orman Show □ □ □ □ □ Movie Club with John Ridley □ □ □ □ □

Sunday Morning Shootout □ □ □ □ □ CNN American Morning with Soledad ANIMAL PLANET O’Brien and Bill Hemmer □ □ □ □ □ Animal Cops □ □ □ □ □ Anderson Cooper 360° □ □ □ □ □ Austin Stevens: Snakemaster □ □ □ □ □ CNN Live Today □ □ □ □ □ Buggin’ with RUUD □ □ □ □ □ CNN Presents □ □ □ □ □ Corwin’s Quest □ □ □ □ □ Judy Woodruff’s Inside Politics □ □ □ □ □ The Crocodile Hunter □ □ □ □ □ Larry King Live □ □ □ □ □ The Most Extreme □ □ □ □ □ Lou Dobbs Tonight □ □ □ □ □ Mutual of Omaha’s Wild Kingdom □ □ □ □ □ Newsnight with Aaron Brown □ □ □ □ □ Planet’s Funniest Animals □ □ □ □ □ Paula Zahn Now □ □ □ □ □ Ultimate Zoo □ □ □ □ □ Wolf Blitzer Reports □ □ □ □ □ Who Gets the Dog? □ □ □ □ □ COMEDY CENTRAL BET Chappelle’s Show □ □ □ □ □ 106 & Park □ □ □ □ □ Comedy Central Movies □ □ □ □ □ BET Movie of The Week □ □ □ □ □ Comedy Central Stand-Up □ □ □ □ □ BET Style □ □ □ □ □ Con □ □ □ □ □ BET Nightly News □ □ □ □ □ The Daily Show with Jon Stewart □ □ □ □ □ Bobby Jones Gospel □ □ □ □ □ Distraction □ □ □ □ □ Club ComicView □ □ □ □ □ MAD TV □ □ □ □ □ College Hill □ □ □ □ □ RENO 911! □ □ □ □ □ Coming To The Stage □ □ □ □ □ South Park □ □ □ □ □ The Parkers □ □ □ □ □ Stella □ □ □ □ □ Rap City □ □ □ □ □ Continued on next page

32 TV, Movies & Radio

Watched Watched How Much Attention If Watched Watched How Much Attention If Last 4 Last 7 Watched in Last 7 Days Last 4 Last 7 Watched in Last 7 Days Weeks Days Weeks Days Full Most Some Full Most Some COURT TV FOX NEWS CHANNEL Body of Evidence □ □ □ □ □ The Big Story with John Gibson □ □ □ □ □ COPS □ □ □ □ □ Cavuto on Business □ □ □ □ □ Dominick Dunne □ □ □ □ □ Forbes on FOX □ □ □ □ □ Forensic Files □ □ □ □ □ FOX & Friends □ □ □ □ □ I, Detective □ □ □ □ □ FOX Report with Shepard Smith □ □ □ □ □ Impossible Heists □ □ □ □ □ Hannity & Colmes □ □ □ □ □ The Investigators □ □ □ □ □ The O’Reilly Factor □ □ □ □ □ Masterminds □ □ □ □ □ On the Record with Greta Van Susteren Psychic Detectives □ □ □ □ □ □ □ □ □ □ Special Report with Brit Hume Trial Coverage □ □ □ □ □ □ □ □ □ □ Your World with Neil Cavuto □ □ □ □ □

DISCOVERY CHANNEL American Chopper □ □ □ □ □ FUSE 100 Percent Deadliest Catch □ □ □ □ □ □ □ □ □ □ Comp’d The FBI Files □ □ □ □ □ □ □ □ □ □ D’Fused Firehouse USA □ □ □ □ □ □ □ □ □ □ Daily Download Guilty or Innocent? □ □ □ □ □ □ □ □ □ □ Dedicate Live It Takes a Thief □ □ □ □ □ □ □ □ □ □ F-List Monster Garage □ □ □ □ □ □ □ □ □ □ Slave to the Metal Monster House □ □ □ □ □ □ □ □ □ □ Steven’s Untitled Rock Show MythBusters □ □ □ □ □ □ □ □ □ □ Uranium/ Uranium Live Party Planner □ □ □ □ □ □ □ □ □ □ Video IQ □ □ □ □ □ E! 101 Countdown Specials □ □ □ □ □ FX Dr. 90210 □ □ □ □ □ 30 Days □ □ □ □ □ E! News □ □ □ □ □ DVD on TV □ □ □ □ □ The Entertainer □ □ □ □ □ It’s Always Sunny in Philadelphia □ □ □ □ □ Howard Stern □ □ □ □ □ King of the Hill (FX) □ □ □ □ □ It’s Good to Be □ □ □ □ □ NASCAR Drivers 360 □ □ □ □ □ Love Is In the Heir □ □ □ □ □ Nip/ Tuck □ □ □ □ □ Saturday Night Live (SNL) □ □ □ □ □ Over There □ □ □ □ □ The Soup □ □ □ □ □ Rescue Me □ □ □ □ □ E! True Hollywood Story □ □ □ □ □ The Shield □ □ □ □ □ Starved □ □ □ □ □ ESPN

Around the Horn □ □ □ □ □ GSN Baseball Tonight □ □ □ □ □ Celebrity Blackjack □ □ □ □ □ Dream Job □ □ □ □ □ Dog Eat Dog □ □ □ □ □ Outside the Lines □ □ □ □ □ Extreme Dodgeball □ □ □ □ □ Pardon the Interruption □ □ □ □ □ Greed □ □ □ □ □ Sports Reporters □ □ □ □ □ Lingo □ □ □ □ □ SportsCenter □ □ □ □ □ Poker Royale □ □ □ □ □ Tilt □ □ □ □ □ Weakest Link □ □ □ □ □ Who Wants to be a Millionaire? □ □ □ □ □ ESPN 2 Win Ben Stein’s Money □ □ □ □ □ Cold Pizza □ □ □ □ □ World Series of Blackjack □ □ □ □ □ ESPN Hollywood □ □ □ □ □ Fishing/ Outdoors □ □ □ □ □ HALLMARK CHANNEL Friday Night Fights □ □ □ □ □ Collection From Hallmark Hall NBA Fastbreak □ □ □ □ □ of Fame □ □ □ □ □ NBA Nation □ □ □ □ □ Hallmark Movie □ □ □ □ □ NFL Live □ □ □ □ □ Jane Doe □ □ □ □ □ M*A*S*H □ □ □ □ □ ESPN CLASSIC Matlock □ □ □ □ □ Cheap Seats □ □ □ □ □ McBride □ □ □ □ □ Classic Sports Reporters □ □ □ □ □ Mystery Woman □ □ □ □ □ NFL Films □ □ □ □ □ Perry Mason □ □ □ □ □ Reel Classics □ □ □ □ □ Touched by An Angel □ □ □ □ □ SportsCentury □ □ □ □ □ Walker, Texas Ranger □ □ □ □ □

Continued on next page

33 TV, Movies & Radio

Watched Watched How Much Attention If Watched Watched How Much Attention If Last 4 Last 7 Watched in Last 7 Days Last 4 Last 7 Watched in Last 7 Days Weeks Days Weeks Days Full Most Some Full Most Some HBO MTV (continued) Cathouse □ □ □ □ □ Pimp My Ride □ □ □ □ □ The Comeback □ □ □ □ □ Punk’d □ □ □ □ □ Curb Your Enthusiasm □ □ □ □ □ RW/ RR Challenge □ □ □ □ □ Deadwood □ □ □ □ □ Total Request Live (TRL) □ □ □ □ □ Entourage □ □ □ □ □ Trippin □ □ □ □ □ On the Record with Bob Costas □ □ □ □ □ Viva La Bam □ □ □ □ □

Real Time with Bill Maher □ □ □ □ □ NATIONAL GEOGRAPHIC CHANNEL Rome □ □ □ □ □ Air Emergency □ □ □ □ □ Six Feet Under □ □ □ □ □ Explorer □ □ □ □ □ The Sopranos □ □ □ □ □ Is It Real? □ □ □ □ □ Megastructures □ □ □ □ □ THE HISTORY CHANNEL Naked Science Days That Shook the World □ □ □ □ □ □ □ □ □ □ National Geographic Presents Deep Sea Detectives □ □ □ □ □ □ □ □ □ □ Nature’s Nightmares Digging for the Truth □ □ □ □ □ □ □ □ □ □ Seconds from Disaster Full Throttle □ □ □ □ □ □ □ □ □ □ Taboo Mail Call □ □ □ □ □ □ □ □ □ □ Thrill Zone Modern Marvels □ □ □ □ □ □ □ □ □ □ Time Machine □ □ □ □ □ NICK AT NITE UFO Files □ □ □ □ □ The Cosby Show □ □ □ □ □ Wild West Tech □ □ □ □ □ Fatherhood □ □ □ □ □ Fresh Prince of Bel-Air □ □ □ □ □ IFC Full House □ □ □ □ □ At the IFC Center □ □ □ □ □ Hi-Jinks □ □ □ □ □ Cinema Red □ □ □ □ □ Murphy Brown □ □ □ □ □ Dinner for Five □ □ □ □ □ Roseanne □ □ □ □ □ Escape from Hollywood □ □ □ □ □ Who’s the Boss? □ □ □ □ □ Film Fanatic Fridays □ □ □ □ □ Wings □ □ □ □ □ Film School □ □ □ □ □ THE OUTDOOR CHANNEL Independent Spirit Awards □ □ □ □ □ American Rifleman □ □ □ □ □ Night Screen □ □ □ □ □ Championship Bull Riding (CBR) □ □ □ □ □ Pulp Indies □ □ □ □ □ Hunting the Country □ □ □ □ □ Samurai Saturdays □ □ □ □ □ In-Fisherman TV □ □ □ □ □ LIFETIME Inside R/C □ □ □ □ □ Golden Girls □ □ □ □ □ Jim Zumbo Outdoors □ □ □ □ □ Head 2 Toe □ □ □ □ □ Primos’ Truth About Hunting □ □ □ □ □ How Clean is Your House? □ □ □ □ □ Shooting Gallery □ □ □ □ □ I Married a Princess □ □ □ □ □ Ted Nugent Spirit of the Wild □ □ □ □ □ Mad About You □ □ □ □ □ World of Outlaws Sprint Car Racing □ □ □ □ □ Missing □ □ □ □ □ SCI-FI The Nanny □ □ □ □ □ Andromeda □ □ □ □ □ Strong Medicine □ □ □ □ □ Battlestar Galactica □ □ □ □ □ Unsolved Mysteries □ □ □ □ □ Beastmaster □ □ □ □ □ You’re Not the Man I Married □ □ □ □ □ Ghost Hunters □ □ □ □ □ MSNBC Master Blasters □ □ □ □ □ The Abrams Report □ □ □ □ □ SCI-FI Feature Films □ □ □ □ □ Countdown with Keith Olbermann □ □ □ □ □ Stargate Atlantis □ □ □ □ □ Hardball with Chris Matthews □ □ □ □ □ Stargate SG-1 □ □ □ □ □ Headliners and Legends □ □ □ □ □ Tripping the Rift □ □ □ □ □ Imus In the Morning □ □ □ □ □ The Twilight Zone □ □ □ □ □ Meet The Press on MSNBC □ □ □ □ □ SHOWTIME MSNBC at the Movies □ □ □ □ □ The Cell □ □ □ □ □ MSNBC Entertainment Hot List □ □ □ □ □ The L Word □ □ □ □ □ MSNBC Live □ □ □ □ □ Penn & Teller: Bulls**t! □ □ □ □ □ Scarborough Country □ □ □ □ □ Queer As Folk □ □ □ □ □ Weeds □ □ □ □ □ MTV Making the Band □ □ □ □ □ Continued on next page Meet the Barkers □ □ □ □ □ Newlyweds □ □ □ □ □ The Nick Lachey Show □ □ □ □ □

34 TV, Movies & Radio

Watched Watched How Much Attention If Watched Watched How Much Attention If Last 4 Last 7 Watched in Last 7 Days Last 4 Last 7 Watched in Last 7 Days Weeks Days Weeks Days Full Most Some Full Most Some SOAPNET TNT Angel All My Children □ □ □ □ □ □ □ □ □ □ Charmed Beverly Hills 90210 □ □ □ □ □ □ □ □ □ □ The Closer Dallas □ □ □ □ □ □ □ □ □ □ ER Days of Our Lives □ □ □ □ □ □ □ □ □ □ Into the West Dynasty □ □ □ □ □ □ □ □ □ □ Law & Order General Hospital □ □ □ □ □ □ □ □ □ □ NASCAR on TNT Melrose Place □ □ □ □ □ □ □ □ □ □ NBA on TNT One Life to Live □ □ □ □ □ □ □ □ □ □ NYPD Blue Soap Talk □ □ □ □ □ □ □ □ □ □ Without a Trace Soapography □ □ □ □ □ □ □ □ □ □

SPEED CHANNEL TRAVEL CHANNEL Build or Bust □ □ □ □ □ Amazing Vacation Homes □ □ □ □ □ Formula One Events □ □ □ □ □ Anthony Bordain: No Reservations □ □ □ □ □ NASCAR Craftsman Truck Series □ □ □ □ □ Kings of the Road □ □ □ □ □ NASCAR Inside NEXTEL Cup □ □ □ □ □ Made in America □ □ □ □ □ NASCAR Nation □ □ □ □ □ Mysterious Journeys □ □ □ □ □ NASCAR NEXTEL Cup Qualifying □ □ □ □ □ Stranded with Cash Peters □ □ □ □ □ Pinks □ □ □ □ □ Taste of America □ □ □ □ □ Trackside @. . . □ □ □ □ □ Travel Spies □ □ □ □ □ Unique Whips □ □ □ □ □ Weird Travels □ □ □ □ □ Wind Tunnel □ □ □ □ □ World Poker Tour □ □ □ □ □

SPIKE TV TCM (TURNER CLASSIC MOVIES) CSI: Crime Scene Investigation □ □ □ □ □ Darkness After Dawn □ □ □ □ □ The Lance Krall Show □ □ □ □ □ The Essentials □ □ □ □ □ Maximum Exposure □ □ □ □ □ Lone Star Cinema □ □ □ □ □ Most Extreme Elimination Challenge Silent Sunday Nights □ □ □ □ □ (MXC) □ □ □ □ □ Syncopation Station □ □ □ □ □ Trucks! □ □ □ □ □ TCM Imports □ □ □ □ □ The Ultimate Fighter □ □ □ □ □ Untold □ □ □ □ □ TV GUIDE CHANNEL Cover Stories □ □ □ □ □ World’s Wildest Police Videos □ □ □ □ □ Joan and Melissa Rivers on the WWE Entertainment □ □ □ □ □ Red Carpet □ □ □ □ □ Xtreme 4x4 □ □ □ □ □ TV 411 □ □ □ □ □ TBS TV Guide Special □ □ □ □ □ Braves Baseball □ □ □ □ □ TV Talk □ □ □ □ □ Dinner and a Movie □ □ □ □ □ TV LAND Everybody Loves Raymond □ □ □ □ □ The Andy Griffith Show □ □ □ □ □ Family Guy □ □ □ □ □ Bonanza □ □ □ □ □ Friends □ □ □ □ □ Chasing Farrah □ □ □ □ □ Movie and a Makeover □ □ □ □ □ Cheers □ □ □ □ □ Seinfeld □ □ □ □ □ Good Times □ □ □ □ □ Sex and the City □ □ □ □ □ Highway to Heaven □ □ □ □ □ Sunday Prime Movie □ □ □ □ □ Night Court □ □ □ □ □ TBS Movie Extra □ □ □ □ □ Sanford and Son □ □ □ □ □ TLC (THE LEARNING CHANNEL) Three’s Company □ □ □ □ □ Moving Up □ □ □ □ □ Overhaulin’ □ □ □ □ □ USA Property Ladder □ □ □ □ □ The 4400 □ □ □ □ □ Ready, Set, Learn Block of The Dead Zone □ □ □ □ □ Kids’ Programs □ □ □ □ □ JAG □ □ □ □ □ Starting Over □ □ □ □ □ Kojak □ □ □ □ □ Super Agents □ □ □ □ □ Law & Order: Criminal Intent □ □ □ □ □ Town Haul □ □ □ □ □ Law & Order: SVU □ □ □ □ □ Trading Spaces □ □ □ □ □ Made In the USA □ □ □ □ □ What Not to Wear □ □ □ □ □ Medical Investigation □ □ □ □ □ While You Were Out □ □ □ □ □ MONK □ □ □ □ □ USA Prime Movie □ □ □ □ □ Continued on next page

35 TV, Movies & Radio

Watched Watched How Much Attention If VIDEO-ON-DEMAND (VOD) Last 4 Last 7 Watched in Last 7 Days Weeks Days Full Most Some Some cable companies offer Video-On-Demand services, which let you instantly watch VH1 movies, TV shows and more whenever you want with no pre-set start times, for an BSTV □ □ □ □ □ additional cost. You can choose from a list of titles, and start, pause, rewind, fast-forward Driven □ □ □ □ □ what you are watching, similar to a VCR. Fabulous Life Of. . . □ □ □ □ □ I Love the. . . □ □ □ □ □ Please mark if you have ever heard of Video-On-Demand. Please also mark if you would consider using Video-On-Demand services or if you have ever used any Video-On-Demand Kept □ □ □ □ □ services. Motormouth □ □ □ □ □ Movies that Rock □ □ □ □ □ Would The Surreal Life □ □ □ □ □ Consider Heard Of Using Have Used VH1 All Access □ □ □ □ □ □ □ □ VH1 Goes Inside □ □ □ □ □

WE Subscription Video-on-Demand (SVOD) is a service where you pay a monthly subscription Bridezillas □ □ □ □ □ fee to acess all listed VOD movies or programs. Cinematherapy □ □ □ □ □ If your cable company offered Subscription Video-On-Demand for the television channels Full Frontal Fashion □ □ □ □ □ you watch most often, how likely would you be to subscribe to this monthly service? Kiss and Tell □ □ □ □ □

McLeod’s Daughters □ □ □ □ □ Not at all likely □ The Secret Lives of Women □ □ □ □ □ Somewhat likely □ Single In The City □ □ □ □ □ Likely □ Take My Kids, Please! □ □ □ □ □ Very likely □ Three Men and a Chick Flick □ □ □ □ □ Extremely Likely □ Young, Sexy & . . . □ □ □ □ □

TELEVISION HOME SHOPPING CHANNELS LOCAL TV NEWS Do you watch them? Yes No We would like to know more about your local television news viewing, that is, □ □ news you watch to know more about events in your town and surrounding area. IF YES Channels watched in last 3 months and then times bought from each: Have you watched any early or late evening local television news in the last 7 days? Yes No Watched Times bought in last 3 months □ □ Last 3 Months 6 or more 2-5 1 Did not buy IF YES Please indicate which local news you watched. Home Shopping Network (PLEASE DO NOT INCLUDE NATIONAL NETWORK NEWS) (HSN) □ □ □ □ □ Watched Last 7 Days Quality Value Convenience Early Evening Late Evening Channel (QVC) □ □ □ □ □ Local News Local News Shop at Home □ □ □ □ □ (5-7 pm) (9pm - Midnight) ShopNBC □ □ □ □ □ Local News on your ABC Station □ □ Other □ □ □ □ □

Local News on your CBS Station □ □

Local News on your FOX Station □ □ TELEVISION PROGRAM INFORMATION

Local News on your NBC Station □ □ Which of the following do you use for information Local News on your PAX Station □ □ about what’s on TV? Most Also Local News on your Telemundo Station □ □ Often Use

Local News on your Univision Station □ □ TV Guide Magazine □ □ Local Cable Listings Channel □ □ Local News on your UPN Station □ □ Monthly Cable Guide □ □ Local News on your WB Station □ □ Interactive Program Guide □ □ Newspapers □ □ Local News on Other Network/ Station □ □ Sunday TV Magazine □ □ Radio □ □ Internet □ □ Word of Mouth □ □ Other □ □

36 TV, Movies & Radio

TELEVISION VIEWING LAST 5 WEEKDAYS (MONDAY − FRIDAY) We would like to know about your television viewing over the LAST 5 WEEKDAYS, whether you watched or listened at home or away from home.

– Show us when you watched or listened. ˜ Show us which stations you watched or listened to. Anytime you watched or listened to TV over the last 5 weekdays, (Depending on where you live, a bookmark that lists some of the TV even for just a few minutes, please mark an “x” beside the time stations in your area may be enclosed for your reference.) period. (Please include all broadcast/ cable/ satellite TV viewing) • As you fill out your time periods to show when and how much time you watched, mark an “x” in the correct station column to show — Show us how much time you watched or which stations you watched. • For any stations not listed here please mark an “x” in the “Any Other listened. Please mark an “x” in the column that Stations” column. represents the total time you watched/ listened during that time period over the last 5 weekdays. ˜ Mark in your stations here ᮢ ᮢ — VIEWING LAST ᮢ 5 WEEKDAYS – Total Time Watched Over The Last 5 Weekdays

1/2 Hr 1 Hr 2 Hrs Viewed but but but Time In Last Less less less less 4 Hrs Periods 5 than than than than or

Viewed Weekdays 1/2 Hr 1 Hr 2 Hrs 4 Hrs More ABC CBS FOX NBC PAX TELEFUTURA TELEMUNDO UNIVISION UPN WB Any Other Stations

Example □x □ □ □ □x □ XX XX

5-6 AM □ □ □ □ □ □

6-7 AM □ □ □ □ □ □

7-8 AM □ □ □ □ □ □

8-9 AM □ □ □ □ □ □

MORNING 9-10 AM □ □ □ □ □ □

10-11 AM □ □ □ □ □ □

11 AM-Noon □ □ □ □ □ □

Noon-1 PM □ □ □ □ □ □

1-2 PM □ □ □ □ □ □

2-3 PM □ □ □ □ □ □

3-4 PM □ □ □ □ □ □ AFTERNOON 4-5 PM □ □ □ □ □ □

5-5:30 PM □ □ □ □ □ □

5:30-6 PM □ □ □ □ □ □

6-6:30 PM □ □ □ □ □ □

6:30-7 PM

EARLY □ □ □ □ □ □ EVENING 7-7:30 PM □ □ □ □ □ □

7:30-8 PM □ □ □ □ □ □

8-9 PM □ □ □ □ □ □

9-10 PM □ □ □ □ □ □

EVENING 10-11 PM □ □ □ □ □ □

11 PM- Midnight □ □ □ □ □ □

Midnight -1 AM □ □ □ □ □ □

1-2 AM □ □ □ □ □ □ LATE NIGHT

2-5 AM □ □ □ □ □ □

If you did not watch any TV in the last 5 Weekdays, please mark the box. □

37 TV, Movies & Radio

TELEVISION VIEWING LAST WEEKEND (SATURDAY − SUNDAY) We would like to know about your television viewing LAST WEEKEND, whether you watched or listened at home or away from home.

– Show us when you watched or listened. ˜ Show us which stations you watched or listened to. Anytime you watched or listened to TV last Saturday or last (Depending on where you live, a bookmark that lists some of the TV Sunday, even for just a few minutes, please mark an “x” beside stations in your area may be enclosed for your reference.) the time period. (Please include all broadcast/ cable/ satellite TV viewing) • As you fill out your time periods to show when and how much time you watched, mark an “x” in the correct station column to show which stations you watched. — Show us how much time you watched or • For any stations not listed here please mark an “x” in the “Any Other listened. Please mark an “x” in the column that Stations” column. represents the total time you watched/ listened during that time period last weekend. ˜ Mark in your stations here ᮢ

LAST WEEKEND ᮢ VIEWING ᮢ – —

1/2 Hr but Time Viewed Viewed Less less 1 Hr ABC CBS FOX NBC PAX TELEFUTURA TELEMUNDO UNIVISION UPN WB Any Other Stations Periods last last than than or Viewed Saturday Sunday 1/2 Hr 1 Hr More

Example □x □x □ □ □x X X X X

7-8 AM □ □ □ □ □

8-9 AM □ □ □ □ □

9-10 AM □ □ □ □ □

10-11 AM □ □ □ □ □ MORNING

11 AM-Noon □ □ □ □ □

Noon-1 PM □ □ □ □ □

1-2 PM □ □ □ □ □

2-3 PM □ □ □ □ □

3-4 PM □ □ □ □ □ AFTERNOON 4-5 PM □ □ □ □ □

5-6 PM □ □ □ □ □

6-7 PM □ □ □ □ □ EARLY

EVENING 7-8 PM □ □ □ □ □

8-9 PM □ □ □ □ □

9-10 PM □ □ □ □ □

10-11 PM EVENING □ □ □ □ □

11 PM- Midnight □ □ □ □ □

Midnight- 1 AM □ □ □ □ □

LATE NIGHT 1-7 AM □ □ □ □ □

If you did not watch any TV last Weekend, please mark the box. □

38 TV, Movies & Radio

TELEVISION PROGRAMS − DAILY

For the programs you view, how many times a week do you usually watch these programs? Did you watch these programs yesterday, or, if today is Sunday or Monday, did you watch the program on Friday? If you watched any of these programs yesterday, how much attention were you paying?

Number Of Times You View Program In A Week Viewed How Much Attention If Viewed Yesterday Daily Programs 1 2 3 4 5 Yesterday Full Most Some

Early Morning News CBS Morning News □ □ □ □ □ □ □ □ □ Early Today (NBC) □ □ □ □ □ □ □ □ □ World News This Morning (ABC) □ □ □ □ □ □ □ □ □

Early Morning Programs The Early Show (CBS) □ □ □ □ □ □ □ □ □ Good Morning America (ABC) □ □ □ □ □ □ □ □ □ Today Show (NBC) □ □ □ □ □ □ □ □ □

Daytime All My Children (ABC) □ □ □ □ □ □ □ □ □ As the World Turns (CBS) □ □ □ □ □ □ □ □ □ The Bold and the Beautiful (CBS) □ □ □ □ □ □ □ □ □ Days of our Lives (NBC) □ □ □ □ □ □ □ □ □ General Hospital (ABC) □ □ □ □ □ □ □ □ □ Guiding Light (CBS) □ □ □ □ □ □ □ □ □

One Life to Live (ABC) □ □ □ □ □ □ □ □ □ Passions (NBC) □ □ □ □ □ □ □ □ □ The Price is Right (CBS) □ □ □ □ □ □ □ □ □ Today II (NBC) □ □ □ □ □ □ □ □ □ The View (ABC) □ □ □ □ □ □ □ □ □ The Young and the Restless (CBS) □ □ □ □ □ □ □ □ □

Early Evening Weekday News Programs ABC World News Tonight with Peter Jennings □ □ □ □ □ □ □ □ □ CBS Evening News □ □ □ □ □ □ □ □ □ NBC Nightly News with Brian Williams □ □ □ □ □ □ □ □ □ The News Hour with Jim Lehrer (PBS) □ □ □ □ □ □ □ □ □ Nightly Business Report (PBS) □ □ □ □ □ □ □ □ □

Late Night Shows CBS Up To The Minute □ □ □ □ □ □ □ □ □ Charlie Rose (PBS) □ □ □ □ □ □ □ □ □ Jimmy Kimmel Live (ABC) □ □ □ □ □ □ □ □ □ Last Call with Carson Daly (NBC) □ □ □ □ □ □ □ □ □ Late Late Show with Craig Ferguson (CBS) □ □ □ □ □ □ □ □ □

Late Night with Conan O’Brien (NBC) □ □ □ □ □ □ □ □ □ Late Show with David Letterman (CBS) □ □ □ □ □ □ □ □ □ Nightline (ABC) □ □ □ □ □ □ □ □ □ The Tonight Show with Jay Leno (NBC) □ □ □ □ □ □ □ □ □ World News Now (ABC) □ □ □ □ □ □ □ □ □

39 TV, Movies & Radio

TELEVISION PROGRAMS − ONCE A WEEK

For the programs you view, how many times a month do you usually watch these programs? Did you watch these programs in the last 7 days? If you watched any of these programs in the last 7 days, how much attention were you paying?

Number Of Times You View Program In A Month Viewed How Much Attention If Viewed in Last 7 Days Once a Week Programs 1 2 3 4 Last 7 Days Full Most Some

20/20 (ABC) □ □ □ □ □ □ □ □ 24 (FOX) □ □ □ □ □ □ □ □ 48 Hours Investigates (CBS) □ □ □ □ □ □ □ □ 60 Minutes Sunday (CBS) □ □ □ □ □ □ □ □ 60 Minutes Wednesday (CBS) □ □ □ □ □ □ □ □ 7th Heaven (WB) □ □ □ □ □ □ □ □ 8 Simple Rules (ABC) □ □ □ □ □ □ □ □

ABC Monday Movie □ □ □ □ □ □ □ □ ABC Monday Night Football □ □ □ □ □ □ □ □ ABC Saturday Movie □ □ □ □ □ □ □ □ ABC Sunday Movie □ □ □ □ □ □ □ □ ABC Thursday Movie □ □ □ □ □ □ □ □ Access Hollywood (Weekend) □ □ □ □ □ □ □ □ According to Jim (ABC) □ □ □ □ □ □ □ □ Alan Alda in Scientific American Frontiers (PBS) □ □ □ □ □ □ □ □ Alias (ABC) □ □ □ □ □ □ □ □ Alias (Other Stations, Not ABC) □ □ □ □ □ □ □ □

All of Us (UPN) □ □ □ □ □ □ □ □ The Amazing Race (CBS) □ □ □ □ □ □ □ □ American Dad (FOX) □ □ □ □ □ □ □ □ American Dreams (NBC) □ □ □ □ □ □ □ □ American Experience (PBS) □ □ □ □ □ □ □ □ American Idol (FOX) □ □ □ □ □ □ □ □ American Princess (PAX) □ □ □ □ □ □ □ □ America’s Funniest Home Videos (ABC) □ □ □ □ □ □ □ □ America’s Funniest Home Videos (PAX) □ □ □ □ □ □ □ □ America’s Most Talented Kids (PAX) □ □ □ □ □ □ □ □

America’s Most Wanted (FOX) □ □ □ □ □ □ □ □ America’s Next Top Model (UPN) □ □ □ □ □ □ □ □ Andromeda □ □ □ □ □ □ □ □ Angel (Weekend) □ □ □ □ □ □ □ □ Animal Atlas □ □ □ □ □ □ □ □ Animal Rescue □ □ □ □ □ □ □ □ Animal Tails (PAX) □ □ □ □ □ □ □ □ Antiques Roadshow (PBS) □ □ □ □ □ □ □ □ The Apprentice (NBC) □ □ □ □ □ □ □ □ Arrested Development (FOX) □ □ □ □ □ □ □ □ Athens (FOX) □ □ □ □ □ □ □ □ Average Joe: Makeover (NBC) □ □ □ □ □ □ □ □

The Bachelor (ABC) □ □ □ □ □ □ □ □ The Bachelorette (ABC) □ □ □ □ □ □ □ □ Bad Girl’s Guide (UPN) □ □ □ □ □ □ □ □ The Bernie Mac Show (FOX) □ □ □ □ □ □ □ □ Big Brother (CBS) □ □ □ □ □ □ □ □ Blind Date (Weekend) □ □ □ □ □ □ □ □ Blind Justice (ABC) □ □ □ □ □ □ □ □ Blue Collar TV (WB) □ □ □ □ □ □ □ □ Bob Vila’s Home Again □ □ □ □ □ □ □ □ Boss Swap (ABC) □ □ □ □ □ □ □ □ Boston Legal (ABC) □ □ □ □ □ □ □ □ Brat Camp (ABC) □ □ □ □ □ □ □ □ Buffy The Vampire Slayer (Weekend) □ □ □ □ □ □ □ □

Continued on next page

40 TV, Movies & Radio

Number Of Times You View Program In A Month Viewed How Much Attention If Viewed in Last 7 Days Once a Week Programs 1 2 3 4 Last 7 Days Full Most Some

Candid Camera (PAX) □ □ □ □ □ □ □ □ CBS Sunday Movie □ □ □ □ □ □ □ □ Celebrity Justice (Weekend) □ □ □ □ □ □ □ □ Charmed (WB) □ □ □ □ □ □ □ □ The Chris Matthews Show □ □ □ □ □ □ □ □ Cold Case (CBS) □ □ □ □ □ □ □ □ Cold Turkey (PAX) □ □ □ □ □ □ □ □ Cold Turkey 2 (PAX) □ □ □ □ □ □ □ □ Committed (NBC) □ □ □ □ □ □ □ □ The Contender (NBC) □ □ □ □ □ □ □ □

COPS (FOX) □ □ □ □ □ □ □ □ COPS 2 (FOX) □ □ □ □ □ □ □ □ Crime Time Saturday (CBS) □ □ □ □ □ □ □ □ Crossing Jordan (NBC) □ □ □ □ □ □ □ □ CSI: Crime Scene Investigation (CBS) □ □ □ □ □ □ □ □ CSI: Crime Scene Investigation (Weekend) □ □ □ □ □ □ □ □ CSI: Miami (CBS) □ □ □ □ □ □ □ □ CSI: New York (CBS) □ □ □ □ □ □ □ □ The Cut with Tommy Hilfiger (CBS) □ □ □ □ □ □ □ □ Cuts (UPN) □ □ □ □ □ □ □ □

Dateline NBC Friday □ □ □ □ □ □ □ □ Dateline NBC Sunday □ □ □ □ □ □ □ □ Desperate Housewives (ABC) □ □ □ □ □ □ □ □ Dharma & Greg (Weekend) □ □ □ □ □ □ □ □ Diagnosis Murder (PAX) □ □ □ □ □ □ □ □ Diagnosis Murder Movie (PAX) □ □ □ □ □ □ □ □ DOC (PAX) □ □ □ □ □ □ □ □

Early Edition (PAX) □ □ □ □ □ □ □ □ Ebert & Roeper □ □ □ □ □ □ □ □ Elimidate (Weekend) □ □ □ □ □ □ □ □ Entertainment Tonight (Weekend) □ □ □ □ □ □ □ □ ER (NBC) □ □ □ □ □ □ □ □ ER (Weekend) □ □ □ □ □ □ □ □ Eve (UPN) □ □ □ □ □ □ □ □ Everwood (WB) □ □ □ □ □ □ □ □ Everybody Loves Raymond (CBS) □ □ □ □ □ □ □ □ Everybody Loves Raymond (Weekend) □ □ □ □ □ □ □ □ Extra (Weekend) □ □ □ □ □ □ □ □ Extreme Fakeover (PAX) □ □ □ □ □ □ □ □ Extreme Makeover (ABC) □ □ □ □ □ □ □ □ Extreme Makeover: Home Edition (ABC) □ □ □ □ □ □ □ □ Extreme Makeover: Home Edition How’d They Do That? (ABC) □ □ □ □ □ □ □ □ Eyes (ABC) □ □ □ □ □ □ □ □

Faith Under Fire (PAX) □ □ □ □ □ □ □ □ Family Guy (FOX) □ □ □ □ □ □ □ □ Famous Homes and Hideaways □ □ □ □ □ □ □ □ Fear Factor (NBC) □ □ □ □ □ □ □ □ Field Trip □ □ □ □ □ □ □ □ Friends (Weekend) □ □ □ □ □ □ □ □ Frontline (PBS) □ □ □ □ □ □ □ □

George Lopez (ABC) □ □ □ □ □ □ □ □ George Michael’s Sports Machine □ □ □ □ □ □ □ □ Gilmore Girls (WB) □ □ □ □ □ □ □ □ Girlfriends (UPN) □ □ □ □ □ □ □ □ Great Performances (PBS) □ □ □ □ □ □ □ □ Grey’s Anatomy (ABC) □ □ □ □ □ □ □ □

Continued on next page

41 TV, Movies & Radio

Number Of Times You View Program In A Month Viewed How Much Attention If Viewed in Last 7 Days Once a Week Programs 1 2 3 4 Last 7 Days Full Most Some

Half & Half (UPN) □ □ □ □ □ □ □ □ Hells Kitchen (FOX) □ □ □ □ □ □ □ □ Hometime (PBS) □ □ □ □ □ □ □ □ Hope & Faith (ABC) □ □ □ □ □ □ □ □ House (FOX) □ □ □ □ □ □ □ □ House Quest (ABC) □ □ □ □ □ □ □ □ Husband Swap (ABC) □ □ □ □ □ □ □ □

I Want to Be a Hilton (NBC) □ □ □ □ □ □ □ □ The Inside (FOX) □ □ □ □ □ □ □ □ Inside Edition (Weekend) □ □ □ □ □ □ □ □ The Insider (Weekend) □ □ □ □ □ □ □ □ It’s a Miracle (PAX) □ □ □ □ □ □ □ □

Jack & Bobby (WB) □ □ □ □ □ □ □ □ Jack Hanna’s Animal Adventure □ □ □ □ □ □ □ □ JAG (CBS) □ □ □ □ □ □ □ □ Jake in Progress (ABC) □ □ □ □ □ □ □ □ Joan of Arcadia (CBS) □ □ □ □ □ □ □ □ Joey (NBC) □ □ □ □ □ □ □ □ Jonny Zero (FOX) □ □ □ □ □ □ □ □ Judging Amy (CBS) □ □ □ □ □ □ □ □ Just Shoot Me (Weekend) □ □ □ □ □ □ □ □

Kelsey Grammer Sketch Show (FOX) □ □ □ □ □ □ □ □ Kevin Hill (UPN) □ □ □ □ □ □ □ □ The King of Queens (CBS) □ □ □ □ □ □ □ □ The King of Queens (Weekend) □ □ □ □ □ □ □ □ King of the Hill (FOX) □ □ □ □ □ □ □ □ Kojak (NBC) □ □ □ □ □ □ □ □

Larry Sanders □ □ □ □ □ □ □ □ Las Vegas (NBC) □ □ □ □ □ □ □ □ Law & Order (NBC) □ □ □ □ □ □ □ □ Law & Order: Criminal Intent (NBC) □ □ □ □ □ □ □ □ Law & Order: Special Victims Unit (NBC) □ □ □ □ □ □ □ □ Law & Order: Trial By Jury (NBC) □ □ □ □ □ □ □ □ The Law Firm (NBC) □ □ □ □ □ □ □ □ Less Than Perfect (ABC) □ □ □ □ □ □ □ □ Lie Detector (PAX) □ □ □ □ □ □ □ □ Life on a Stick (FOX) □ □ □ □ □ □ □ □ Listen Up (CBS) □ □ □ □ □ □ □ □ Living With Fran (WB) □ □ □ □ □ □ □ □ Lost (ABC) □ □ □ □ □ □ □ □

Malcolm in the Middle (FOX) □ □ □ □ □ □ □ □ MarketWatch □ □ □ □ □ □ □ □ Mary Higgins Clark Mystery Movie (PAX) □ □ □ □ □ □ □ □ Masterpiece Theatre (PBS) □ □ □ □ □ □ □ □ Maximum Exposure □ □ □ □ □ □ □ □ Medical Investigation (NBC) □ □ □ □ □ □ □ □ Medium (NBC) □ □ □ □ □ □ □ □ Meet Mr. Mom (NBC) □ □ □ □ □ □ □ □ MGM Movie Night (PAX) □ □ □ □ □ □ □ □ Miracle Pets (PAX) □ □ □ □ □ □ □ □ Model Citizens (PAX) □ □ □ □ □ □ □ □ Motor Week (PBS) □ □ □ □ □ □ □ □ Mutant X □ □ □ □ □ □ □ □ My Wife and Kids (ABC) □ □ □ □ □ □ □ □ Mystery! (PBS) □ □ □ □ □ □ □ □

Continued on next page

42 TV, Movies & Radio

Number Of Times You View Program In A Month Viewed How Much Attention If Viewed in Last 7 Days Once a Week Programs 1 2 3 4 Last 7 Days Full Most Some

Nature (PBS) □ □ □ □ □ □ □ □ NBC Sports Special □ □ □ □ □ □ □ □ NBC Sportsworld Saturday □ □ □ □ □ □ □ □ NBC Sportsworld Sunday □ □ □ □ □ □ □ □ NCIS (CBS) □ □ □ □ □ □ □ □ The New This Old House Hour (PBS) □ □ □ □ □ □ □ □ New Yankee Workshop (PBS) □ □ □ □ □ □ □ □ North Shore (FOX) □ □ □ □ □ □ □ □ NOVA (PBS) □ □ □ □ □ □ □ □ NOW (PBS) □ □ □ □ □ □ □ □ NUMB3RS (CBS) □ □ □ □ □ □ □ □ NYPD Blue (ABC) □ □ □ □ □ □ □ □

The O.C. (FOX) □ □ □ □ □ □ □ □ The Office (NBC) □ □ □ □ □ □ □ □ One on One (UPN) □ □ □ □ □ □ □ □ One Tree Hill (WB) □ □ □ □ □ □ □ □ The Outer Limits □ □ □ □ □ □ □ □

Pet Keeping with Marc Marrone □ □ □ □ □ □ □ □ Point Pleasant (FOX) □ □ □ □ □ □ □ □ The Practice (Weekend) □ □ □ □ □ □ □ □ Primetime Live (ABC) □ □ □ □ □ □ □ □ Pyramid (Weekend) □ □ □ □ □ □ □ □

Quintuplets (FOX) □ □ □ □ □ □ □ □

Reba (WB) □ □ □ □ □ □ □ □ Rebecca’s Garden □ □ □ □ □ □ □ □ Religion & Ethics Newsweekly (PBS) □ □ □ □ □ □ □ □ Remarkable Journey □ □ □ □ □ □ □ □ Renovate My Family (FOX) □ □ □ □ □ □ □ □ Revelations (NBC) □ □ □ □ □ □ □ □ Road Rules □ □ □ □ □ □ □ □ Road to Stardom with Missy Elliott (UPN) □ □ □ □ □ □ □ □ Rodney (ABC) □ □ □ □ □ □ □ □ Ron Hazelton’s House Calls □ □ □ □ □ □ □ □

Safari Tracks □ □ □ □ □ □ □ □ The Scholar (ABC) □ □ □ □ □ □ □ □ Scrubs (NBC) □ □ □ □ □ □ □ □ Second Verdict (PAX) □ □ □ □ □ □ □ □ Seinfeld (Weekend) □ □ □ □ □ □ □ □ She Spies □ □ □ □ □ □ □ □ Showtime at the Apollo □ □ □ □ □ □ □ □ Simple Life 3 (FOX) □ □ □ □ □ □ □ □ The Simpsons (FOX) □ □ □ □ □ □ □ □ Smallville (WB) □ □ □ □ □ □ □ □ Soul Train □ □ □ □ □ □ □ □ Star Trek: Enterprise (UPN) □ □ □ □ □ □ □ □ Stargate: Atlantis □ □ □ □ □ □ □ □ Stargate: SG-1 □ □ □ □ □ □ □ □ Steve Harvey’s Big Time (WB) □ □ □ □ □ □ □ □ Still Standing (CBS) □ □ □ □ □ □ □ □ Sue Thomas: F.B. Eye (PAX) □ □ □ □ □ □ □ □ Summerland (WB) □ □ □ □ □ □ □ □ Supernanny (ABC) □ □ □ □ □ □ □ □ Survivor (CBS) □ □ □ □ □ □ □ □

Continued on next page

43 TV, Movies & Radio

Number Of Times You View Program In A Month Viewed How Much Attention If Viewed in Last 7 Days Once a Week Programs 1 2 3 4 Last 7 Days Full Most Some

That ’70s Show (FOX) □ □ □ □ □ □ □ □ That ’70s Show (Weekend) □ □ □ □ □ □ □ □ Third Watch (NBC) □ □ □ □ □ □ □ □ This Old House □ □ □ □ □ □ □ □ To the Contrary (PBS) □ □ □ □ □ □ □ □ Tommy Lee Goes to College (NBC) □ □ □ □ □ □ □ □ Tony Brown’s Journal (PBS) □ □ □ □ □ □ □ □ Trading Spouses (FOX) □ □ □ □ □ □ □ □ Twilight Zone □ □ □ □ □ □ □ □ Two and a Half Men (CBS) □ □ □ □ □ □ □ □

Unexplained Mysteries □ □ □ □ □ □ □ □ Universal Family Movie (PAX) □ □ □ □ □ □ □ □ US Farm Report □ □ □ □ □ □ □ □

Veronica Mars (UPN) □ □ □ □ □ □ □ □ Victory Garden (PBS) □ □ □ □ □ □ □ □

Walker, Texas Ranger □ □ □ □ □ □ □ □ The Wall Street Journal Report □ □ □ □ □ □ □ □ Wall Street Week with FORTUNE (PBS) □ □ □ □ □ □ □ □ Washington Week (PBS) □ □ □ □ □ □ □ □ The WB Thursday Movie □ □ □ □ □ □ □ □ The West Wing (NBC) □ □ □ □ □ □ □ □ The West Wing (Weekend) □ □ □ □ □ □ □ □ What I Like About You (WB) □ □ □ □ □ □ □ □ Wheel of Fortune (Weekend) □ □ □ □ □ □ □ □ Wife Swap (ABC) □ □ □ □ □ □ □ □

Will & Grace (NBC) □ □ □ □ □ □ □ □ Will & Grace (Weekend) □ □ □ □ □ □ □ □ Without a Trace (CBS) □ □ □ □ □ □ □ □ The Wonderful World of Disney (ABC) □ □ □ □ □ □ □ □ World Cup Comedy (PAX) □ □ □ □ □ □ □ □ WWE Smackdown! (UPN) □ □ □ □ □ □ □ □

The X-Files (Weekend) □ □ □ □ □ □ □ □ Yes, Dear (CBS) □ □ □ □ □ □ □ □ Young Blades (PAX) □ □ □ □ □ □ □ □ Your Total Health □ □ □ □ □ □ □ □

44 TV, Movies & Radio

Number Of Times You View Program In A Month Viewed How Much Attention If Viewed in Last 7 Days Once a Week Programs 1 2 3 4 Last 7 Days Full Most Some

Early Evening Weekend News Programs ABC World News − Saturday □ □ □ □ □ □ □ □ ABC World News − Sunday □ □ □ □ □ □ □ □ CBS Saturday News □ □ □ □ □ □ □ □ CBS Evening News − Sunday □ □ □ □ □ □ □ □ NBC Nightly News − Saturday □ □ □ □ □ □ □ □ NBC Nightly News − Sunday □ □ □ □ □ □ □ □

Weekend News/ Information Programs CBS Face the Nation □ □ □ □ □ □ □ □ CBS Saturday Early Show □ □ □ □ □ □ □ □ CBS Sunday Morning □ □ □ □ □ □ □ □ FOX News Sunday □ □ □ □ □ □ □ □ Good Morning America: Weekend Edition (ABC) □ □ □ □ □ □ □ □ Meet the Press (NBC) □ □ □ □ □ □ □ □ This Week with George Stephanopoulos (ABC) □ □ □ □ □ □ □ □ Saturday Today (NBC) □ □ □ □ □ □ □ □ Sunday Today (NBC) □ □ □ □ □ □ □ □

Late Night Weekend Programs MADtv (FOX) □ □ □ □ □ □ □ □ Saturday Night Live (NBC) □ □ □ □ □ □ □ □

TELEVISION PROGRAMS − MONDAY - FRIDAY

For the programs you view, how many times a week do you usually watch the following programs? Did you watch the program yesterday (or, if today is Sunday or Monday, did you watch the program on Friday)? If you watched the program yesterday, how much attention were you paying?

Number Of Times You View Program In A Week Viewed How Much Attention If Viewed Yesterday Monday Through Friday Programs 1 2 3 4 5 Yesterday Full Most Some

The 700 Club □ □ □ □ □ □ □ □ □

A Different World □ □ □ □ □ □ □ □ □ Access Hollywood □ □ □ □ □ □ □ □ □ Ambush Makeover □ □ □ □ □ □ □ □ □ America’s Funniest Home Videos (PAX) □ □ □ □ □ □ □ □ □

Balderdash (PAX) □ □ □ □ □ □ □ □ □ Becker □ □ □ □ □ □ □ □ □ Blind Date □ □ □ □ □ □ □ □ □ Celebrity Justice □ □ □ □ □ □ □ □ □

COPS □ □ □ □ □ □ □ □ □ Cosby □ □ □ □ □ □ □ □ □ The Cosby Show □ □ □ □ □ □ □ □ □

Dharma & Greg □ □ □ □ □ □ □ □ □ Divorce Court □ □ □ □ □ □ □ □ □ Dr. Phil □ □ □ □ □ □ □ □ □ The Drew Carey Show □ □ □ □ □ □ □ □ □

Elimidate □ □ □ □ □ □ □ □ □ Ellen □ □ □ □ □ □ □ □ □ Entertainment Tonight □ □ □ □ □ □ □ □ □ Everybody Loves Raymond □ □ □ □ □ □ □ □ □ Extra □ □ □ □ □ □ □ □ □

Continued on next page

45 TV, Movies & Radio

Number Of Times You View Program In A Week Viewed How Much Attention If Viewed Yesterday Monday Through Friday Programs 1 2 3 4 5 Yesterday Full Most Some

Family Feud (PAX) □ □ □ □ □ □ □ □ □ Family Feud (Other Stations, Not PAX) □ □ □ □ □ □ □ □ □ Family Matters □ □ □ □ □ □ □ □ □ Fear Factor □ □ □ □ □ □ □ □ □ The Fifth Wheel □ □ □ □ □ □ □ □ □ Frasier □ □ □ □ □ □ □ □ □ Fresh Prince of Bel-Air □ □ □ □ □ □ □ □ □ Friends □ □ □ □ □ □ □ □ □

Girlfriends □ □ □ □ □ □ □ □ □ Good Day Live □ □ □ □ □ □ □ □ □ Grace Under Fire □ □ □ □ □ □ □ □ □

Home Delivery □ □ □ □ □ □ □ □ □ Home Improvement □ □ □ □ □ □ □ □ □

Inside Edition □ □ □ □ □ □ □ □ □ The Insider □ □ □ □ □ □ □ □ □

Jamie Foxx □ □ □ □ □ □ □ □ □ The Jane Pauley Show □ □ □ □ □ □ □ □ □ Jeopardy! □ □ □ □ □ □ □ □ □ The Jerry Springer Show □ □ □ □ □ □ □ □ □ Judge Hatchett □ □ □ □ □ □ □ □ □ Judge Joe Brown □ □ □ □ □ □ □ □ □ Judge Judy □ □ □ □ □ □ □ □ □ Judge Mathis □ □ □ □ □ □ □ □ □ Just Shoot Me □ □ □ □ □ □ □ □ □

The King of Queens □ □ □ □ □ □ □ □ □ King of the Hill □ □ □ □ □ □ □ □ □

Larry Elder □ □ □ □ □ □ □ □ □ Life and Style □ □ □ □ □ □ □ □ □ Live with Regis and Kelly □ □ □ □ □ □ □ □ □

M*A*S*H □ □ □ □ □ □ □ □ □ Mad About You □ □ □ □ □ □ □ □ □ Malcolm & Eddie □ □ □ □ □ □ □ □ □ Malcolm in the Middle □ □ □ □ □ □ □ □ □ Married With Children □ □ □ □ □ □ □ □ □ Martin □ □ □ □ □ □ □ □ □ Maury □ □ □ □ □ □ □ □ □ The Montel Williams Show □ □ □ □ □ □ □ □ □ My Wife and Kids □ □ □ □ □ □ □ □ □

The Nanny □ □ □ □ □ □ □ □ □ The New Shop ’Til You Drop (PAX) □ □ □ □ □ □ □ □ □

On The Cover (PAX) □ □ □ □ □ □ □ □ □ The Oprah Winfrey Show □ □ □ □ □ □ □ □ □

The Parkers □ □ □ □ □ □ □ □ □ Pat Croce: Moving In □ □ □ □ □ □ □ □ □ People’s Court □ □ □ □ □ □ □ □ □ Pyramid (PAX) □ □ □ □ □ □ □ □ □ Pyramid (Other Stations, Not PAX) □ □ □ □ □ □ □ □ □

Continued on next page

46 TV, Movies & Radio

Number Of Times You View Program In A Week Viewed How Much Attention If Viewed Yesterday Monday Through Friday Programs 1 2 3 4 5 Yesterday Full Most Some

Ricki Lake □ □ □ □ □ □ □ □ □ Ripley’s Believe It Or Not □ □ □ □ □ □ □ □ □ Roseanne □ □ □ □ □ □ □ □ □

Sabrina: The Teenage Witch □ □ □ □ □ □ □ □ □ Seinfeld □ □ □ □ □ □ □ □ □ The Simpsons □ □ □ □ □ □ □ □ □ Spin City □ □ □ □ □ □ □ □ □ Starting Over □ □ □ □ □ □ □ □ □ The Steve Harvey Show □ □ □ □ □ □ □ □ □ Street Smarts □ □ □ □ □ □ □ □ □

Texas Justice □ □ □ □ □ □ □ □ □ That ’70s Show □ □ □ □ □ □ □ □ □ The Tony Danza Show □ □ □ □ □ □ □ □ □

The Wayans Bros. □ □ □ □ □ □ □ □ □ Wheel of Fortune □ □ □ □ □ □ □ □ □ Who Wants to be a Millionaire? □ □ □ □ □ □ □ □ □ Will & Grace □ □ □ □ □ □ □ □ □

Yes, Dear □ □ □ □ □ □ □ □ □

If you did not watch TV in the last 7 days, please mark this box □

47 TV, Movies & Radio

SPECIAL PROGRAMS AND EVENTS ON TELEVISION

For each of the following special programs and special events on television, please mark Watched the Plan to Last Time it Watch Next if you watched it the last time it was shown on television. Was Shown Time Shown

For the next time it is shown, please mark whether you plan to watch it. Macy’s 4th of July Fireworks (NBC) □ □ Macy’s Thanksgiving Day Parade (NBC) □ □ Watched the Plan to Last Time it Watch Next Mickey’s Christmas Carol (ABC) □ □ Was Shown Time Shown Miss Teen USA Pageant (NBC) □ □ A Home for the Holidays (CBS) □ □ Miss Universe Pageant (NBC) □ □ A Scooby-Doo Christmas (WB) □ □ Miss USA Pageant (NBC) □ □ A Scooby-Doo Halloween (WB) □ □ MTV Movie Awards □ □ Academy of Country Music Awards (CBS) □ □ MTV Video Music Awards □ □ American Film Institute (AFI) Specials (CBS) □ □ American Music Awards (ABC) □ □ NAACP Image Awards (FOX) □ □ The Annual Academy Awards (ABC) □ □ New Year’s Special (FOX) □ □ Nick & Jessica Specials (ABC) □ □ The Bachelor: Women Tell All Special (ABC) □ □ Nick-At-Nite Holiday Special □ □ The Bachelorette: After The Final Rose Special (ABC)□ □ Barbara Walters Specials (ABC) □ □ Oprah Winfrey Presents (ABC) □ □ Billboard Music Awards (FOX) □ □

People’s Choice Awards (CBS) □ □ CBS Kennedy Center Awards □ □ Peter Jennings Reporting (ABC) □ □ CBS Thanksgiving Day Parade □ □ Price is Right Primetime Specials (CBS) □ □ CBS Tournament of Roses Parade □ □ Primetime Emmy Awards □ □ A Celebration for the Troops at Ford’s Theater (ABC) □ □ Rudolph the Red-Nosed Reindeer (CBS) □ □ Celebrity A-List Bloopers (ABC) □ □ Charlie Brown Specials (ABC) □ □ Samantha: An American Girl Holiday (WB) □ □ Christmas in Rockefeller Center (NBC) □ □ Saturday Night Live Specials (NBC) □ □ The Christmas Secret (CBS) □ □ Smucker’s Stars on Ice (CBS) □ □ Coming Up Roses (CBS) □ □ Snowden’s Christmas (CBS) □ □ Countdown to the Oscars (ABC) □ □ Soap Opera Digest Awards □ □ Country Music Association Awards (CBS) □ □ The Story of Santa Claus (CBS) □ □ The Critics Choice Awards (WB) □ □ Survivor: The Reunion (CBS) □ □

Daytime Emmy Awards (ABC) □ □ Teen Choice Awards (FOX) □ □ Dick Clark’s New Years Rockin’ Eve (ABC) □ □ Teen Choice Presents Summer Music Mania (FOX) □ □ Dr. Seuss’ How The Grinch Stole Christmas (ABC) □ □ The Ten Commandments (ABC) □ □ Tony Awards (CBS) □ □ The Eagles in Australia (NBC) □ □ Tournament of Roses Parade (NBC) □ □ Essence Awards (FOX) □ □ Town Without Christmas (CBS) □ □ Extreme Makeover: Wedding Edition (ABC) □ □ TV Guide: Greatest Moments (ABC) □ □ TV Land Awards Show □ □ Fiesta Bowl Parade □ □ Frosty Returns (CBS) □ □ Walt Disney Specials (ABC) □ □ Frosty the Snowman (CBS) □ □ Walt Disney World Christmas Day Parade (ABC) □ □ The WB’s Halloween Outtakes □ □ Golden Globe Awards (NBC) □ □ The WB’s Outrageous Outtakes 2 □ □ Grammy Awards (CBS) □ □ Westminster Dog Show (USA Network) □ □ Grandma Got Run Over by a Reindeer (WB) □ □ Winnie the Pooh Specials (ABC) □ □ The Grinch Who Stole Christmas (WB) □ □ The Wizard of Oz (WB) □ □ World Ice Challenge (CBS) □ □ Hallmark Hall of Fame (CBS) □ □ Harry Potter (ABC) □ □

Ice Wars (CBS) □ □ InStyle Weddings (ABC) □ □ John Stossel Specials (ABC) □ □ Katie at Night (NBC) □ □ Latin Grammy Awards (CBS) □ □

48 TV, Movies & Radio

SPORTS WATCHED − REGULAR/ SEASONAL Viewed in Number of Times Last 12 Viewed in Last 12 Months Months 1 2 3 4 or more Which of the following programs have you viewed in the last 12 months?

For the programs you view, how many times in the last 12 months did you watch Football these programs? ABC College Football Games □ □ □ □ □ Viewed in Number of Times CBS College Football Today (Pre-Game Last 12 Viewed in Last 12 Months Show) □ □ □ □ □ Months 1 2 3 4 or more CBS SEC College Football Games □ □ □ □ □ Auto/ Motor Racing ESPN/ ESPN2 College Football Games □ □ □ □ □ CART □ □ □ □ □ NBC Notre Dame Football □ □ □ □ □ Drag Racing NHRA □ □ □ □ □ Other College Football Games □ □ □ □ □ INDY − IRL □ □ □ □ □ ACC College Football □ □ □ □ □ Motor/ Arena Cross □ □ □ □ □ SEC College Football □ □ □ □ □ NASCAR Busch Series □ □ □ □ □ ABC NFL Pre-Season Games □ □ □ □ □ NASCAR Craftsman Truck Series □ □ □ □ □ CBS NFL Pre-Season Games □ □ □ □ □ NASCAR NEXTEL Cup Series □ □ □ □ □ ESPN NFL Pre-Season Games □ □ □ □ □ NASCAR NEXTEL Cup Series Happy Hour □ □ □ □ □ FOX NFL Pre-Season Games □ □ □ □ □ NASCAR NEXTEL Cup Series Qualifying □ □ □ □ □ CBS NFL Today (Pre-Game Show) □ □ □ □ □ NASCAR TV on Speed Channel □ □ □ □ □ ESPN NFL Countdown (Pre-Game Show) □ □ □ □ □ ESPN NFL Primetime (Pre-Game Show) □ □ □ □ □ FOX NFL Sunday Pre-Game Show □ □ □ □ □ Baseball ABC NFL Monday Night Football □ □ □ □ □ ESPN MLB Regular Season Games □ □ □ □ □ CBS NFL Regular Season Games □ □ □ □ □ ESPN2 MLB Regular Season Games □ □ □ □ □ ESPN NFL Regular Season Games □ □ □ □ □ FOX MLB Saturday Baseball Pre-Game □ □ □ □ □ FOX NFL Regular Season Games □ □ □ □ □ FOX MLB Saturday Baseball □ □ □ □ □ NBC AFL Arena Football □ □ □ □ □ FOX MLB Saturday Baseball Post-Game □ □ □ □ □ Other MLB Regular Season Games □ □ □ □ □ This Week in Baseball □ □ □ □ □ Golf PGA Tour □ □ □ □ □ LPGA Tour □ □ □ □ □ Basketball Champions Tour □ □ □ □ □ ABC Men’s College Basketball Games □ □ □ □ □ CBS Men’s College Basketball Games □ □ □ □ □ ESPN Men’s College Basketball Games □ □ □ □ □ Hockey ESPN2 Men’s College Basketball Games □ □ □ □ □ ABC NHL Hockey Regular Season Other Men’s College Basketball Games □ □ □ □ □ Games □ □ □ □ □ ESPN/ ESPN2 Women’s College ESPN/ ESPN2 NHL Hockey Regular Basketball Games □ □ □ □ □ Season Games □ □ □ □ □ Other Women’s College Basketball Games □ □ □ □ □ Other NHL Regular Season □ □ □ □ □

ACC College Basketball □ □ □ □ □ Other Sports SEC College Basketball □ □ □ □ □ Bicycling □ □ □ □ □ NBA Inside Stuff (ABC) □ □ □ □ □ Bowling □ □ □ □ □ ABC NBA Regular Season Games □ □ □ □ □ Boxing □ □ □ □ □ ESPN/ ESPN2 NBA Regular Season Games □ □ □ □ □ Extreme Sports □ □ □ □ □ TNT NBA Regular Season Games □ □ □ □ □ Figure Skating □ □ □ □ □ La NBA en Telemundo □ □ □ □ □ Fishing □ □ □ □ □ Other NBA Regular Season Games □ □ □ □ □ Gymnastics □ □ □ □ □ WNBA Regular Season Games □ □ □ □ □ Horse Racing □ □ □ □ □ MLS Regular Season Games □ □ □ □ □ Rodeo □ □ □ □ □ Pro Bull Riding □ □ □ □ □ Men’s Tennis □ □ □ □ □ Women’s Tennis □ □ □ □ □ Track & Field □ □ □ □ □ Pro Volleyball □ □ □ □ □ WWE on Spike TV (Raw) □ □ □ □ □ WWE on UPN (Smackdown!) □ □ □ □ □ Other WWE □ □ □ □ □

49 TV, Movies & Radio

The Last Time It SPECIAL SPORTS PROGRAMS AND EVENTS ON TELEVISION Was Shown Plan to I I Watched Watch For each of the following special sports programs and events on television, please mark if Watched Outside Next Time At Home My Home Shown you watched it the last time it was shown and if so, if you watched it at home or outside Football (continued) your home. NBC Gator Bowl □ □ □ For each of the following special sports programs and events, do you plan to watch it theCBS Sun Bowl □ □ □ next time it is shown? NBC AFL Arena Football Playoffs □ □ □ The Last Time It Was Shown NBC AFL Arena Bowl □ □ □ Plan to I I Watched Watch ABC NFL Playoffs □ □ □ Watched Outside Next Time At Home My Home Shown CBS NFL Playoffs □ □ □ Auto Racing FOX NFL Playoffs □ □ □ Brickyard 400 − NASCAR □ □ □ Other NFL Playoffs □ □ □ Bud Shootout − NASCAR □ □ □ ABC NFL Pro Bowl □ □ □ Daytona 500 − NASCAR □ □ □ NFL Super Bowl □ □ □ Pepsi 400 (Daytona) − NASCAR □ □ □ ACC Championship Game □ □ □ NASCAR NEXTEL All-Star Challenge □ □ □ SEC Championship Game □ □ □ Indy 500 − IRL □ □ □ Marlboro 500 − CART □ □ □ Golf UAW Daimler Chrysler 400 − NASCAR □ □ □ The President’s Cup □ □ □ Samsung/ Radio Shack 500 − NASCAR □ □ □ Skins Game □ □ □ Auto Club 500 − NASCAR □ □ □ Ryder Cup □ □ □ Aaron’s 499 − NASCAR □ □ □ British Open □ □ □ Tropicana 400 − NASCAR □ □ □ PGA Championship □ □ □ Sirius 400 − NASCAR □ □ □ LPGA Tour Championship □ □ □ The Players Championship □ □ □ Baseball The Masters □ □ □ ABC Little League World Series □ □ □ US Open □ □ □ NCAA College World Series □ □ □ US Women’s Open □ □ □ FOX MLB All-Star Game □ □ □ ESPN MLB Divisional Series □ □ □ Horse Racing FOX MLB Divisional Series □ □ □ Belmont Stakes □ □ □ FOX MLB American League Championship Series □ □ □ Kentucky Derby □ □ □ FOX MLB National League Championship Series □ □ □ Preakness Stakes □ □ □ FOX MLB World Series □ □ □ Tennis Basketball French Open □ □ □ CBS NCAA Men’s Basketball Tournament □ □ □ US Open (USA Network) □ □ □ ESPN/ ESPN2 NCAA Women’s Basketball US Open Men’s (CBS) □ □ □ Tournament □ □ □ US Open Women’s (CBS) □ □ □ CBS NCAA Men’s Basketball Championship Game □ □ □ Wimbledon □ □ □ ESPN NCAA Women’s Basketball Championship Game □ □ □ Soccer ESPN/ ESPN2 Men’s Conference Basketball MLS Cup Playoffs/ Finals □ □ □ Championship Games □ □ □ Men’s World Cup − Soccer (Copa Mundial) □ □ □ Other Men’s Conference Basketball Championship Games □ □ □ Women’s World Cup − Soccer (Copa Mundial) □ □ □ TNT NBA All-Star Game □ □ □ Copa América (Telefutura/ Univision) □ □ □ ABC WNBA All-Star Game □ □ □ Copa de Oro (Telefutura/ Univision) □ □ □ TNT NBA All-Star Skills Competition □ □ □ Copa Sudamérica □ □ □ ACC Championship □ □ □ Copa Libertadores □ □ □ SEC Championship □ □ □ Rumbo al Mundial (Telemundo) □ □ □ ABC NBA Playoffs □ □ □ Other Soccer □ □ □

ESPN/ ESPN2 NBA Playoffs □ □ □ Other Sports TNT NBA Playoffs □ □ □ Championship Boxing □ □ □ ESPN/ ESPN2 WNBA Playoffs □ □ □ Summer Olympics □ □ □ ABC NBA Finals □ □ □ Winter Olympics □ □ □ ABC WNBA Finals □ □ □ Wide World of Sports Specials □ □ □ Football Tour de France □ □ □ ABC Big 12 Championship □ □ □ NCAA Outdoor Track & Field Championships □ □ □ ABC Florida Citrus Bowl □ □ □ CBS Sports Spectacular □ □ □ ABC Fiesta Bowl □ □ □ NCAA Women’s Gymnastics Championships □ □ □ ABC Orange Bowl □ □ □ US Gymnastics Championships □ □ □ ABC Rose Bowl □ □ □ Poker Championships □ □ □ ABC Sugar Bowl □ □ □ NBC Bayou Classic □ □ □ FOX Cotton Bowl □ □ □

50 TV, Movies & Radio

SPORTS EVENTS SPORTS INTEREST

For each of the following sports, please mark if you watch it on television occasionally orCheck how interested you are right now in the following frequently, if you have ever listened to it on the radio, or if you have ever attended thatsports: type of sporting event. A Little Not Watch on Television Listen Very Somewhat Bit at All Occasionally Frequently on Radio Attend Bowling □ □ □ Arena Football League (AFL) □ □ □ □ Boxing □ □ □ □ CART Racing □ □ □ □ College Basketball Regular Season □ □ □ □ College Baseball □ □ □ □ College Basketball Post Season □ □ □ □ College Basketball □ □ □ □ NBA Basketball Regular Season □ □ □ □ College Football □ □ □ □ NBA Basketball Post Season □ □ □ □ College Hockey □ □ □ □ Horse Racing □ □ □ □ WNBA Basketball Regular Season □ □ □ □ INDY Racing (IRL) □ □ □ □ WNBA Basketball Post Season □ □ □ □ Major League Baseball (MLB) □ □ □ □ Arena Football □ □ □ □ Major League Soccer (MLS) □ □ □ □ College Football Regular Season □ □ □ □ Men’s Tennis □ □ □ □ College Football Post Season □ □ □ □ Women’s Tennis □ □ □ □ NFL Football Regular Season □ □ □ □ NASCAR Racing □ □ □ □ NFL Football Post Season □ □ □ □ NASCAR NEXTEL Cup Series □ □ □ □ Fishing □ □ □ NASCAR Busch Series □ □ □ □ College Baseball □ □ □ □ NASCAR Craftsman Truck Series □ □ □ □ National Basketball Association MLB Baseball Regular Season □ □ □ □ (NBA) □ □ □ □ MLB Baseball Post Season □ □ □ □ Women’s National Basketball MLS Soccer □ □ □ □ Association (WNBA) □ □ □ □ World Cup Soccer □ □ □ □ National Football League (NFL) □ □ □ □ Other Soccer □ □ □ □ National Hockey League (NHL) □ □ □ □ Summer Olympics □ □ □ □ NHL Hockey Regular Season □ □ □ □ Winter Olympics □ □ □ □ NHL Hockey Post Season □ □ □ □ PGA □ □ □ □ Summer Olympics □ □ □ □ LPGA □ □ □ □ Winter Olympics □ □ □ □ Rodeo □ □ □ □ Figure Skating □ □ □ Pro Bull Riding □ □ □ □ PGA □ □ □ Poker Championships □ □ □ □ LPGA □ □ □ Soccer □ □ □ □ Champions Tour □ □ □ WWE □ □ □ □ Horse Racing □ □ □ CART Racing □ □ □ Indy Racing □ □ □ □ Monster Truck Racing □ □ □

Tractor and Truck Pulling □ □ □ NASCAR NEXTEL Cup Series □ □ □ □ NASCAR Busch Series □ □ □ □ NASCAR Craftsman Truck Series □ □ □ □

Arenacross □ □ □ Supercross □ □ □ Open Wheel Racing □ □ □ Rodeo □ □ □ Skiing □ □ □

Men’s Tennis □ □ □ Women’s Tennis □ □ □ Track & Field □ □ □ Volleyball □ □ □ Weightlifting □ □ □ WWE □ □ □ X-Games □ □ □ □ Gravity Games □ □ □ National Dog Show □ □ □

51 TV, Movies & Radio

MOVIE ATTENDANCE MOVIE VIEWING

Did you attend the movies Yes No Have you seen any of the following movies either at a movie theater, on rented/ purchased video cassettes, DVDs or in the last 6 months? □ □ Pay-Per-View/ Video-On-Demand? Saw at Have Rented/ Have Have Saw on Movie Purchased Rented Purchased Pay-Per-View/ IF YES Movie Title Theater on VHS on DVD on DVD Video-On-Demand About how many times did you go to the movies in the The Amityville Horror □ □ □ □ □ last 90 days and about how many times did you go in the The Aviator □ □ □ □ □ last 30 days? Last Last Batman Begins □ □ □ □ □ 90 30 Days Days Be Cool □ □ □ □ □ 6 or more □ □ Beauty Shop □ □ □ □ □ 5 □ □ The Bourne Supremacy □ □ □ □ □ 4 □ □ Cinderella Man □ □ □ □ □ 3 □ □ Dodgeball: A True Underdog Story □ □ □ □ □ 2 □ □ Fantastic Four □ □ □ □ □ 1 □ □ Fat Albert □ □ □ □ □ None □ □ The Forgotten □ □ □ □ □

IF ATTENDED MOVIES IN LAST 6 MONTHS Friday Night Lights □ □ □ □ □ Names of Movie Theaters Visited: Guess Who □ □ □ □ □ Hitch □ □ □ □ □ Most Also Often Visited I, Robot □ □ □ □ □ AMC □ □ Ice Princess □ □ □ □ □ Carmike □ □ The Incredibles □ □ □ □ □ Century □ □ The Interpreter □ □ □ □ □ Cinemark □ □ The Island □ □ □ □ □ Cineplex Odeon □ □ Kingdom of Heaven □ □ □ □ □ General Cinema □ □ Hoyts □ □ Lemony Snicket’s A Series of Unfortunate Events □ □ □ □ □ Loews □ □ Little Black Book □ □ □ □ □ Magic Johnson Theatres □ □ The Longest Yard □ □ □ □ □ Muvico □ □ Madagascar □ □ □ □ □ National Amusements □ □ Meet the Fockers □ □ □ □ □ Pacific □ □ Mr. 3000 □ □ □ □ □ Regal Cinemas □ □ Miss Congeniality 2 □ □ □ □ □ United Artists (UA) □ □ Monster in Law □ □ □ □ □ Other Movie Theater □ □ Mr. & Mrs. Smith □ □ □ □ □ Ocean’s Twelve □ □ □ □ □ Do you usually pay attention to the name of the movie theaters you visit? The Pacifier □ □ □ □ □ Yes No The Phantom of the Opera □ □ □ □ □ □ □ The Polar Express □ □ □ □ □ The Princess Diaries 2: Royal Engagement □ □ □ □ □ Do you usually see a new movie: Raise Your Voice □ □ □ □ □ Opening weekend □ Ray □ □ □ □ □ After opening weekend but Ring 2 □ □ □ □ □ within the first two weeks □ Robots □ □ □ □ □ After the second week □ Shall We Dance? □ □ □ □ □ Shark Tale □ □ □ □ □ What type of movie do you usually see:

Action/ Adventure □ Sin City □ □ □ □ □ Comedy □ Sky Captain & World of Tomorrow □ □ □ □ □ Documentary □ Spider-Man 2 □ □ □ □ □ Drama □ The SpongeBob SquarePants Movie □ □ □ □ □ Family □ Star Wars: Episode III □ □ □ □ □ Foreign Language/ Independent □ Super Babies: Baby Geniuses 2 □ □ □ □ □ Horror □ Taxi □ □ □ □ □ Mystery/ Suspense/ Thriller □ The Weather Man □ □ □ □ □ Romantic Comedy □ Wimbledon □ □ □ □ □ Science Fiction □ XXX: State of the Union □ □ □ □ □ Other □

52 TV, Movies & Radio

RADIO LISTENING − LAST 7 DAYS

We would like to know about the radio stations that you heard in the last 7 days, even for just a few minutes. This includes listening at home, in a car, at work, or some other place.

Please write in: Last 5 Weekdays (Monday-Friday) Last Weekend (Saturday-Sunday) Call Letters or Dial AM FM Radio Radio Position or Slogan 6 AM - 10 AM 3 PM - 7 PM - Midnight 6 AM - 10 AM 3 PM - 7 PM - Midnight- ↓ 10 AM - 3 PM 7 PM Midnight 6 AM 10 AM - 3 PM 7 PM Midnight 6 AM

WRGH □ □x □x □ □ □ □ □ □x □x □ □x

KSAP □x □ □ □x □x □ □x □ □x □ □x □ Country 102.3 □ □x □x □EXAMPLE □x □x □ □x □ □ □x □ 1310 □x □ □x □x □ □ □ □x □ □ □ □

PLEASE START HERE. To help you, a bookmark that lists many of the radio stations in your area may be enclosed. Please review it.

Please write in all of the stations For each station, please tell us For each station, please tell us 1 that you heard in the last 7 days, 2when you heard that station 3 when you heard that station even for just a few minutes. In over the last 5 weekdays over the last weekend each blank box, please write in the call (Monday-Friday). Mark an “X” for (Saturday-Sunday). Mark an “X” letters or dial position or slogan of the each time period that you listened, for each time period that you station you heard. Mark an “X” for AM even for just a few minutes. listened, even for just a few Radio or FM Radio. minutes.

ᮢ ᮢ ᮢ ᮢ

Please write in: Last 5 Weekdays (Monday-Friday) Last Weekend (Saturday-Sunday) AM FM Call Letters or Dial Radio Radio Position or Slogan 6 AM - 10 AM 3 PM - 7 PM - Midnight- 6 AM - 10 AM 3 PM - 7 PM - Midnight- ↓ 10 AM - 3 PM 7 PM Midnight 6 AM 10 AM - 3 PM 7 PM Midnight 6 AM

□□□□□□□□□□□□

□□□□□□□□□□□□

□□□□□□□□□□□□

□□□□□□□□□□□□

□□□□□□□□□□□□

□□□□□□□□□□□□

□□□□□□□□□□□□

□□□□□□□□□□□□

I did not listen to any radio: □ in the last 5 weekdays (Monday-Friday) □ last weekend (Saturday-Sunday)

53 TV, Movies & Radio

RADIO LISTENING − (continued)

What is the total time you listened to radio during each of the following time periods over the last 5 weekdays (Monday-Friday) and also over the last weekend (Saturday-Sunday)?

Total Time Spent Listening − by Time Period

Last 5 Weekdays (Monday-Friday) Last Weekend (Saturday-Sunday)

6 AM - 10 AM 3 PM - 7 PM - Midnight- 6 AM - 10 AM 3 PM - 7 PM - Midnight- 10 AM - 3 PM 7 PM Midnight 6 AM 10 AM - 3 PM 7 PM Midnight 6 AM

Less than 1/2 Hour □ □ □ □ □ □ □ □ □ □

1/2 Hour but less than 1 Hour □ □ □ □ □ □ □ □ □ □

1 Hour but less than 2 Hours □ □ □ □ □ □ □ □ □ □

2 Hours but less than 4 Hours □ □ □ □ □ □ □ □ □ □

4 Hours but less than 6 Hours □ □ □ □ □ □ □ □ □ □

6 Hours but less than 8 Hours □ □ □ □ □ □ □ □ □ □

8 Hours or More □ □ □ □ □ □ □ □ □ □

Of all the radio stations that you listened to in the last 7 days, which radio station is your favorite?

AM FM Radio Radio

□ □

(Please write in call letters or slogan or dial position)

SATELLITE RADIO MUSIC CHOICE

Do you personally own or plan to buy a satellite radio Music Choice is a service available through cable or satellite TV. Music Choice system in the next 12 months? provides more than 50 channels of commercial free music 24 hours a day. Listeners can select from a wide variety of formats such as rock, rap, country,

Plan to Buy gospel, blues, jazz, classical and more. in Next Own 12 Months Sirius □ □ XM □ □

IF OWN Where do you listen to satellite radio? Have you listened to or watched a Music Choice channel on cable or satellite TV Most Also in the last 30 days? Yes No Often Listen □ □ Car/ Vehicle □ □ Home □ □ Have you listened to or watched a Music Choice channel on cable or satellite TV Work □ □ in the last 7 days? Yes No School □ □ □ □ Other □ □

54 TRAVEL Travel

Places visited on each trip: Last 3 Years Where did you stay Last 3 Years TRAVEL AGENT SERVICES Last Trip Other Trips Last Trip Other Trips overnight? Did you use a travel agent in Yes No Central or South America Hotel, Motel or Similar the last 12 months? Paraguay □ □ □ □ Paid Accommodation □ □ Peru □ □ All-Inclusive Resort □ □ Uruguay □ □ PASSPORTS Friends and Relatives □ □ Venezuela □ □ Do you own a valid passport Other Place □ □ Other Central & South (issued or reissued within the Yes No American Countries □ □ Year of each trip: last 10 years)? □ □ 2005 □ □ Europe 2004 □ □ FOREIGN TRAVEL IN LAST 3 YEARS Belgium □ □ 2003 □ □ France □ □ Have you taken any trips outside the United States in 2002 □ □ Germany □ □ the last 3 years? (Count trips to Canada or Mexico only 2001 or earlier □ □ Greece □ □ if you stayed overnight. Do not count any travel for Holland/ The Netherlands □ □ military purposes while in the military service.) Amount you spent in total on each trip: Ireland □ □ Yes No Italy □ □ □ □ $5,000 or more □ □ Portugal □ □ IF YES $3,000 - $4,999 □ □ Russia □ □ How many round trips did you take, in total, in $1,500 - $2,999 □ □ Scandinavia (Norway, Sweden, the last 3 years and of these, how many were Less than $1,500 □ □ Denmark, Finland) □ □ made by plane: Spain □ □ Total Total How did you travel? Round Round Switzerland □ □ Trips Trips (Please mark all types of transport used.) All Types by Plane United Kingdom (England, Scotland, Wales) □ □ 4 or more □ □ Car □ □ Other Western 3 □ □ European Countries □ □ Boat/ Ship □ □ 2 □ □ Other Eastern Bus □ □ 1 □ □ European Countries □ □ Motorcycle □ □ Plane □ □ Of the total round trips made by plane, how Mexico/ Caribbean Railroad □ □ many were for business and how many were Bahamas □ □ Recreational Vehicle □ □ for vacation/ personal reasons? Bermuda □ □

Number of Round Cuba □ □ If by plane, on which airline(s) did you fly? Trips by Plane Vacation/ Dominican Republic □ □ Business Personal Jamaica □ □ Aeroméxico □ □ Air Canada 4 or more □ □ Mexico □ □ □ □ Air France 3 □ □ Puerto Rico □ □ □ □ Alitalia 2 □ □ U.S. Virgin Islands □ □ □ □ American Airlines 1 □ □ Other Caribbean Countries □ □ □ □ British Airways None □ □ □ □ Other Countries Cathay Pacific □ □ To answer the following questions think about all Canada □ □ Continental Airlines □ □ foreign round trips taken in the last 3 years. Israel □ □ Delta □ □ Other Middle East □ □ El Al □ □ Places visited on each trip: Last 3 Years China □ □ Last Trip Other Trips Frontier □ □ Hong Kong □ □ Central or South America Japan (JAL) □ □ India □ □ Argentina □ □ Korean Air □ □ Japan □ □ Bolivia □ □ Lufthansa □ □ Other Asian Countries □ □ Brazil □ □ Mexicana □ □ Australia/ New Zealand □ □ Chile □ □ Northwest Airlines □ □ African Countries □ □ Colombia □ □ Quantas Airways □ □ Costa Rica □ □ Singapore Airlines □ □ Was each trip primarily for business (paid for by Ecuador □ □ United Airlines □ □ company), or vacation/ personal reasons? El Salvador □ □ US Airways □ □ Guatemala □ □ Business Only □ □ Virgin Atlantic □ □ Honduras □ □ Business & Pleasure □ □ Other Airlines □ □ Nicaragua □ □ Accompanying Spouse Panama □ □ on Business □ □ Vacation □ □ Personal (Excluding Vacation) □ □

56 Travel

What state was the primary destination of DOMESTIC TRAVEL IN LAST Where did you stay overnight? the trip? 12 MONTHS Last 12 Months Last Trip Other Trips Last 12 Months Have you taken any trips over 100 miles (one way) Hotel, Motel or Similar Last Trip Other Trips within the 50 states in the last 12 months? Paid Accommodation □ □ Tennessee (TN) □ □ (Do not include travel to work each day or travel for All-Inclusive Resort □ □ Texas (TX) □ □ military purposes while in the military service.) Public or Private Campground □ □ Utah (UT) □ □ Yes No Friends & Relatives □ □ Vermont (VT) □ □ □ □ Other Place □ □ Virginia (VA) □ □ IF YES Washington (WA) □ □ How many round trips did you take, in total, in Amount spent in total on each trip: the last 12 months, and how many of these were West Virginia (WV) □ □ $1,000 or more □ □ Wisconsin (WI) □ □ made by plane? Of the total round trips taken, how $500 - $999 □ □ Wyoming (WY) □ □ many did you stay overnight? $300 - $499 □ □ Total Round Total Round Stayed How did you travel? Trips Trips Overnight Less than $300 □ □ All Types by Plane All Types (Please mark all types of transport used.) 11 or more □ □ □ What state was the primary destination of Car □ □ 6 - 10 □ □ □ the trip? 3 - 5 □ □ □ Boat/ Ship □ □ Alabama (AL) □ □ 2 □ □ □ Bus □ □ Alaska (AK) □ □ 1 □ □ □ Motorcyle □ □ Arizona (AZ) □ □ None □ □ □ Plane □ □ Arkansas (AR) □ □ Railroad □ □ California (CA) □ □ Of the total round trips made by plane, how many Recreational Vehicle □ □ Colorado (CO) □ □ were for business and how many for vacation/ Other Truck □ □ Connecticut (CT) □ □ personal reasons? Delaware (DE) □ □ Number of Round If by plane, on which airline(s) did you fly? Trips by Plane District of Columbia (DC) □ □ Vacation/ Florida (FL) □ □ Business Personal AirTran Airways □ □ Georgia (GA) □ □ Alaska □ □ 11 or more □ □ Hawaii (HI) □ □ America West □ □ 6 - 10 □ □ Idaho (ID) □ □ American Airlines □ □ 3 - 5 □ □ Illinois (IL) □ □ ATA □ □ 2 □ □ Indiana (IN) □ □ Continental Airlines □ □ 1 □ □ Iowa (IA) □ □ Delta □ □ None □ □ Kansas (KS) □ □ Frontier □ □ Kentucky (KY) □ □ JetBlue Airways □ □ For the following questions, include all domestic Louisiana (LA) □ □ Northwest Airlines □ □ round trips taken in the last 12 months, not just Maine (ME) □ □ Southwest Airlines □ □ airline trips. Maryland (MD) □ □ Spirit Airlines □ □ Massachusetts (MA) □ □ United Airlines □ □ Was each trip, primarily for business (paid for by Michigan (MI) □ □ US Airways □ □ company), or vacation/ personal reasons? Minnesota (MN) □ □ Other Airlines □ □ Last 12 Months Mississippi (MS) □ □ Last Trip Other Trips Missouri (MO) □ □ FREQUENT FLYER PROGRAMS Business Only □ □ Montana (MT) □ □ Business & Pleasure □ □ Nebraska (NE) □ □ Are you currently enrolled Yes No Accompanying Spouse Nevada (NV) □ □ on Business □ □ in any frequent flyer programs? □ □ New Hampshire (NH) □ □ Vacation □ □ New Jersey (NJ) □ □ Personal (Excluding Vacation) □ □ IF YES New Mexico (NM) □ □ Which frequent flyer programs are you New York (NY) □ □ Number of nights spent away from home on currently enrolled in? North Carolina (NC) □ □ each trip: Alaska □ North Dakota (ND) □ □ America West □ Ohio (OH) □ □ 11 or more □ □ American Airlines □ Oklahoma (OK) □ □ 6 - 10 □ □ Continental Airlines □ Oregon (OR) □ □ 3 - 5 □ □ Delta □ Pennsylvania (PA) □ □ 2 □ □ Northwest Airlines □ Rhode Island (RI) □ □ 1 □ □ Southwest Airlines □ South Carolina (SC) □ □ None □ □ United Airlines □ South Dakota (SD) □ □ US Airways □ Other □

57 Travel

CRUISE SHIP VACATION Number of times visited in last 12 months: For For Vacation/ Business Personal 6 or Have you taken one or more Yes No More 3-5 1-2 Hampton Inn □ □ within the last 3 years? □ □ Disney World (FL) Hilton □ □ Animal Kingdom □ □ □ Hilton Garden Inn □ □ IF YES Epcot □ □ □ Holiday Inn □ □ To what area(s) did the cruise ship(s) travel? Magic Kingdom □ □ □ Holiday Inn Express □ □ Alaska □ MGM □ □ □ Howard Johnson’s □ □ Bahamas □ Disneyland (CA) □ □ □ Hyatt □ □ Other Caribbean Destination(s) □ Dorney Park & Wild Water InterContinental Hotels Kingdom (PA) □ □ □ □ □ Hawaii □ La Quinta Great America (CA) □ □ □ □ □ Mediterranean □ Marriott Knott’s Berry Farm (CA) □ □ □ □ □ Other European Destination(s) □ Marriott Residence Inn Nickelodeon Studios (FL) □ □ □ □ □ Mexico □ Motel 6 Paramount Parks □ □ □ □ □ South America/ Panama Canal □ Quality Inn Sea World □ □ □ □ □ Other □ Radisson Silver Dollar City (MO) □ □ □ □ □ Ramada Six Flags □ □ □ □ □ Cruise lines used: Red Roof Inns Universal Studios (CA) □ □ □ □ □ Carnival □ Renaissance Universal Studios (FL) □ □ □ □ □ Celebrity □ Ritz − Carlton Water Country USA (VA) □ □ □ □ □ Crystal □ Sheraton Waterworld (TX) □ □ □ □ □ Cunard Cruises □ SpringHill Suites Wet N’Wild (FL) □ □ □ □ □ Disney □ Super 8 Motels Other □ □ □ □ □ Holland America □ Travelodge □ □ Norwegian □ HOTELS & MOTELS W Hotels □ □ Orient Lines □ Westin □ □ Princess □ Have you stayed overnight at a hotel or motel in the Wyndham Hotels □ □ United States for business or for vacation/ personal Radisson Seven Seas □ Other hotels or motels □ □ Royal Caribbean □ reasons in the last 12 months? Yes No Other □ □ □ VEHICLE RENTAL IF YES Do you rent vehicles for business or personal reasons? Number of cruises taken in the last 3 years: Are you currently enrolled in any hotel frequent guest programs? Yes No Yes No 3 or more □ □ □ □ □ 2 □ IF YES 1 □ How many nights did you stay in a hotel or motel Number of times you rented a vehicle for for business in the last 12 months? How many nights business or personal use in last 12 months:

RESORT VISITS did you stay for vacation/ personal reasons? Business Personal For For Vacation/ 12 or more □ □ Have you stayed at any of the following types of resorts Business Personal 5 - 11 □ □ in the last 12 months? (Please mark as many as apply) 3 - 4 11 or more □ □ □ □ 6 - 10 2 □ □ Golf/ Tennis □ □ □ 3 - 5 1 □ □ Skiing/ Winter Sports □ □ □ 1 - 2 None □ □ Spa/ Exercise/ Weight Loss □ □ □ None Water Sports/ Beach Activities □ □ □ For each of the following car rental companies, please Other Type of Resort □ mark the number of times you rented a car in the For each hotel/ motel you stayed at in the None □ last 12 months. Also please indicate if you belong to last 12 months, please mark if you stayed for business any car rental priority privilege programs/ clubs for the and if you stayed for personal/ vacation reasons. companies listed: THEME PARKS Belong to Times in Last 12 Months (INCLUDING WATER PARKS) For For Vacation/ Privilege Business Personal 5 or Program/ More 3-4 1-2 0 Club Did you visit any in Yes No Baymont Inn & Suites □ □ the last 12 months? Alamo □ □ □ □ □ □ □ Best Western □ □ Avis □ □ □ □ □ IF YES Comfort Inn □ □ Budget □ □ □ □ □ Number of times visited in last 12 months: Country Inns & Suites □ □ Dollar □ □ □ □ □ 6 or Courtyard by Marriott □ □ Enterprise □ □ □ □ □ More 3-5 1-2 Crowne Plaza Hotels □ □ Adventure Island (FL) Hertz □ □ □ □ □ □ □ □ Days Inn □ □ Astroworld (TX) National □ □ □ □ □ □ □ □ Doubletree □ □ Busch Gardens (FL) Thrifty □ □ □ □ □ □ □ □ Econo Lodge □ □ Busch Gardens (VA) Other □ □ □ □ □ □ □ □ Embassy Suites □ □ Cedar Point (OH) □ □ □ Fairfield Inn □ □ Dollywood (TN) □ □ □ Fairmont Hotels □ □

58 FOOD & DRINKS Food & Drinks

CHEWING GUM/ BUBBLE GUM BREATH MINTS/ STRIPS Mark the number of servings (bars, individual size packs, portions) you ate in the last 30 days.(Only for Yes No Yes No each brand you eat). Do you use them? □ □ Do you chew it? □ □ 5 or more 3-4 1-2 None

IF YES Most Also IF YES Most Also Hershey’s Krackel □ □ □ □ Types you chew: Often Chew Types you use: Often Use Hershey’s Milk Chocolate □ □ □ □ Sugarless Sugarless □ □ □ □ Hershey’s Mr. Goodbar □ □ □ □ Regular Regular □ □ □ □ Hershey’s Nuggets □ □ □ □ Dental Gum □ □ Hershey’s Pot of Gold □ □ □ □ Mark the number of rolls or packs used in the last 30 days(Only for each brand you use). Hershey’s S’mores □ □ □ □ Flavors you chew: Other Hershey’s □ □ □ □ Cinnamon □ □ 5 or more 3-4 1-2 None Jolly Ranchers □ □ □ □ Fruit Flavors □ □ Junior Mints □ □ □ □ Original/ Bubble Gum □ □ Altoids □ □ □ □ Kit Kat □ □ □ □ Peppermint □ □ Breath Savers □ □ □ □ Laffy Taffy □ □ □ □ Spearmint □ □ Certs □ □ □ □ Life Savers Candy □ □ □ □ Wintergreen/ Winterfresh □ □ Eclipse Breath Mints □ □ □ □ M&M’s □ □ □ □ Other □ □ Eclipse Flash Strips □ □ □ □ Mars Bar □ □ □ □ Ice Breakers □ □ □ □ Mentos □ □ □ □ Mark the number of pieces you chewed in the Life Savers □ □ □ □ Milk Duds □ □ □ □ last 7 days(Only for each brand you chew). Listerine Cool Mint □ □ □ □ Milky Way □ □ □ □ Mentos □ □ □ □ 8 or Mounds □ □ □ □ more 4-7 1-3 None Skittles □ □ □ □ Nestlé Crunch □ □ □ □ Altoids Chewing Gum Smint □ □ □ □ □ □ □ □ Nestlé Toll House Candy Bars □ □ □ □ Aquafresh Dental Gum Tic Tac □ □ □ □ □ □ □ □ Nestlé Treasures □ □ □ □ Arm & Hammer Dental Care Velamints □ □ □ □ □ □ □ □ NutRageous □ □ □ □ Bazooka Other Brands □ □ □ □ □ □ □ □ Pay Day □ □ □ □ Big League Chew □ □ □ □ Raisinets □ □ □ □ Bubble Tape CHOCOLATE & HARD ROLL CANDY □ □ □ □ Reese’s Fast Break □ □ □ □ Bubble Yum Yes No □ □ □ □ Reese’s Peanut Butter Cups □ □ □ □ Bubblicious Do you eat them? □ □ □ □ □ □ Reese’s Pieces □ □ □ □ Carefree □ □ □ □ Reese’s Reese Sticks □ □ □ □ Carefree Koolerz IF YES □ □ □ □ Riesen □ □ □ □ Mark the number of servings (bars, individual size Chiclets □ □ □ □ Rolo □ □ □ □ packs, portions) you ate in the last 30 days.(Only for Cinn*A*Burst □ □ □ □ Skittles □ □ □ □ Clorets each brand you eat). □ □ □ □ Skor □ □ □ □ Dentyne Ice □ □ □ □ 5 or more 3-4 1-2 None Snickers □ □ □ □ Other Dentyne □ □ □ □ Snickers Cruncher □ □ □ □ FreshenUp 100 Grand Bar □ □ □ □ □ □ □ □ Starburst □ □ □ □ Ice Breakers 3 Musketeers □ □ □ □ □ □ □ □ Sugar Babies □ □ □ □ Rain-Blo 5th Avenue □ □ □ □ □ □ □ □ Sugar Daddy □ □ □ □ Trident White Almond Joy □ □ □ □ □ □ □ □ Sweetarts □ □ □ □ Other Trident Altoids Sours □ □ □ □ □ □ □ □ Tootsie Rolls □ □ □ □ Wrigley’s Big Red Baby Ruth □ □ □ □ □ □ □ □ Trolli □ □ □ □ Wrigley’s Doublemint Bit-O-Honey □ □ □ □ □ □ □ □ Twix □ □ □ □ Wrigley’s Eclipse Brach’s □ □ □ □ □ □ □ □ Twizzlers □ □ □ □ Wrigley’s Extra Butterfinger □ □ □ □ □ □ □ □ Werther’s Original □ □ □ □ Wrigley’s Extra Polar Ice Cadbury □ □ □ □ □ □ □ □ Whatchamacallit □ □ □ □ Wrigley’s Freedent Charleston Chew □ □ □ □ □ □ □ □ Whoppers Malted Milk Balls □ □ □ □ Wrigley’s Juicy Fruit Chunky □ □ □ □ □ □ □ □ York Peppermint Patties □ □ □ □ Wrigley’s Orbit Creme Savers □ □ □ □ □ □ □ □ Zero □ □ □ □ Wrigley’s Spearmint Dove Chocolate Promises □ □ □ □ □ □ □ □ Other Brands □ □ □ □ Ferrero Rocher Wrigley’s Winterfresh □ □ □ □ □ □ □ □ Godiva Other Brands □ □ □ □ □ □ □ □ Good & Plenty □ □ □ □ Heath Bar □ □ □ □ Hershey’s Almond □ □ □ □ Hershey’s Bites □ □ □ □ Hershey’s Cookies ‘n’ Créme □ □ □ □ Hershey’s Hugs □ □ □ □ Hershey’s Kisses □ □ □ □

60 Food & Drinks

YOGURT Mark the number of servings eaten in the Mark the number of packages you ate in the last 30 days(Only for each brand you eat). last 30 days.(Only for each brand you eat). Yes No 8 or 5 or Do you eat or drink it? □ □ more 4-7 1-3 None more 3-4 1-2 None Betty Crocker Fruit by Also Sealtest □ □ □ □ IF YES Most Eat/ the Foot □ □ □ □ TCBY Types you eat or drink: Often Drink □ □ □ □ Betty Crocker Fruit Roll-Ups □ □ □ □ Turkey Hill □ □ □ □ Drinkable □ □ Betty Crocker Gushers □ □ □ □ Yoplait □ □ □ □ Low Fat □ □ Del Monte Mixed Fruit □ □ □ □ Other Brands □ □ □ □ Non-Fat □ □ Farley’s Fruit Snacks □ □ □ □ Light/ Sugar-Free □ □ Fruit Corners Fruit Roll-Ups □ □ □ □ Regular □ □ LIQUID/ POWDERED NUTRITIONAL General Mills Milk & Cereal Bars□ □ □ □ SUPPLEMENTS OR LIQUID BREAKFASTS Kellogg’s Nutri-Grain Bars □ □ □ □

Kinds you eat or drink: Yes No Kellogg’s Rice Krispies Treats □ □ □ □ With Fruit Premixed □ □ Kudos Do you use them? □ □ □ □ □ □ With Fruit Not Premixed □ □ Nabisco Fruit Snacks □ □ □ □ IF YES With Stir-in Crunchies □ □ Nature Valley □ □ □ □ Mark the most important reason for use: Flavored Without Fruit □ □ Quaker Chewy Granola Bars □ □ □ □ Meal Supplement □ Plain (Unflavored) □ □ Quaker Fruit and Oatmeal Bars□ □ □ □ Vitamin/ Mineral Supplement □ Skippy Snack Bars □ □ □ □ Energy Supplement □ Mark the number of servings you ate or drank in SnackWell’s □ □ □ □ Weight Loss □ the last 30 days(Only for each brand you eat or drink). Sunbelt □ □ □ □ Other □ 8 or Sunkist Fun Fruits □ □ □ □ more 4-7 1-3 None Other Brands □ □ □ □ Most Also Breyers □ □ □ □ Brands used: Often Used ENERGY/ DIET SNACKS AND BARS Colombo □ □ □ □ Atkins □ □

Dannon □ □ □ □ Boost □ □ Yes No Hood □ □ □ □ Carb Solutions □ □ Do you eat them? □ □ La Yogurt □ □ □ □ Carnation Instant Breakfast □ □ IF YES Light’n Lively □ □ □ □ EAS AdvantEdge □ □ Mark the number of packages you ate in the Lucerne □ □ □ □ Ensure □ □ last 30 days.(Only for each brand you eat). Stonyfield Farm □ □ □ □ Glucerna □ □ Suncrest □ □ □ □ 5 or Metabolife □ □ more 3-4 1-2 None Trix □ □ □ □ Slim-Fast □ □ Atkins Advantage Bar □ □ □ □ Tropicana □ □ □ □ Ultra Slim-Fast □ □ Balance Bar □ □ □ □ Yo Crunch □ □ □ □ Sport Shake □ □ Carb Solutions □ □ □ □ Yoplait □ □ □ □ Zone Perfect □ □ Clif □ □ □ □ Other Brands □ □ □ □ Store Brand □ □ EAS AdvantEdge □ □ □ □ Other Brands □ □ Gatorade Energy Bar □ □ □ □ FROZEN YOGURT Glucerna □ □ □ □ Number of cans/ servings drank in last: Jenny Craig □ □ □ □ Yes No 30 days 7 days Kashi □ □ □ □ Do you eat it? □ □ Luna □ □ □ □ 11 or more □ □ Power Bar (Original) □ □ □ □ IF YES Most Also 7 - 10 □ □ Types you eat: Often Eat Pria by Power Bar □ □ □ □ 5 - 6 □ □ Low Fat □ □ Pure Protein □ □ □ □ 3 - 4 □ □ Non-Fat/ Fat-Free □ □ Slim-Fast Snack Bars □ □ □ □ 1 - 2 □ □ Regular □ □ Tiger’s Milk □ □ □ □ None □ □ Zone Perfect □ □ □ □ Mark the number of servings eaten in the Other □ □ □ □ last 30 days(Only for each brand you eat). NUTRITIONAL SNACKS (GRANOLA, FRUIT,ETC.) 8 or more 4-7 1-3 None Yes No Ben & Jerry’s □ □ □ □ Do you eat them? □ □ Breyers □ □ □ □ IF YES Most Also Colombo □ □ □ □ Types you eat: Often Eat Dannon □ □ □ □ Cereal Bars □ □ Dreyers □ □ □ □ Chewy Granola □ □ Edy’s □ □ □ □ Fruit □ □ Elan □ □ □ □ Granola □ □ Häagen-Dazs □ □ □ □ Other □ □ I Can’t Believe It’s Yogurt □ □ □ □ Kemps □ □ □ □

61 Food & Drinks

FAST FOOD & DRIVE-IN RESTAURANTS Mark the number of times visited in last 30 days Mark the number of times visited in last 30 days (Only for each of the restaurants you use or go to). (Only for each of the restaurants you go to). Yes No 14 or 5 or More 6-13 1-5 0 More 3-4 1-2 0 Do you go to them? □ □ Rubio’s □ □ □ □ Marie Callenders □ □ □ □ IF YES Sbarro □ □ □ □ O’Charley’s □ □ □ □ With whom do you usually go to these restaurants? Schlotzsky’s Deli □ □ □ □ Old Country Buffet □ □ □ □ Breakfast Lunch Dinner Snack Shakey’s □ □ □ □ Olive Garden □ □ □ □ Alone □ □ □ □ Sonic □ □ □ □ On the Border □ □ □ □ With Other Adults □ □ □ □ Starbucks □ □ □ □ Outback Steakhouse □ □ □ □ With Children Under 12 □ □ □ □ Steak’N Shake □ □ □ □ Papa Murphy’s □ □ □ □ With Teens 12-17 □ □ □ □ Subway □ □ □ □ Perkins □ □ □ □ With Friends/ Co-workers □ □ □ □ Taco Bell □ □ □ □ Piccadilly Cafeteria □ □ □ □ Other □ □ □ □ Taco Time □ □ □ □ Ponderosa Steakhouse □ □ □ □ Wendy’s □ □ □ □ Red Lobster □ □ □ □ Mark the number of times visited in last 30 days Whataburger □ □ □ □ Romano’s Macaroni Grill □ □ □ □ (Only for each of the restaurants you use or go to). White Castle □ □ □ □ Ruby Tuesday □ □ □ □ 14 or More 6-13 1-5 0 Wienerschnitzel □ □ □ □ Shoney’s □ □ □ □ Other Fast Food Restaurants □ □ □ □ Sizzler □ □ □ □ A&W □ □ □ □ TGI Friday’s □ □ □ □ Arby’s □ □ □ □ FAMILY RESTAURANTS & Other Family Restaurants □ □ □ □ Arthur Treacher’s Fish & Chips □ □ □ □ STEAK HOUSES Blimpie □ □ □ □ THIRST QUENCHER AND Bojangles □ □ □ □ Yes No SPORTS/ ACTIVITY DRINKS Boston Market □ □ □ □ Do you go to them? □ □ Burger King □ □ □ □ Yes No Captain D’s IF YES □ □ □ □ Do you drink them? □ □ Carl’s Jr. □ □ □ □ With whom do you usually go to these restaurants? IF YES Checker’s □ □ □ □ Breakfast Lunch Dinner Snack Mark the number of drinks/ glasses you drank in Chick-Fil-A □ □ □ □ Alone □ □ □ □ the last 30 days(Only for each brand you drink). Chipotle □ □ □ □ With Other Adults □ □ □ □ Church’s Fried Chicken □ □ □ □ With Children Under 12 □ □ □ □ 5 or More 3-4 1-2 0 CiCi’s Pizza With Teens 12-17 □ □ □ □ □ □ □ □ 10-K □ □ □ □ Dairy Queen With Friends/ Co-workers □ □ □ □ □ □ □ □ All Sport □ □ □ □ Del Taco Other □ □ □ □ □ □ □ □ Capri Sun □ □ □ □ Domino’s Pizza □ □ □ □ Everlast □ □ □ □ Donato’s Pizza Mark the number of times visited in last 30 days □ □ □ □ Excel □ □ □ □ Dunkin’ Donuts (Only for each of the restaurants you go to). □ □ □ □ Gatorade □ □ □ □ El Pollo Loco 5 or □ □ □ □ POWERade □ □ □ □ More 3-4 1-2 0 Fazoli’s Italian □ □ □ □ Snapple Elements □ □ □ □ Godfather’s Pizza Applebee’s □ □ □ □ □ □ □ □ Squincher □ □ □ □ Hardee’s Bennigan’s □ □ □ □ □ □ □ □ Other Brands □ □ □ □ Hot ’N Now □ □ □ □ Bertucci’s □ □ □ □ Kentucky Fried Chicken (KFC) □ □ □ □ Big Boy □ □ □ □ ICED TEA (READY-TO-DRINK) Krispy Kreme □ □ □ □ Black Angus Restaurant □ □ □ □ Krystal □ □ □ □ Bob Evans □ □ □ □ Yes No Jack-in-the-Box □ □ □ □ Chevy’s □ □ □ □ Do you drink it? □ □ Lee’s Famous Recipe Chicken □ □ □ □ Chili’s Grill & Bar □ □ □ □ IF YES Most Also Little Caesar’s □ □ □ □ Chuck E Cheese □ □ □ □ Types you drink: Often Drink Long John Silver’s □ □ □ □ Cracker Barrel □ □ □ □ Diet □ □ Mazzio’s □ □ □ □ Denny’s □ □ □ □ Regular □ □ McDonald’s □ □ □ □ Don Pablo’s □ □ □ □ Miami Subs □ □ □ □ Friendly’s □ □ □ □ Brands you drink: Panera Bread □ □ □ □ Fuddrucker’s □ □ □ □ Arizona □ □ Papa Gino’s □ □ □ □ Golden Corral □ □ □ □ Celestial Seasonings □ □ Papa John’s □ □ □ □ Hometown Buffet □ □ □ □ Crystal Light □ □ Pizza Hut □ □ □ □ IHOP (International Lipton □ □ House of Pancakes) Pizza Inn □ □ □ □ □ □ □ □ Mad River □ □ Joe’s Crab Shack Popeyes □ □ □ □ □ □ □ □ Mistic □ □ Lone Star Steakhouse & Saloon Quiznos Sub □ □ □ □ □ □ □ □ Nestea □ □ Longhorn Steakhouse Rallys □ □ □ □ □ □ □ □ Snapple □ □ Luby’s Round Table Pizza □ □ □ □ □ □ □ □ Store Brand □ □ Other Brands □ □

62 Food & Drinks

ENERGY DRINKS OTHER REGULAR CARBONATED DIET OR SUGAR-FREE COLA DRINKS (NON-COLA) SOFT DRINKS (NON-DIET) (CARBONATED) Yes No Do you drink them? □ □ Yes No Yes No Do you drink them? □ □ Do you drink them? □ □ IF YES Mark the number of drinks/ glasses you drank in IF YES IF YES the last 30 days(Only for each brand you drink). Mark the number of drinks/ glasses you drank Mark the number of drinks/ glasses you drank

5 or in the last 7 days(Only for each brand you drink). in the last 7 days(Only for each brand you drink). more 3-4 1-2 0 5 or 5 or 180 □ □ □ □ More 3-4 1-2 0 More 3-4 1-2 0 Arizona Extreme Energy Shot □ □ □ □ 7-Up □ □ □ □ Diet Coke □ □ □ □ Bawls Guarana □ □ □ □ Cherry 7-Up □ □ □ □ Caffeine-Free Diet Coke □ □ □ □ Dark Dog □ □ □ □ A & W Cream Soda □ □ □ □ Coca-Cola C2 □ □ □ □ Hansen’s □ □ □ □ A & W Root Beer □ □ □ □ Diet Cherry Coke □ □ □ □ KMX □ □ □ □ Barq’s Root Beer □ □ □ □ Diet Vanilla Coke □ □ □ □ Lipovitan B3 □ □ □ □ Barrilitos □ □ □ □ Diet Coke with Lemon □ □ □ □ Red Bull □ □ □ □ Canada Dry Club Soda □ □ □ □ Diet Coke with Lime □ □ □ □ Rockstar □ □ □ □ Canada Dry Ginger Ale □ □ □ □ Diet Pepsi □ □ □ □ SoBe Adrenaline Rush □ □ □ □ Canada Dry Tonic Water □ □ □ □ Caffeine Free Diet Pepsi □ □ □ □ Whoop Ass □ □ □ □ Cheerwine □ □ □ □ Pepsi Edge □ □ □ □ Other Brands □ □ □ □ Crush □ □ □ □ Pepsi One □ □ □ □ Dad’s Root Beer □ □ □ □ Diet Pepsi Twist □ □ □ □ REGULAR COLA DRINKS Dr Pepper □ □ □ □ Diet Pepsi Vanilla □ □ □ □ (CARBONATED, NOT-DIET) Red Fusion (Dr Pepper) □ □ □ □ Diet Rite Cola □ □ □ □ Fanta □ □ □ □ Store Brand □ □ □ □ Yes No Faygo □ □ □ □ Other Brands □ □ □ □ Do you drink them? □ □ Hires Root Beer □ □ □ □ IF YES IBC Root Beer □ □ □ □ OTHER CARBONATED (NON-COLA) Mark the number of drinks/ glasses you drank Jarritos □ □ □ □ DIET, SUGAR-FREE SOFT DRINKS in the last 7 days(Only for each brand you drink). Mello Yello □ □ □ □ 5 or Mountain Dew □ □ □ □ Yes No More 3-4 1-2 0 Mountain Dew LiveWire □ □ □ □ Do you drink them? □ □ Coca-Cola Classic □ □ □ □ Code Red Mountain Dew □ □ □ □ IF YES Caffeine-Free Coca-Cola Classic□ □ □ □ Minute Maid □ □ □ □ Mark the number of drinks/ glasses you drank Cherry Coke □ □ □ □ Mr. Pibb □ □ □ □ in the last 7 days(Only for each brand you drink). Vanilla Coke □ □ □ □ Mug Root Beer □ □ □ □ 5 or Faygo Cola □ □ □ □ Peñafiel □ □ □ □ More 3-4 1-2 0 Pepsi-Cola □ □ □ □ Sangría Señorial □ □ □ □ Diet 7-Up □ □ □ □ Caffeine Free Pepsi □ □ □ □ Schweppes Bitter Lemon □ □ □ □ Diet Cherry 7-Up □ □ □ □ Pepsi Blue □ □ □ □ Schweppes Club Soda □ □ □ □ A & W Diet Root Beer □ □ □ □ Pepsi Twist □ □ □ □ Schweppes Ginger Ale □ □ □ □ Diet Barq’s Root Beer □ □ □ □ Pepsi Vanilla □ □ □ □ Schweppes Tonic Water □ □ □ □ Canada Dry Diet Ginger Ale □ □ □ □ Wild Cherry Pepsi □ □ □ □ Seagram’s Club Soda □ □ □ □ Diet Dr Pepper □ □ □ □ RC Cola □ □ □ □ Seagram’s Ginger Ale □ □ □ □ Diet Faygo □ □ □ □ Cherry RC □ □ □ □ Seagram’s Tonic Water □ □ □ □ Fresca □ □ □ □ RC Edge □ □ □ □ Shasta □ □ □ □ Diet Minute Maid □ □ □ □ Shasta Cola □ □ □ □ Sidral Mundet □ □ □ □ Diet Mountain Dew □ □ □ □ Store Brand □ □ □ □ Sierra Mist □ □ □ □ Diet Code Red Mountain Dew □ □ □ □ Other Brands □ □ □ □ Slice □ □ □ □ Diet Shasta □ □ □ □ Sprite □ □ □ □ Diet Slice Orange □ □ □ □ Sprite Remix □ □ □ □ Diet Sprite □ □ □ □ Squirt □ □ □ □ Diet Squirt □ □ □ □ Sun Drop □ □ □ □ Diet Sunkist Orange □ □ □ □ Sunkist □ □ □ □ Diet Vernors □ □ □ □ Vernors □ □ □ □ Store Brand □ □ □ □ Welch’s □ □ □ □ Other Brands □ □ □ □ Store Brand □ □ □ □ Other Brands □ □ □ □

63 Food & Drinks

SPARKLING WATER/ Mark the number of drinks/ glasses you drank FLAVORED ALCOHOLIC BEVERAGES — SELTZERS/ NATURAL SODAS in the last 7 days(Only for each brand you drink). NON-COOLERS (READY-TO-DRINK) 5 or More 3-4 1-2 0 Yes No Yes No Do you drink them? □ □ Ice Mountain Spring Water □ □ □ □ Do you drink them? □ □ Mineragua de Jarritos □ □ □ □ IF YES IF YES Most Also Mountain Valley □ □ □ □ Mark the number of drinks/ glasses you drank Types you drink: Often Drink Naya □ □ □ □ in the last 30 days(Only for each brand you drink). Unflavored (Plain) □ □ Ozarka □ □ □ □ 5 or Lightly Flavored □ □ Peñafiel □ □ □ □ More 3-4 1-2 0 Flavored □ □ Poland Spring □ □ □ □ Bacardi Silver □ □ □ □ Propel □ □ □ □ Jack Daniel’s Country Cocktails □ □ □ □ Mark the number of drinks/ glasses you drank S.Pellegrino □ □ □ □ Kahlua Combos □ □ □ □ in the last 7 days(Only for each brand you drink). Sparklett’s □ □ □ □ Mike’s Hard Lemonade □ □ □ □ 5 or Zephyrhills □ □ □ □ Mike’s Hard Cranberry Lemonade□ □ □ □ More 3-4 1-2 0 Store Brand □ □ □ □ Mike’s Hard Lime □ □ □ □ Calistoga □ □ □ □ Other Domestic Brands □ □ □ □ Skyy Blue □ □ □ □ Canada Dry □ □ □ □ Other Imported Brands □ □ □ □ Smirnoff Black □ □ □ □ Cascadia □ □ □ □ Smirnoff Ice □ □ □ □ Clearly Canadian □ □ □ □ NO ALCOHOL/ LOW ALCOHOL BEER Smirnoff Twisted V □ □ □ □ Crystal Bay □ □ □ □ (LESS THAN 2% ALCOHOL) Stolichnaya Citrona □ □ □ □ Dannon □ □ □ □ Tequiza □ □ □ □ Hansen’s □ □ □ □ Yes No Zima XXX □ □ □ □ Ice Mountain □ □ □ □ Do you drink them? □ □ Other Brands □ □ □ □ La Croix □ □ □ □ Mistic □ □ □ □ IF YES MALT LIQUOR Nordic Mist □ □ □ □ Mark the number of drinks/ glasses you drank in Yes No Orangina □ □ □ □ the last 30 days(Only for each brand you drink). Do you drink it? □ □ Ozarka □ □ □ □ 5 or more 3-4 1-2 0 Peñafiel □ □ □ □ IF YES Perrier □ □ □ □ Buckler □ □ □ □ Mark the number of drinks/ glasses you drank Poland Spring □ □ □ □ Busch NA □ □ □ □ in the last 30 days(Only for each brand you drink). S.Pellegrino □ □ □ □ Clausthaler □ □ □ □ 5 or More 3-4 1-2 0 Schweppes □ □ □ □ Coors NA □ □ □ □ Seagram’s □ □ □ □ Kaliber □ □ □ □ Champale □ □ □ □ Snapple □ □ □ □ Kingsbury □ □ □ □ Colt 45 □ □ □ □ Vintage Seltzer □ □ □ □ O’Doul’s □ □ □ □ Hurricane □ □ □ □ Store Brand □ □ □ □ Old Milwaukee NA □ □ □ □ King Cobra □ □ □ □ Other Brands □ □ □ □ Pabst NA □ □ □ □ Magnum □ □ □ □ Sharp’s □ □ □ □ Michelob Malt □ □ □ □ NON-CARBONATED Other Brands □ □ □ □ Mickey’s □ □ □ □ BOTTLED SPRING WATERS Olde English 800 □ □ □ □ HARD CIDER Schlitz Malt □ □ □ □ Yes No St. Ides □ □ □ □ Do you drink them? □ □ Yes No Other Brands □ □ □ □ Do you drink it? □ □ IF YES Mark the number of drinks/ glasses you drank IF YES Most Also in the last 7 days(Only for each brand you drink). Brands you drink: Often Drink 5 or Ciderjack □ □ More 3-4 1-2 0 Hornsby □ □ Aberfoyle □ □ □ □ Magners □ □ Aqua Vie □ □ □ □ Woodpecker □ □ Aquafina □ □ □ □ Other Brands □ □ Arrowhead □ □ □ □ Calistoga □ □ □ □ Cold Spring □ □ □ □ Crystal Geyser □ □ □ □ Dannon □ □ □ □ Dasani □ □ □ □ Deer Park □ □ □ □ Evian □ □ □ □ Great Bear □ □ □ □

64 Food & Drinks

IMPORTED BEER (CANS OR BOTTLES) Mark the number of drinks/ glasses you drank ICE BEER in the last 30 days(Only for each brand you drink). Yes No 5 or Yes No Do you drink it? □ □ More 3-4 1-2 0 Do you drink it? □ □ IF YES Most Also Labatt Blue Light □ □ □ □ Types you drink: Often Drink IF YES Michelob Light □ □ □ □ Mark the number of drinks/ glasses you drank Light/ Low Calorie □ □ Michelob Ultra □ □ □ □ in the last 30 days(Only for each brand you drink). Regular □ □ Miller Genuine Draft Light □ □ □ □ 5 or Miller High Life Light □ □ □ □ More 2-4 1 0 Mark the number of drinks/ glasses you drank Miller Lite □ □ □ □ in the last 30 days(Only for each brand you drink). Bud Ice □ □ □ □ Milwaukee’s Best Light □ □ □ □ 5 or Busch Ice □ □ □ □ More 3-4 1-2 0 Natural Light □ □ □ □ Colt Ice □ □ □ □ Bass □ □ □ □ Old Milwaukee Light □ □ □ □ Genny Ice □ □ □ □ Beck’s □ □ □ □ Old Style Light □ □ □ □ Icehouse □ □ □ □ Beck’s Dark □ □ □ □ Pabst Blue Ribbon Light □ □ □ □ Labatt Ice □ □ □ □ Brahma □ □ □ □ Sam Adams Light □ □ □ □ Miller High Life Ice □ □ □ □ Carlsberg □ □ □ □ Schlitz Light □ □ □ □ Miller Lite Ice □ □ □ □ Carta Blanca □ □ □ □ Stroh Light □ □ □ □ Molson Ice □ □ □ □ Corona □ □ □ □ Other Brands □ □ □ □ Natural Ice □ □ □ □ Dos Equis □ □ □ □ Pabst Ice □ □ □ □ Foster’s Lager □ □ □ □ REGULAR DOMESTIC BEER (CANS OR Other Brands □ □ □ □ Grolsch Lager □ □ □ □ BOTTLES) (NOT LIGHT/ LOW CALORIE) Guinness □ □ □ □ Yes No MICRO BREWED BEER Harp □ □ □ □ Do you drink it? □ □ Heineken □ □ □ □ Yes No Heineken Special Dark □ □ □ □ IF YES Do you drink it? □ □ Kirin □ □ □ □ Mark the number of drinks/ glasses you drank Labatt’s □ □ □ □ in the last 30 days(Only for each brand you drink). IF YES Lowenbrau □ □ □ □ 5 or Mark the number of drinks/ glasses you drank More 3-4 1-2 0 Modelo Especial □ □ □ □ in the last 30 days(Only for each brand you drink). Bud Dry □ □ □ □ Molson Canadian □ □ □ □ 5 or Budweiser □ □ □ □ More 2-4 1 0 Molson Golden □ □ □ □ Busch □ □ □ □ Other Molson □ □ □ □ Anchor Steam □ □ □ □ Coors □ □ □ □ Moosehead □ □ □ □ Catamount □ □ □ □ Coors Extra Gold □ □ □ □ Pacifico Clara □ □ □ □ Celis □ □ □ □ Genesee □ □ □ □ Red Stripe □ □ □ □ Full Sail □ □ □ □ Hamm’s □ □ □ □ Sapporo □ □ □ □ New Amsterdam □ □ □ □ Henry Weinhard’s □ □ □ □ Spaten □ □ □ □ Oregon □ □ □ □ J.W. Dundee’s Honey St. Pauli Girl Pete’s Wicked Ale □ □ □ □ Brown Lager □ □ □ □ □ □ □ □ Stella Artois Pyramid □ □ □ □ Keystone □ □ □ □ □ □ □ □ Tecate Redhook Ale □ □ □ □ Killarney’s Red Lager □ □ □ □ □ □ □ □ Tuborg Saranac □ □ □ □ Killian’s Irish Red □ □ □ □ □ □ □ □ Warsteiner Shiner Bock □ □ □ □ Leinenkugel □ □ □ □ □ □ □ □ Other Brands Sierra Nevada □ □ □ □ Lone Star □ □ □ □ □ □ □ □ Widmer Brothers Michelob □ □ □ □ □ □ □ □ Yeungling LIGHT/ LOW CALORIE BEER Michelob Amber Bock □ □ □ □ □ □ □ □ Other Brands (CANS OR BOTTLES) Miller Genuine Draft □ □ □ □ □ □ □ □

Yes No Miller High Life □ □ □ □ Milwaukee’s Best Do you drink it? □ □ □ □ □ □ Old Milwaukee □ □ □ □ IF YES Old Style □ □ □ □ Mark the number of drinks/ glasses you drank Pabst Blue Ribbon □ □ □ □ in the last 30 days(Only for each brand you drink). Red Dog □ □ □ □ 5 or Red Wolf □ □ □ □ More 3-4 1-2 0 Rolling Rock □ □ □ □ Amstel Light □ □ □ □ Samuel Adams □ □ □ □ Aspen Edge □ □ □ □ Schaefer □ □ □ □ Beck’s Light □ □ □ □ Schlitz □ □ □ □ Bud Light □ □ □ □ Schmidt’s □ □ □ □ Busch Light □ □ □ □ Stroh’s □ □ □ □ Coors Light □ □ □ □ Other Brands □ □ □ □ Corona Light □ □ □ □ Keystone Light □ □ □ □

65 Food & Drinks

COOLERS Mark the number of drinks/ glasses you drank Most Also in the last 30 days(Only for each brand you drink). Kinds you drink: Often Drink Yes No Italian Rosé □ □ 5 or Do you drink them? □ □ More 2-4 1 0 Italian White □ □ Almaden □ □ □ □ Portuguese Red □ □ IF YES Most Also Arbor Mist □ □ □ □ Portuguese Rosé □ □ Types you drink: Often Drink Beaulieu □ □ □ □ Portuguese White □ □ Full Calorie □ □ Beringer □ □ □ □ Spanish Red □ □ Light/ Reduced Calorie □ □ Black Swan □ □ □ □ Spanish White □ □ Blossom Hill □ □ □ □ Other □ □ Flavors you drink: BV (Beaulieu Vineyard) □ □ □ □ Berry/ Berry Combinations □ □ Mark the number of drinks/ glasses you drank Callaway Coastal □ □ □ □ Blackberry □ □ in the last 30 days(Only for each brand you drink). Carlo Rossi □ □ □ □ Cherry/ Black Cherry □ □ Charles Krug/ CK □ □ □ □ 5 or Cranberry □ □ More 2-4 1 0 Christian Brothers □ □ □ □ Fuzzy Navel □ □ Clos du Bois □ □ □ □ Austin Vale □ □ □ □ Kiwi Strawberry □ □ Fetzer □ □ □ □ Barton & Guestier (B&G) □ □ □ □ Lemonade/ Lemon □ □ Franzia Brothers □ □ □ □ Bella Sera □ □ □ □ Lime □ □ Gallo □ □ □ □ Black Tower □ □ □ □ Margarita/ Margarita Combinations □ □ Glen Ellen □ □ □ □ Blue Nun □ □ □ □ Orange □ □ Inglenook □ □ □ □ Bolla □ □ □ □ Peach □ □ Kendall Jackson □ □ □ □ Brolio □ □ □ □ Pina Colada/ Colada Combinations □ □ Manischewitz □ □ □ □ Canei □ □ □ □ Pineapple □ □ Meridian □ □ □ □ Cavit □ □ □ □ Pink Lemonade □ □ Mogen David □ □ □ □ Concha y Toro □ □ □ □ Raspberry Lemonade □ □ The Monterey Vineyard □ □ □ □ Corbett □ □ □ □ Sangria □ □ Napa Ridge □ □ □ □ Folonari □ □ □ □ Strawberry Banana □ □ Paul Masson □ □ □ □ Fortant de France □ □ □ □ Strawberry Daiquiri/ Redwood Creek □ □ □ □ Freixenet □ □ □ □ Daiquiri Combinations □ □ Robert Mondavi □ □ □ □ Georges Du Boeuf □ □ □ □ Tropical/ Tropical Combinations □ □ Ste. Michelle □ □ □ □ Jacob’s Creek □ □ □ □ Watermelon □ □ Sebastiani □ □ □ □ Keller Geister □ □ □ □ Other Flavors □ □ Sonoma Vineyards □ □ □ □ Lancers □ □ □ □ Sterling □ □ □ □ Lindeman’s □ □ □ □ Mark the number of drinks/ glasses you drank Sutter Home □ □ □ □ Louis Jadot □ □ □ □ in the last 30 days(Only for each brand you drink). Taylor California Cellars □ □ □ □ Luna di Luna □ □ □ □ 5 or Taylor Lake Country □ □ □ □ Marcus James □ □ □ □ More 3-4 1-2 0 Other Taylor □ □ □ □ Martini & Rossi Arbor Mist Blanco de Costoza □ □ □ □ Trinity Oaks □ □ □ □ □ □ □ □ Bacardi Breezer Mouton Cadet □ □ □ □ Turning Leaf □ □ □ □ □ □ □ □ Bartles & Jaymes Rene Junot □ □ □ □ Vendange □ □ □ □ □ □ □ □ Seagram’s Coolers Reserve St. Martin □ □ □ □ Wente Brothers □ □ □ □ □ □ □ □ Other Brands Riunite □ □ □ □ Wild Vines □ □ □ □ □ □ □ □ Rosemount Estate Woodbridge □ □ □ □ □ □ □ □ Ruffino DOMESTIC DINNER/ TABLE WINES Other Brands □ □ □ □ □ □ □ □ (EXCLUDING VERMOUTH) Santa Margherita □ □ □ □ Other Brands □ □ □ □ Yes No IMPORTED DINNER/ TABLE WINES Do you drink them? □ □ (EXCLUDING VERMOUTH)

IF YES Most Also Yes No Types you drink: Often Drink Do you drink them? □ □ Burgundy □ □ Cabernet Sauvignon □ □ IF YES Most Also Kinds you drink: Often Drink Chablis □ □ Australian Red Chardonnay □ □ □ □ Australian White Merlot □ □ □ □ French Red Pinot Noir □ □ □ □ French Rosé Sauvignon Blanc □ □ □ □ French White Zinfandel □ □ □ □ German White Other Red □ □ □ □ Greek Red Other Rosé □ □ □ □ Greek White Other White □ □ □ □ Italian Red □ □

66 Food & Drinks

PORT, SHERRY & DESSERT WINES TEQUILA Mark the number of drinks/ glasses you drank in the last 30 days(Only for each brand you drink). Yes No Yes No 5 or Do you drink them? □ □ More 2-4 1 0 Do you drink it? □ □ IF YES Appleton Estate Jamaican Rum □ □ □ □ IF YES Mark the number of drinks/ glasses you drank Bacardi Añejo □ □ □ □ Mark the number of drinks/ glasses you drank in the last 30 days(Only for each brand you drink). Bacardi Coco □ □ □ □ in the last 30 days(Only for each brand you drink). 5 or Bacardi Limón □ □ □ □ More 2-4 1 0 5 or More 2-4 1 0 Bacardi O □ □ □ □ Almaden □ □ □ □ Bacardi Razz □ □ □ □ Christian Brothers □ □ □ □ 1800 Silver □ □ □ □ Bacardi Superior □ □ □ □ Cockburn □ □ □ □ Chinaco □ □ □ □ Bacardi Vanilla □ □ □ □ Dry Sack □ □ □ □ Conmemorativo (Sauza) □ □ □ □ Other Bacardi □ □ □ □ Fonseca □ □ □ □ Don Julio □ □ □ □ Captain Morgan’s Gallo El Jimador □ □ □ □ □ □ □ □ Original Spiced □ □ □ □ Harvey’s Bristol Cream □ □ □ □ El Tesoro □ □ □ □ Captain Morgan’s Manischewitz □ □ □ □ El Toro □ □ □ □ Parrot Bay □ □ □ □ Paul Masson □ □ □ □ Herradura □ □ □ □ Captain Morgan’s Private Stock Sandeman Port □ □ □ □ Hornitos (Sauza) □ □ □ □ □ □ □ □ Cruzan Sandeman Sherry □ □ □ □ Juárez □ □ □ □ □ □ □ □ Don Q Taylor □ □ □ □ José Cuervo Añejo □ □ □ □ □ □ □ □ Malibu Warre □ □ □ □ José Cuervo Especial □ □ □ □ □ □ □ □ Mount Gay W&J Graham’s Port □ □ □ □ José Cuervo Reserva □ □ □ □ □ □ □ □ Myers’s Original Dark Jamaican Other Brands □ □ □ □ José Cuervo Tradicional □ □ □ □ □ □ □ □ Ron Castillo Margaritaville □ □ □ □ □ □ □ □ Ronrico CHAMPAGNE & SPARKLING WINES Montezuma □ □ □ □ □ □ □ □ Other Brands Patrón □ □ □ □ □ □ □ □ Yes No Pepe López □ □ □ □ Do you drink them? □ □ Porfidio □ □ □ □ BRANDY & ARMAGNAC IF YES Sauza □ □ □ □ Yes No Mark the number of drinks/ glasses you drank Tres Generaciones (Sauza) □ □ □ □ Do you drink them? in the last 30 days(Only for each brand you drink). Two Fingers □ □ □ □ □ □ 5 or Other Brands □ □ □ □ More 2-4 1 0 IF YES Most Also Almaden □ □ □ □ Often Drink COGNAC Kinds you drink: Andre □ □ □ □ Domestic Brandy Fruit Flavored □ □ Ballatore □ □ □ □ Other Domestic Brandy □ □ Yes No Champagne Krug □ □ □ □ Imported Brandy Fruit Flavored □ □ Do you drink it? □ □ Christian Brothers □ □ □ □ Other Imported Brandy □ □ Cinzano Asti □ □ □ □ IF YES Armagnac □ □ Cook’s □ □ □ □ Mark the number of drinks/ glasses you drank in the last 30 days(Only for each brand you drink). Dom Perignon □ □ □ □ Mark the number of drinks/ glasses you drank Domaine Chandon □ □ □ □ 5 or in the last 30 days(Only for each brand you drink). More 2-4 1 0 Freixenet □ □ □ □ 5 or J. Roget □ □ □ □ Alizé □ □ □ □ More 2-4 1 0 Korbel Courvoisier □ □ □ □ □ □ □ □ Almaden □ □ □ □ La Grande Dame Hennessy □ □ □ □ □ □ □ □ Arrow □ □ □ □ Martini & Rossi Asti Hpnotiq □ □ □ □ □ □ □ □ Christian Brothers □ □ □ □ Moet & Chandon Martell □ □ □ □ □ □ □ □ DeKuyper □ □ □ □ Mumm Cordon Rouge Remy Martin □ □ □ □ □ □ □ □ Don Pedro □ □ □ □ Mumm Cuvee Napa Remy Red □ □ □ □ □ □ □ □ E&J □ □ □ □ Mumm Extra Dry Other Brands □ □ □ □ □ □ □ □ Hiram Walker □ □ □ □ Paul Masson □ □ □ □ Korbel □ □ □ □ Perrier Jouet □ □ □ □ RUM Leroux □ □ □ □ Piper Heidsieck □ □ □ □ Metaxa □ □ □ □ Roederer Yes No □ □ □ □ Paul Masson □ □ □ □ Taittinger Do you drink it? □ □ □ □ □ □ Presidente □ □ □ □ Taylor California Cellars □ □ □ □ Raynal □ □ □ □ Taylor New York State IF YES Most Also □ □ □ □ Other Brands □ □ □ □ Often Drink Tosti Asti □ □ □ □ Kinds you drink: Tott’s □ □ □ □ Dark □ □ Veuve Cliquot □ □ □ □ Gold/ Amber □ □ Wild Vines □ □ □ □ Light/ White/ Clear □ □ Other Brands □ □ □ □

67 Food & Drinks

PREPARED COCKTAIL MIXES WITH CORDIALS & LIQUEURS Mark the number of drinks/ glasses you drank LIQUOR (BOTTLED OR CANNED) in the last 30 days(Only for each brand you drink). Yes No 5 or More 2-4 1 0 Yes No Do you drink them? □ □ Kamora □ □ □ □ Do you drink them? □ □ IF YES Most Also Leroux □ □ □ □ Types you drink: Often Drink IF YES Marie Brizard □ □ □ □ Mark the number of drinks/ glasses you drank Domestic □ □ Midori □ □ □ □ in the last 30 days(Only for each brand you drink). Imported □ □ Phillips □ □ □ □ 5 or Rumple Minze □ □ □ □ Forms you drink: More 3-4 1-2 0 Cream Liqueurs □ □ Sambuca Romana □ □ □ □ Beam □ □ □ □ Non-cream Liqueurs □ □ Sheridan’s □ □ □ □ ChiChi’s Margarita □ □ □ □ Southern Comfort □ □ □ □ Club □ □ □ □ Kinds you drink: Southern Twist □ □ □ □ Cocktails for Two □ □ □ □ Anisette □ □ Tía María □ □ □ □ Heublein □ □ □ □ Apricot □ □ Vandermint □ □ □ □ José Cuervo Authentics □ □ □ □ Blackberry □ □ Vermeer □ □ □ □ Seagram’s Gin & Juice □ □ □ □ Chocolate □ □ Wild Turkey Liqueur □ □ □ □ TGI Friday’s □ □ □ □ Coffee □ □ Yukon Jack □ □ □ □ Other Brands □ □ □ □ Creme de Cacao □ □ Other Brands □ □ □ □ Creme de Menthe PREPARED COCKTAIL MIXES □ □ Hazelnut CANADIAN WHISKEY WITHOUT LIQUOR □ □ Sambuca (EXCLUDING CLUB SODA, TONIC, ETC.) □ □ Apple Schnapps □ □ Yes No Orange Schnapps □ □ Do you drink it? □ □ Yes No Peach Schnapps □ □ Do you drink them? □ □ IF YES Peppermint Schnapps □ □ Mark the number of drinks/ glasses you drank Other Schnapps □ □ IF YES Most Also in the last 30 days(Only for each brand you drink). Types you drink: Often Drink Sloe Gin □ □ 5 or Frozen Concentrate □ □ Triple Sec □ □ More 2-4 1 0 Black Velvet □ □ □ □ Liquid □ □ Other □ □ Canadian Club □ □ □ □ Canadian Club Classic □ □ □ □ Mark the number of drinks/ glasses you drank Mark the number of drinks/ glasses you drank in the last 30 days(Only for each brand you drink). in the last 30 days(Only for each brand you drink). Canadian Hunter □ □ □ □ Canadian LTD □ □ □ □ 5 or 5 or More 3-4 1-2 0 More 2-4 1 0 Canadian Mist □ □ □ □ Bacardi Mixers □ □ □ □ Aftershock □ □ □ □ Canadian Rich and Rare □ □ □ □ Coco Casa □ □ □ □ Amaretto Del Orso □ □ □ □ Crown Royal □ □ □ □ Daily’s □ □ □ □ Amaretto Di Amore □ □ □ □ Crown Royal Special Reserve □ □ □ □ Holland House Cocktail Mix □ □ □ □ Amaretto Di Saronno □ □ □ □ Harwood Canadian □ □ □ □ José Cuervo Margarita Mix □ □ □ □ Arrow □ □ □ □ Lord Calvert Canadian □ □ □ □ La Paz □ □ □ □ B&B □ □ □ □ Seagram’s VO □ □ □ □ Major Peter’s Bloody Mary Mix □ □ □ □ Baileys Original Irish Cream □ □ □ □ Seagram’s VO Gold □ □ □ □ Mr. & Mrs. T □ □ □ □ Benedictine □ □ □ □ Windsor Canadian □ □ □ □ Rosa’s Lime Juice □ □ □ □ Campari □ □ □ □ Other Brands □ □ □ □ Tabasco Bloody Mary Mix □ □ □ □ Carolans □ □ □ □ Other Brands □ □ □ □ Chambord □ □ □ □ BOURBON WHISKEY Cherry Herring □ □ □ □ Cointreau □ □ □ □ Yes No DeKuyper □ □ □ □ Do you drink it? □ □ Disaronno □ □ □ □ Drambuie □ □ □ □ IF YES Most Also Types you drink: Often Drink Emmets Irish Cream □ □ □ □ Frangelico □ □ □ □ Kentucky Whiskey □ □ Galliano □ □ □ □ Sour Mash □ □ Godiva □ □ □ □ Straight Bourbon □ □ Goldschlager □ □ □ □ Tennessee Whiskey □ □ Grand Marnier □ □ □ □ Don’t know □ □ Hiram Walker □ □ □ □

Irish Mist □ □ □ □ Continued on next page Jagermeister □ □ □ □ Kahlua □ □ □ □

68 Food & Drinks

Mark the number of drinks/ glasses you drank Mark the number of drinks/ glasses you drank VODKA in the last 30 days(Only for each brand you drink). in the last 30 days(Only for each brand you drink).

5 or 5 or Yes No More 2-4 1 0 More 2-4 1 0 Do you drink it? □ □ Ancient Age □ □ □ □ Scoresby Rare □ □ □ □ Basil Hayden’s □ □ □ □ Speyside □ □ □ □ IF YES Blanton’s □ □ □ □ Ushers □ □ □ □ Mark the number of drinks/ glasses you drank Booker’s □ □ □ □ White Horse □ □ □ □ in the last 30 days(Only for each brand you drink). Bulleit □ □ □ □ Other Brands □ □ □ □ 5 or More 2-4 1 0 Early Times □ □ □ □ Evan Williams □ □ □ □ BLENDED WHISKEY OR RYE Absolut (Regular) □ □ □ □ Gentleman Jack □ □ □ □ Absolut Citron □ □ □ □ Yes No George Dickel □ □ □ □ Absolut Kurant □ □ □ □ Do you drink it? □ □ Jack Daniel’s □ □ □ □ Absolut Mandarin □ □ □ □ Jack Daniel’s Single Barrel □ □ □ □ IF YES Absolut Peppar □ □ □ □ Mark the number of drinks/ glasses you drank Jim Beam □ □ □ □ Belvedere □ □ □ □ in the last 30 days(Only for each brand you drink). J.W. Dant □ □ □ □ Chopin □ □ □ □ Knob Creek □ □ □ □ 5 or Finlandia □ □ □ □ More 2-4 1 0 Labrot & Graham Woodford Fleischmann’s □ □ □ □ Reserve □ □ □ □ Calvert Extra □ □ □ □ Fris □ □ □ □ Maker’s Mark □ □ □ □ Fleischmann’s Preferred □ □ □ □ Gilbey’s □ □ □ □ Old Charter □ □ □ □ Imperial □ □ □ □ Gordon’s □ □ □ □ Old Crow □ □ □ □ Kessler □ □ □ □ Grey Goose □ □ □ □ Old Forester □ □ □ □ Seagram’s 7 Crown □ □ □ □ Kamchatka □ □ □ □ Old GrandDad □ □ □ □ Other Brands □ □ □ □ Ketel One □ □ □ □ Ten High □ □ □ □ Mr. Boston □ □ □ □ Weller □ □ □ □ IRISH WHISKEY Popov □ □ □ □ Wild Turkey □ □ □ □ Yes No Seagram’s Extra Smooth Vodka □ □ □ □ Other Brands □ □ □ □ Do you drink it? □ □ Seagram’s Flavor Vodka □ □ □ □ Skol □ □ □ □ IF YES SCOTCH WHISKEY Skyy □ □ □ □ Mark the number of drinks/ glasses you drank Smirnoff (Regular) □ □ □ □ Yes No in the last 30 days(Only for each brand you drink). Smirnoff Citrus Twist Do you drink it? □ □ □ □ □ □ 5 or More 2-4 1 0 Smirnoff Cranberry Twist □ □ □ □ IF YES Smirnoff Green Apple Twist □ □ □ □ Mark the number of drinks/ glasses you drank Bushmills □ □ □ □ Smirnoff Orange Twist □ □ □ □ in the last 30 days(Only for each brand you drink). Jameson □ □ □ □ Smirnoff Raspberry Twist □ □ □ □ John Powers □ □ □ □ 5 or Smirnoff Vanilla Twist □ □ □ □ More 2-4 1 0 Tullamore Dew □ □ □ □ Other Smirnoff Ballantine □ □ □ □ □ □ □ □ Other Brands □ □ □ □ Stolichnaya (Regular) Balvenie □ □ □ □ □ □ □ □ Stolichnaya Cranberi Black & White □ □ □ □ □ □ □ □ GIN Stolichnaya Citros Buchanan’s □ □ □ □ □ □ □ □ Yes No Stolichnaya Ohranj Chivas Regal □ □ □ □ □ □ □ □ Do you drink it? Stolichnaya Razberi Clan MacGregor □ □ □ □ □ □ □ □ □ □ Stolichnaya Strasberi □ □ □ □ Cutty Sark □ □ □ □ IF YES Stolichnaya Vanil □ □ □ □ Dewar’s White Label □ □ □ □ Mark the number of drinks/ glasses you drank Tanqueray Sterling □ □ □ □ Doublewood □ □ □ □ in the last 30 days(Only for each brand you drink). Three Olives Vodka □ □ □ □ Glenfiddich □ □ □ □ 5 or Vox The Glenlivet □ □ □ □ More 2-4 1 0 □ □ □ □ Glenmorangie Wolfschmidt □ □ □ □ □ □ □ □ Barton’s □ □ □ □ Grant’s Wyborowa □ □ □ □ □ □ □ □ Beefeater (Original) □ □ □ □ J&B Other Brands □ □ □ □ □ □ □ □ Wet by Beefeater □ □ □ □ Johnnie Walker Black Label □ □ □ □ Bombay □ □ □ □ Johnnie Walker Blue Label □ □ □ □ Bombay Sapphire □ □ □ □ Johnnie Walker Red Label □ □ □ □ Calvert □ □ □ □ Macallan □ □ □ □ Fleischmann’s □ □ □ □ Old St. Andrews □ □ □ □ Gilbey’s □ □ □ □ Pinch (Haig) □ □ □ □ Gordon’s □ □ □ □ Seagram’s Extra Dry □ □ □ □ Seagram’s Lime Twisted □ □ □ □ Tanqueray □ □ □ □ Tanqueray 10 □ □ □ □ Other Brands □ □ □ □

69 Food & Drinks

ATTITUDES/ OPINIONS ABOUT FOOD

Food is an interesting topic for many people. We are interested in your attitudes and opinions about food. Please tell us the extent to which you agree or disagree with each statement by marking one box opposite each statement. If you are not sure, please mark ЉNeither Agree Nor DisagreeЉ and go on to the next statement.

Agree Agree Neither Agree Disagree Disagree A Lot A Little Nor Disagree A Little A Lot

I try to include plenty of fiber in my diet these days □ □ □ □ □ I often snack between meals □ □ □ □ □ Most frozen dinners have little nutritional value □ □ □ □ □ I feel guilty when I eat sweets □ □ □ □ □ Lunch is more important than breakfast or dinner □ □ □ □ □

I normally count the calories of the foods I eat □ □ □ □ □ I enjoy eating foreign foods □ □ □ □ □ I prefer food that is presented as an art form □ □ □ □ □ Nutritional value is the most important factor in what foods I eat □ □ □ □ □

Most of the time I am trying to lose weight by dieting □ □ □ □ □ I prefer foods cooked with lots of spices □ □ □ □ □ I usually refer to recipes when cooking □ □ □ □ □

I frequently eat sweets □ □ □ □ □ I try to eat gourmet food whenever I can □ □ □ □ □ Most snack foods people eat these days are not healthy □ □ □ □ □ I like to try out new food products □ □ □ □ □ I really enjoy cooking □ □ □ □ □

I often feel I over-eat □ □ □ □ □ The point of drinking is to get drunk □ □ □ □ □ Salted snacks are my favorite snack □ □ □ □ □ Simple, easy to prepare foods are my favorites □ □ □ □ □ Breakfast is more important than lunch or dinner □ □ □ □ □

Often I can be swayed by coupons to try new food products □ □ □ □ □ I eat the foods I like regardless of calories □ □ □ □ □ I like to try new recipes □ □ □ □ □ I like to try new drinks □ □ □ □ □ I often eat frozen dinners □ □ □ □ □ Eating fattening foods makes me feel guilty □ □ □ □ □

Usually I am quick to try a new nutritional product □ □ □ □ □ The kitchen is the most important room in my home □ □ □ □ □ I am usually the first among my friends to try new food products □ □ □ □ □ I usually look for the freshest ingredients when I cook □ □ □ □ □ I eat several small meals throughout the day □ □ □ □ □

I often eat store-made, pre-cooked meals □ □ □ □ □ I usually only snack on healthy foods □ □ □ □ □ Dinner is more important than breakfast or lunch □ □ □ □ □ There is nothing wrong with indulging in eating fattening foods from time to time □ □ □ □ □

I am currently dieting □ □ □ □ □ I prefer the taste of food without a lot of spices □ □ □ □ □ Fast food fits my busy lifestyle □ □ □ □ □ I like the trend towards healthier fast food □ □ □ □ □ I prefer fast food to home cooking □ □ □ □ □ Eating fast food helps me stay in my budget □ □ □ □ □

70 APPAREL & ACCESSORIES Apparel & Accessories

SNEAKERS/ ATHLETIC SHOES/ Brands bought in last 12 months: WATCHES SPORTS SHOES Fubu □ Have you bought a watch for yourself or anyone Gap □ else in the last 12 months? Have you bought any for yourself Yes No Gitano □ or anyone else in the last 12 months? □ □ Glo □ For For Someone Gloria Vanderbilt □ Self Else IF YES Guess? □ Yes □ □ Please mark the number of pairs bought of Jordache □ No □ □ each type in the last 12 months. Just My Size □ Lands’ End □ IF YES How much did the last one bought (for each) 5 or Lane Bryant □ more 4 3 2 1 cost? Lee □

Aerobic □ □ □ □ □ L.E.I. □ For For Someone Basketball □ □ □ □ □ Levi’s □ Self Else Casual Sneakers □ □ □ □ □ The Limited □ $500 or more □ □ Cross Training □ □ □ □ □ Liz Claiborne □ $300 - $499 □ □ Exercise Walking □ □ □ □ □ Lucky □ $200 - $299 □ □ Hiking □ □ □ □ □ MUDD □ $100 - $199 □ □ Jogging or Running □ □ □ □ □ Nautica □ $75 - $99 □ □ Tennis □ □ □ □ □ Old Navy □ $50 - $74 □ □ Other □ □ □ □ □ Paris Blues □ $20 - $49 □ □ Ralph Lauren □ Under $20 □ □ Brands bought in last 12 months: Riders □

Adidas □ Sears/ Canyon River Blues □ What brand was the last one bought (for each)? Airwalk □ Tommy Hilfiger □ And 1 □ Union Bay □ For Asics □ Wrangler □ For Someone Self Else Avia □ Zana-Di □ Anne Klein □ □ Brooks □ Other Brands □ Armitron □ □ Converse □ Bedat □ □ Fila □ LICENSED SPORTS CLOTHING Bulova □ □ Keds □ Cartier □ □ K Swiss □ Have you bought any licensed sports clothing with team/ Casio □ □ L.A. Gear □ league/ player logos in the last 12 months? Citizen □ □ New Balance □ Yes No Concord □ □ Nike □ □ □ Fossil □ □ Puma □ Gucci □ □ Reebok □ IF YES Guess □ □ Rockport □ Brands bought in the last 12 months: Lorus □ □ Saucony □ Movado □ □ Skechers □ College sports □ Omega □ □ Vans □ MLB (Major League Baseball) □ Patek Phillipe □ □ Wilson □ MLS (Major League Soccer) □ Pulsar □ □ Other Brands □ NASCAR □ Raymond Weil □ □ NBA (National Basketball Association) □ Rolex □ □ JEANS NFL (National Football League) □ Seiko □ □ Have you bought any for yourself Yes No NHL (National Hockey League) □ Swatch □ □ or anyone else in the last 12 months?□ □ PGA Tour □ Swiss Army □ □ Other □ Tag Heuer □ □ IF YES Timex □ □ Brands bought in last 12 months: Types bought in last 12 months: Tissot □ □ Anchor Blue □ Tommy Hilfiger □ □ Arizona □ Fleece Bottoms (Sweatpants) □ Other Brands □ □ Banana Republic □ Fleece Tops (Sweatshirts) □ Bongo □ Hats/ Caps □ Bugle Boy □ Jackets □ Calvin Klein □ Knits/ Shirts □ Cherokee □ Shorts □ DKNY □ Team Uniform (Top or Bottoms) □ Eddie Bauer □ Tee Shirts □ Express □ Other □ Faded Glory □

72 Apparel & Accessories

MEN’S APPAREL & ACCESSORIES WOMEN’S APPAREL & ACCESSORIES

Have you bought any of the following articles of men’s clothing or accessories for yourselfHave you bought any of the following articles of women’s clothing or accessories or anyone else in the last 12 months? Yes No for yourself or anyone else in the last 12 months? Yes No □ □ □ □

IF YES IF YES Please mark each item you have bought in the last 12 months and the number of Please mark each item you have bought in the last 12 months and the number of items purchased in the last 12 months. items purchased in the last 12 months. Number of Items Bought Number of Items Bought In Last 12 Months In Last 12 Months Bought in 4 or Bought in 4 or Last 12 Months More 2-3 1 Last 12 Months More 2-3 1 Overcoat/ Topcoat □ □ □ □ Overcoat/ Jacket □ □ □ □ Leather Jacket □ □ □ □ Fur Jacket or Coat (Synthetic/ Fake) □ □ □ □ Raincoat or All Weather Coat □ □ □ □ Fur Jacket or Coat (Real) □ □ □ □ Suit □ □ □ □ Blazer or Jacket (Suit Type) □ □ □ □ Sport Coat or Blazer □ □ □ □ Raincoat or All Weather Coat □ □ □ □ Leather Jacket □ □ □ □ Slacks/ Pants (Not Jeans) □ □ □ □ Suit □ □ □ □ Sweater □ □ □ □ Heavy Weight/ Ski Type Jacket □ □ □ □ Regular or Dress Shirt □ □ □ □ Ski Clothes (Not Boots) □ □ □ □ Necktie □ □ □ □ Athletic Shoes □ □ □ □ Belt □ □ □ □ Other Shoes □ □ □ □ Gloves □ □ □ □ Boots (Excluding Work Boots) □ □ □ □ Sunglasses (Non-Prescription) □ □ □ □ Skirt □ □ □ □ Scarf □ □ □ □ Dress □ □ □ □ Wallet □ □ □ □ Slacks/ Pants (Not Jeans) □ □ □ □ Athletic Shoes □ □ □ □ Sweater □ □ □ □ Other Shoes □ □ □ □ Belt □ □ □ □ Boots (Excluding Work Boots) □ □ □ □ Gloves □ □ □ □ Socks □ □ □ □ Sunglasses (Non-Prescription) □ □ □ □ Slippers □ □ □ □ Purse/ Handbag □ □ □ □ Wallet □ □ □ □ Sweats □ □ □ □ Scarf □ □ □ □ Sport Shirt (All Types) □ □ □ □ Swim Suit □ □ □ □ T-Shirt (Outerwear) □ □ □ □ T-Shirt □ □ □ □ Jeans □ □ □ □ Jeans □ □ □ □ Other Gym/ Jogging/ Workout Clothes □ □ □ □ Utility/ Work Clothes/ Work Boots □ □ □ □ Ski Clothes (Not Boots) □ □ □ □ Blouse/ Shirt □ □ □ □ Swim Suit □ □ □ □ Sweats □ □ □ □ Utility/ Work Clothes/ Work Boots □ □ □ □ Other Gym/ Jogging/ Workout clothes □ □ □ □ Underwear □ □ □ □ Nightwear (Nightgown/ Pajamas) □ □ □ □ Nightwear/ Pajamas □ □ □ □ Other Lingerie □ □ □ □ Slippers □ □ □ □

WOMEN’S LINGERIE

Please mark which of the following types of bras, panties, pantyhose, tights, Brands bought in the last 12 months: and socks you have bought for yourself or anyone else in the last 12 months. Then mark the number of each type purchased. Also please mark the Hosiery/ Hosiery/ brands you bought in the last 12 months. Panty Panty Bras Panties hose Bras Panties hose Number of Items Bought In Last 12 Months Bali □ □ □ Love Pats □ □ □ Barely There No Nonsense Bought in 15 or □ □ □ □ □ □ Last 12 Months More 10-14 5-9 1-4 Burlington □ □ □ Olga □ □ □ Bras □ □ □ □ □ Calvin Klein □ □ □ Playtex □ □ □ Panties □ □ □ □ □ Donna Karan □ □ □ Silkies □ □ □ Regular Pantyhose □ □ □ □ □ Fruit of the Underalls □ □ □ Loom Control Top Pantyhose □ □ □ □ □ □ □ □ Vanity Fair □ □ □ Hanes Support Pantyhose □ □ □ □ □ □ □ □ Victoria’s Secret □ □ □ Jockey Tights □ □ □ □ □ □ □ □ Warners □ □ □ Just My Size Knee High Hose (Not Socks) □ □ □ □ □ □ □ □ Store Brand □ □ □ L’Eggs Socks □ □ □ □ □ □ □ □ Other Brands □ □ □ None of These □ Liz Claiborne □ □ □

73 Apparel & Accessories

ATTITUDES/ OPINIONS ABOUT APPAREL

Selecting apparel is an experience that is a little different for everyone. We would like to give you the opportunity to share some of your opinions and experiences with us. Please tell us the extent to which you agree or disagree with each statement by marking one box opposite each statement. If you are not sure, please mark ЉNeither Agree Nor DisagreeЉ and go on to the next statement.

Agree Agree Neither Agree Disagree Disagree A Lot A Little Nor Disagree A Little A Lot

I stick with clothing styles that have stood the test of time □ □ □ □ □ Comfort is the most important factor in what clothes I buy □ □ □ □ □ I make my clothes last a long time □ □ □ □ □ It is important to look attractive to others □ □ □ □ □ I am uncomfortable wearing clothes that are different from others □ □ □ □ □

Fashion magazines help me determine what clothes to buy □ □ □ □ □ I have a few favorite clothing brands that I always stick with □ □ □ □ □ I like to keep up with the latest fashions □ □ □ □ □ Often I buy clothes that I don’t really need □ □ □ □ □ Many similarly priced clothing brands look alike □ □ □ □ □

Most everything I wear is of the highest quality □ □ □ □ □ I like to make a unique fashion statement □ □ □ □ □ Clothes sold at discount department stores are just as good as those sold at department stores □ □ □ □ □ I no longer wear a lot of the clothes I wore a year ago because they have gone out of style □ □ □ □ □ Top designers make quality clothes □ □ □ □ □

I am usually the first among my friends to try new clothing styles □ □ □ □ □ I am willing to spend more than I can really afford, to get the clothes that I want □ □ □ □ □ Regardless of the type of clothing I’m shopping for, I normally look for my favorite brands first □ □ □ □ □ I have a conservative dress style □ □ □ □ □ On several occasions I have surprised myself by buying clothing brands that I normally don’t □ □ □ □ □

Functionality is the most important factor in what clothes I buy □ □ □ □ □ A designer label improves a person’s image □ □ □ □ □ I dress to please myself □ □ □ □ □ I like to experiment with new clothing styles □ □ □ □ □ My budget allows for me to buy expensive designer clothes □ □ □ □ □

Almost every season I buy new clothes in order to keep up with the latest fashions □ □ □ □ □ I really enjoy clothes shopping □ □ □ □ □

SELF IMAGE Please indicate your weight range: People come in all different shapes and sizes. Under 100 lbs (or under 45.5 kilograms) □ Please tell us about yourself. Please indicate your height in feet 100-110 lbs (or 45.5 - 50.0 kilograms) □ and inches (or meters): 111-120 lbs (or 50.5 - 54.5 kilograms) □ Under 5’ (or 5’8Љ (or 1.73 meters) □ 121-130 lbs (or 55.0 - 59.1 kilograms) □ under 1.52 meters) □ 5’9Љ (or 1.75 meters) □ 131-140 lbs (or 59.5 - 63.6 kilograms) □ 5’0 ( Љ or 1.52 meters) □ 5’10Љ (or 1.78 meters) □ 141-150 lbs (or 64.1 - 68.2 kilograms) □ 5’1 ( Љ or 1.55 meters) □ 5’11Љ (or 1.80 meters) □ 151-160 lbs (or 68.6 - 72.7 kilograms) □ 5’2 ( Љ or 1.57 meters) □ 6’0Љ (or 1.83 meters) □ 161-170 lbs (or 73.2 - 77.3 kilograms) □ 5’3 ( Љ or 1.60 meters) □ 6’1Љ (or 1.85 meters) □ 171-180 lbs (or 77.7 - 81.8 kilograms) □ 5’4 ( Љ or 1.63 meters) □ 6’2Љ (or 1.88 meters) □ 181-190 lbs (or 82.3 - 86.4 kilograms) □ 5’5 ( Љ or 1.65 meters) □ Over 6’2Љ (or 191-200 lbs (or 86.8 - 90.9 kilograms) □ 5’6 ( Љ or 1.68 meters) □ over 1.88 meters) □ 201-210 lbs (or 91.4 - 95.5 kilograms) □ 5’7 ( Љ or 1.70 meters) □ 211-220 lbs (or 95.9 - 100.0 kilograms) □ 221-230 lbs (or 100.5 - 104.5 kilograms) □ 231-240 lbs (or 105.0 - 109.1 kilograms) □ 241-250 lbs (or 109.5 - 113.6 kilograms) □ Over 250 lbs (or over 113.6 kilograms) □

74 SHOPPING Shopping

GAMES & TOYS COMPACT DISC & TAPE CLUBS

Have you bought any games or toys for yourself or anyone else in the last 12 months? Yes No Do you currently belong to a Yes No □ □ compact disc or tape club? □ □

IF YES IF YES Please mark below each type of game or toy you bought in the last 12 months and for each type bought mark To which of the following clubs do you belong: the total amount you spent for that type. (Please mark as many as apply) Amount Spent in Last 12 Months BMG Classical Music Service □ Bought in Last $200 or $150- $100- $50- $25- Under 12 Months More $199 $149 $99 $49 $25 BMG Music Service □ Club Música Latina □ Large/ Baby Dolls □ □ □ □ □ □ □ Columbia House □ Fashion Dolls □ □ □ □ □ □ □ Columbia House Classical Club □ Plush Dolls/ Animals □ □ □ □ □ □ □ Play from Columbia House □ Electronic Dolls/ Animals □ □ □ □ □ □ □ Musical Heritage Society □ Action Figures/ Robots Accessories □ □ □ □ □ □ □ Ritmo y Pasión □ Infant Toys □ □ □ □ □ □ □ Sound and Spirit □ Pre-school Toys □ □ □ □ □ □ □ Other □ Construction Toys □ □ □ □ □ □ □

Video Games □ □ □ □ □ □ □ How did you happen to join the club(s)? Electronic Educational Toys □ □ □ □ □ □ □ Magazine or Newspaper Ad □ Other Educational Toys/ Games □ □ □ □ □ □ □ Mail or Phone From Radio/ TV Offer □ Play Sports Equipment □ □ □ □ □ □ □ Through Direct Mail Solicitation □ Cars/ Trucks □ □ □ □ □ □ □ Through a Friend □ Board Games □ □ □ □ □ □ □ Online □ Word Games □ □ □ □ □ □ □ Other □ Children’s Books □ □ □ □ □ □ □ Other □ □ □ □ □ □ □ VCRs

Thinking only of your last game or toy purchase, did you buy it for: When you view previously recorded television programs, do you use the fast forward control to Yourself □ skip through the commercials? Other Adult □

Children under 12 □ All the time □ Teens 12−17 □ Most of the time □ Friends/ Co-Workers □ Some of the time □ Other □ Do not skip through commercials □

STEREO, COMPACT DISC & TAPE PLAYING EQUIPMENT & RADIOS HAND-HELD VIDEO GAMES

Do you own any of the following? If so, please mark those you own. Also mark those bought in the last 12 months. Do you own or use a hand-held video game, which does Bought in Last not attach to a TV? Own 12 Months Compact or Console Stereo Yes No (Contained in One Unit or Cabinet at Time of Purchase) □ □ □ □ Audio Component System (One Brand Rack System) □ □ IF YES Stereo Receiver/ Tuner/ Amplifier (All in One) □ □ Brand(s) you own: Boom Box □ □ Nintendo DS □ Clock Radio □ □ Nintendo Game Boy Advance □ Separate Stereo Components □ □ Nintendo Game Boy Advance SP □ Home Theater Audio System □ □ Nintendo Game Boy Color □ Surround Sound Decoder □ □ Nintendo Game Boy (Black & White) □ Turntable □ □ Sega Game Gear □ Compact Disc (CD) Player □ □ Other Brands □ Mini Disc (MD) Player □ □ Digital Compact Cassette (DCC) Player □ □ Number of hand-held video games bought in the Digital Audio Tape (DAT) Player □ □ last 12 months. DVD Player □ □

Portable Digital Music/ MP3 Player □ □ 11 or more □ Portable/ Cassette Player □ □ 6 - 10 □ Portable/ Radio/ Cassette Player □ □ 1 - 5 □ Portable/ Compact Disc Player □ □ None □ None of These □ □

76 Shopping

BLANK AUDIO, VIDEO CASSETTE VIDEO CASSETTE TAPES/ DVDs (DIGITAL VIDEO DISC) TAPES, CDs OR DVDs Did you buy or rent any video cassette tapes/ DVDs in the last 12 months? FOR RECORDING

Video Cassettes DVDs Did you purchase any blank audio, video cassette tapes, Bought Rented Bought Rented CDs or DVDs for recording in the last 12 months? Yes □ □ □ □ Yes No No □ □ □ □ □ □

IF YES IF YES Most Also Types bought or rented in the last 12 months: Types bought: Often Bought Video Cassettes DVDs Audio Cassette Tapes □ □ Bought Rented Bought Rented Video Cassette Tapes □ □ Movies − Hits/ New Releases □ □ □ □ CDs □ □ Movies − Classic/ All Other □ □ □ □ DVDs □ □ Exercise/ Aerobics/ Fitness □ □ □ □ Self-Help/ Language/ Educational Number of blank audio, video cassette tapes, CDs or □ □ □ □ DVDs bought in the last 12 months: Other Instructional/ How-to □ □ □ □ Children’s □ □ □ □

Audio Video CDs DVDs Sports □ □ □ □ Television Series □ □ □ □ 50 or more □ □ □ □ Other □ □ □ □ 40 - 49 □ □ □ □ 30 - 39 □ □ □ □ Where were they bought or rented in the last 12 months: 20 - 29 □ □ □ □ Video Cassettes DVDs 10 - 19 □ □ □ □ Bought Rented Bought Rented 1 - 9 □ □ □ □ Amazon.com □ □ Barnesandnoble.com □ □ Brands bought in last 12 months: Best Buy □ □

BASF □ □ □ □ BJ’s Wholesale Club □ □ EmTec □ □ □ □ Blockbuster □ □ □ □ Fuji □ □ □ □ BMG □ □ HP □ □ □ □ Borders □ □ Imation □ □ □ □ Circuit City □ □ JVC □ □ □ □ Columbia House □ □ Kodak □ □ □ □ Costco □ □ Lexar □ □ □ □ Hollywood Video □ □ □ □ Maxell □ □ □ □ Kmart □ □ Memorex □ □ □ □ Movie Gallery □ □ □ □ Panasonic □ □ □ □ Netflix □ Phillips □ □ □ □ Sam Goody/ Music Land □ □ PNY □ □ □ □ Sam’s Club □ □ RCA □ □ □ □ Sun Coast Video □ □ SanDisk □ □ □ □ Target □ □ Scotch (3M) □ □ □ □ Tower Records □ □ □ □ Sony □ □ □ □ Wal-Mart □ □ □ TDK □ □ □ □ Grocery Store/ Supermarket □ □ □ □ Other Brands □ □ □ □ Other Mail Order Video Tape/ DVD Club □ □ Other Online Store □ □ □ □ If purchased a blank CD in the last 12 months: Other Retail Store □ □ □ □ Primary reason for using blank CDs: Number of video cassette tapes or DVDs bought or rented in the last 3 months? Recording Music □ Video Cassettes DVDs Recording Videos □ Bought Rented Bought Rented Recording Photos □ 31 or more □ □ □ □ Recording Presentations □ 20 - 30 □ □ □ □ Video Gaming □ 10 - 19 □ □ □ □ Software Back-up □ 7 - 9 □ □ □ □ Data File Back-up □ 4 - 6 □ □ □ □ 1 - 3 □ □ □ □ None □ □ □ □

77 Shopping

BOOKS Last 12 Months Types Bought Downloaded, Yes No Like Most Also Burned or Types of Music: Most Often Bought Recorded Have you bought any in the last 12 months? □ □ Pure Pop (No Doubt, Pink) □ □ □ □ IF YES Teen Pop (Britney Spears, ’N Sync) □ □ □ □ First mark the types of books you bought in the last 12 months. Then, for each Pop R&B Tempo (Ashanti, Usher, Brandy) □ □ □ □ type of book bought, mark the number you bought in the last 12 months. Pop Hip Hop (Nelly, Ja Rule) □ □ □ □ Hip Hop (Nas, DMX) □ □ □ □ Number Bought in Bought Last 12 Months 80s Old School (Run DMC, Public Enemy) □ □ □ □ in Last 20 or 12 Months more 10-19 6-9 1-5 Neo Soul (Musiq, Jill Scott) □ □ □ □ Paperback Book □ □ □ □ □ Early 90s Hip Hop (Tupac, Biggie) □ □ □ □ Hardcover Book □ □ □ □ □ Traditional Country (Tim McGraw, Chris Cogle)□ □ □ □ Audiobook □ □ □ □ □ Mainstream Country (Faith Hill, Garth Brooks)□ □ □ □ Classical □ □ □ □ Where bought in the last 12 months: Easy Listening □ □ □ □ Book Club □ Broadway Cast, Movie or TV Soundtracks □ □ □ □ Bookstore □ Latin Rock □ □ □ □ Online □ Latin Rap □ □ □ □ Other □ Latin Jazz □ □ □ □ Latin Ballads/ Romantic □ □ □ □ Please mark below each type of book you bought in the last 12 months Salsa/ Merengue □ □ □ □ Types you bought: Tejano/ Banda □ □ □ □ Biography/ Autobiography □ Mexican (regional) □ □ □ □ Children □ Techno □ □ □ □ Cookbooks □ Reggae □ □ □ □ General Fiction □ Religious □ □ □ □ History □ New Age □ □ □ □ Mystery □ Gospel □ □ □ □ Personal/ Business/ Self Help □ Jazz □ □ □ □ Religious □ Traditional Soul, Rhythm and Blues □ □ □ □ Romance □ Bluegrass (Alison Krauss, Ricky Skaggs) □ □ □ □ Science Fiction □ Children’s □ □ □ □ Sports □ Other □ □ □ □ Travel □ None □ □ □ □ Other □

Did you buy any books as gifts for someone else in the last 12 months? Please mark the number of each item that you bought in the last 12 months.

Yes No Number bought in last 12 months □ □ 20 or Types Bought: more 10-19 1-9 MUSIC Record □ □ □ Please indicate the types of music you like to listen to most. Also indicate the types Compact Disc □ □ □ of music you bought and those that you downloaded, burned or recorded in the Downloads □ □ □ last 12 months. Pre-Recorded Audio Cassette Tape □ □ □

Last 12 Months Types Bought Downloaded, Most Also Where bought in the last 12 Months: Often Bought Like Most Also Burned or Types of Music: Most Often Bought Recorded Audio/ Video Stores □ □ Department Stores □ □ 1940s to 1950s Pop □ □ □ □ Discount Stores □ □ 60s to 70s Pop Classic Rock (Beatles, Eagles)□ □ □ □ Book Stores □ □ 80s Pop/ Rock (Madonna, Bryan Adams) □ □ □ □ Variety Stores □ □ Album Oriented Rock (Guns & Roses, AC/DC)□ □ □ □ Record, Compact Disc or Tape Stores □ □ Christian Rock □ □ □ □ Supermarkets/ Drugstores □ □ Grunge (Pearl Jam, Nirvana) □ □ □ □ Religious Article Stores □ □ Garage Rock (Strokes, Hives) □ □ □ □ By Mail or Phone □ □ Hard Alternative (Incubus, Papa Roach) □ □ □ □ Record, Compact Disc or Tape clubs □ □ Hard Rock (Disturbed, System Of A Down) □ □ □ □ Online □ □ Rhythmic Pop Alternative (Moby, Daft Punk)□ □ □ □ Other □ □ Alternative (Weezer, Cake) □ □ □ □ Modern AC (Staind, Nickelback) □ □ □ □ Pop Alternative (Jewel, Sheryl Crow) □ □ □ □ AC Pop (Celine Dion, Elton John) □ □ □ □

78 Shopping

CIGARETTES ANTI-SMOKING PRODUCTS Most Also Brands used: Often Use

Getty □ □ Yes No Have you tried to stop smoking Yes No Gulf □ □ Do you smoke them? □ □ in the last 12 months? □ □ Hess □ □ Marathon □ □ IF YES Most Also IF YES Mobil □ □ Types you smoke: Often Smoke Methods you used in last 12 months: Regular □ □ Phillips 66 □ □ Shell □ □ Menthol □ □ Acupuncture □ Sinclair □ □ Lights 100s Regular □ □ “Cold Turkey” □ Speedway □ □ Lights, Regular □ □ Gradual Reduction □ Sunoco □ □ Lights 100s Menthol □ □ Gum □ SuperAmerica □ □ Lights, Menthol □ □ Hypnosis Program □ Texaco □ □ King Size Regular □ □ Nicotine Patch □ Union 76/ Unocal 76 □ □ King Size Menthol □ □ “Quit Smoking” Program □ Other Brands □ □ 100s Regular □ □ Other Method □ 100s Menthol □ □ Number of gallons you buy each week, on average: Brands you used in the last 12 months: Brands you smoke: American Spirit □ □ Commit Lozenges □ Basic □ □ 45 or more □ Habitrol □ Benson & Hedges □ □ 35 - 44 □ Nicoderm □ Camel □ □ 25 - 34 □ Nicorette □ Capri □ □ 20 - 24 □ Nicotine Water □ Doral □ □ 15 - 19 □ Nicotrol □ Dunhill □ □ 10 - 14 □ Prostep □ Kool □ □ 7 - 9 □ Zyban (Prescription) □ Marlboro □ □ 6 or less □ Other Brands □ Merit □ □ YELLOW PAGES Newport □ □ GASOLINE & DIESEL FUEL Pall Mall □ □ Parliament □ □ Have you referred to the “Yellow Pages” when Do you buy gasoline Yes No considering the purchase or use of any items or Quest □ □ or diesel fuel? □ □ services in the last 12 months? Salem □ □ Virginia Slims □ □ Yes No IF YES Winston □ □ □ □ Most Also Other Generic/ Store/ No-name □ □ Types and grades bought: Often Use IF YES For which items or services did you refer to the Other Brand Name Cigarettes □ □ Super Premium Unleaded “Yellow Pages” in the last 12 months? For each item (92 Octane or Higher) □ □ Number you smoke each day, on average: Premium (Mid-Grade) Unleaded marked, was a purchase made at any of the businesses (89/ 91 Octane) □ □ referred to in the “Yellow Pages”? 40 or more □ Regular Unleaded (87/ 88 Octane) □ □ 30 - 39 □ Last 12 Months Diesel □ □ 20 - 29 □ Referred Purchase Apparel & Accessories: To Made 10 - 19 □ Kinds of service used: Formal Wear □ □ 5 - 9 □ Full Service □ □ Jewelers/ Jewelry □ □ Less than 5 □ Self Service □ □

OTHER TOBACCO PRODUCTS Automotive - Supplies & Services, Vehicles: Types of stations used: Auto Dealers □ □ Gasoline Only □ □ Do you use any of the Yes No Auto Parts □ □ Gasoline and Other Automotive following tobacco products? □ □ Services □ □ Auto Repair □ □ Gasoline and Convenience Store □ □ Auto Body Repair □ □ IF YES Auto Rentals/ Leasing □ □

Types you use: Brands used: Brake Service and Repair □ □ Moist Smokeless/ Snuf □ Arco □ □ Glass Auto, Plate, Windows □ □ Pouch □ BP □ □ Motorcycles & Motor Scooters □ □ Dissolvable Tobacco Packs/ Pieces □ Chevron □ □ Mufflers □ □ Cigarillos □ Citgo □ □ Tire Dealers □ □ Small Cigars □ Clark □ □ Towing Auto □ □ Cigars (Regular Size) □ Conoco □ □ Transmissions □ □ Pipe Tobacco □ Diamond Shamrock □ □ Roll-your-own Tobacco □ Exxon □ □ Continued on next page

79 Shopping

Last 12 Months Last 12 Months Last 12 Months Referred Purchase Referred Purchase Referred Purchase To Made To Made To Made Banking, Finance, Insurance & Real Estate: Household Furnishings: Other Services:

Apartments □ □ Carpets & Rugs □ □ Accounting/ Tax Preparation □ □ Bail Bonds □ □ Draperies & Window Coverings □ □ Attorneys/ Lawyers □ □ Banks/ Savings & Loan □ □ Floor Materials □ □ Bridal Shop □ □ Financial/ Investment Services □ □ Furnaces □ □ Child Care & Preschool □ □ Insurance □ □ Furniture Stores □ □ Chiropractors □ □ Loans □ □ Kitchen Cabinets & Equipment □ □ Dentists □ □ Mortgages □ □ Mattresses □ □ Employment & Temporary Agencies□ □ Pawn Brokers □ □ Picture Frames □ □ Funeral Directors □ □ Real Estate □ □ Plumbing Fixtures □ □ Home Health Service □ □ Hospital/ Clinics □ □ Household Supplies & Services: Dining Out/ Entertainment: Marriage & Family Carpet Cleaning □ □ Counselors/ Psychologists Banquet Facilities □ □ □ □ Exterminators/ Pest Control □ □ Nurses & Physical Therapists Caterers □ □ □ □ Garbage Removal □ □ Nursing Home/ Assisted Living Pizza □ □ □ □ Garden/ Lawn Equipment □ □ Optometrists/ Opticians Restaurants - Delivery □ □ □ □ Hardware Stores □ □ Pharmacies Restaurants & Eating Out □ □ □ □ House Cleaning □ □ Photographers Theaters & Amusements □ □ □ □ Lawn Care/ Maintenance □ □ Physicians/ Surgeons □ □ Landscaping/ Garden/ Tree Service □ □ Electronic Equipment & Supplies/ Services: Retirement Communities □ □ Moving & Storage □ □ Veterinarians □ □ Cable/ Satellite TV Service □ □ Nurseries (Plants & Trees) □ □ Cellular/ Wireless Telephones □ □ Septic Tank Cleaning □ □ Home or Place of Business: Internet Services □ □ Computer Service/ Rental/ Stereo Equipment □ □ Personal Care Products & Supplies □ □ Personal Services: Telecommunications Equipment □ □ Computer Software □ □ Television Sets/ VCRs □ □ Beauty Salons □ □ Computers □ □ VHS/ DVD Sales & Rentals □ □ Books □ □ Copiers □ □ Churches □ □ Delivery/ Courier Service □ □ Food: Dry Cleaners/ Laundry □ □ Janitorial Services □ □ Florists/ Flower Shops □ □ Bakeries □ □ Office Furniture □ □ Hearing Aid □ □ Supermarkets/ Grocers □ □ Quick Printing/ Copying Services □ □ Medical Equipment & Supplies □ □ Printing Companies □ □ Pet Shops/ Kennels □ □ Home Improvements & Repairs: Rental Centers □ □ Schools − Academic □ □ Air Conditioning □ □ Signs □ □ Schools − Vocational □ □ Building/ Construction Materials □ □ Stationery/ Office Supplies □ □

Doors & Windows □ □ Shopping: Other Items/ Services □ □ Electricians □ □ Department/ Discount Stores □ □ Fences □ □ Hardware Stores □ □ CATALOGS General Contractors □ □ Shopping Centers □ □ Gutters & Down Spouts □ □ Have you bought any merchandise from a Sports, Leisure Activities & Equipment: Hardware Stores □ □ catalog in the last 12 months? Yes No Insulation Contractors □ □ Bicycles/ Bicycle Repairs □ □ □ □ Locks/ Locksmiths □ □ Boats/ Personal Watercraft □ □ IF YES Lumber □ □ Golf/ Miniature Golf □ □ How did you buy the merchandise? Paint & Wallpaper □ □ Guns/ Gunsmiths □ □ By Fax □ Painters □ □ Health Clubs □ □ By Mail □ Paving Contractors □ □ Musical Instruments □ □ By Phone □ Plumbers □ □ Photographic Equipment □ □ At Catalog Store □ Roofers □ □ Sporting Goods □ □ Online □ Siding Contractors □ □ Toys & Games □ □ Swimming Pool Contractors □ □ Number of times bought from a catalog for Travel & Vacation: TV/ Radio Repair □ □ yourself or as a gift for someone else in Airline/ Airline Tickets □ □ last 12 months: Waterproofing Contractors □ □ Buses □ □ For Self As Gift Cruises □ □ Household Appliances: 12 or more □ □ Hotels/ Motels □ □ Appliance Repair/ Service □ □ 6 - 11 □ □ Taxicabs/ Limousines □ □ Appliances - Large □ □ 3 - 5 □ □ Trailers Rental □ □ Burglar Alarm/ Security Systems □ □ 1 - 2 □ □ Travel Agents □ □ None □ □

Continued on next page

80 Shopping

Catalogs you bought from in last 12 months: Merchandise bought from catalogs in Items ordered in last 12 months: last 12 months: Mail or Phone Internet 1-800-Flowers □ Apparel/ Accessories Apparel/ Accessories □ □ □ Alloy □ Automotive Products Computer Products □ □ □ American Girl □ Banking Services Electronics/ Appliances □ □ □ Appleseed’s □ Books/ Music/ Video Food/ Perishables □ □ □ Ballard Design □ Collectibles Footwear □ □ □ Blair Corp. □ Computer Products Gardening □ □ □ Bloomingdale’s by Mail □ Credit Cards General Merchandise □ □ □ Brooks Brothers □ Educational Programs Gifts □ □ □ Brookstone Collection □ Electronics/ Appliances Hardware □ □ □ Brownstone Studio □ Food/ Perishables Home Furnishings □ □ □ Cabela’s □ Footwear Housewares □ □ □ Calyx and Corolla □ Gardening Sporting Goods □ □ □ Chadwick’s of Boston □ Giftware Toys/ Games □ □ □ Coldwater Creek □ Hardware Other □ □ □ Collections □ Home Furnishings □ □ The Company Store □ Total amount you spent on merchandise Housewares □ □ Crate & Barrel □ ordered from a catalog in last 12 months: Insurance □ □ Current □ Office Supplies □ □ dELiA’s □ Other Health/ $500 or more □ Dell □ Medical Items □ □ $250 - $499 □ Eastbay □ Prescription Drugs □ □ $100 - $249 □ Eddie Bauer □ Real Estate/ $50 - $99 □ Real Estate Services Fingerhut □ □ □ Less than $50 □ Religious Products Frontgate □ □ □ Sporting Goods/ Equipment Hammacher Schlemmer □ □ □ How did you usually pay for the merchandise Stocks/ Bonds/ Mutual Funds Harriet Carter □ □ □ you purchased from a catalog in the Tickets for Movies Harry & David □ □ □ last 12 months? Tickets for Events Other J. Crew □ Than Movies □ □ J. Jill □ Cash/ Check/ Money Order □ Toys/ Games □ □ JC Penney □ Credit Card □ Travel Services/ Packages □ □ L.L. Bean □ Debit Card/ Electronic Funds Transfer□ Other Items □ □ Lands’ End □ Other □ Lane Bryant □ Total amount you spent on items ordered by mail, Lerner □ Have you ordered a catalog to be Yes No phone and Internet in the last 12 months: Levenger □ sent to you in the last 12 months? □ □ Lillian Vernon □ Mail or Phone Internet Marshall Field’s Direct □ MAIL, PHONE & INTERNET ORDERS $1,000 or more □ □ Miles Kimball □ $500 - $999 □ □ Neiman Marcus □ Have you ordered any merchandise or services by mail, $200 - $499 □ □ Newport News □ phone, or through the Internet in the last 12 months? $150 - $199 □ □ Northern Tool & Equipment □ $100 - $149 □ □ Omaha Steaks □ Mail or Phone Internet $75 - $99 □ □ Oreck □ Yes □ □ $50 - $74 □ □ Oriental Trading Company □ No □ □ $30 - $49 □ □ Orvis □ $20 - $29 □ □ Petsmart □ IF YES Less than $20 □ □ Pottery Barn □ Through which offers did you order any Recreational Equipment, Inc. (REI) □ merchandise or services in the last 12 months How do you usually pay for the purchases Sears □ by mail, phone or through the Internet? you make by mail/ phone? Through the Internet? Smith and Noble □ (Mark as many as apply) Spiegel □ Mail or Phone Internet Mail or Phone Internet The Sportsman’s Guide □ Cash/ Check/ Money Order □ □ Catalogs □ □ Talbots □ Credit Card □ □ Direct Mail Pieces Territory Ahead Debit Card/ Electronic □ (Not Catalogs) □ □ Funds Transfer □ □ Vermont Teddy Bear □ Magazines □ □ Other □ □ Victoria’s Secret □ Newspapers □ □ Williams-Sonoma □ Radio □ □ Other Catalogs □ Television Infomercials □ □ Other Television □ □ Other □ □

81 Shopping

FILM-PACKS, ROLLS, REELS, CARTRIDGES OR DISCS

Please mark each type of film that you used in the last 12 months and for each type of film that you used, the number of rolls used in the last 12 months. Number of Rolls Used In Last 12 Months Most Also Used Last 20 or Less 12 Months More 10-19 5-9 3-4 1-2 Than 1 Brands you used: Often Used Agfa □ □ Instant Developing □ □ □ □ □ □ □ Fuji □ □ 35mm (Black & White) □ □ □ □ □ □ □ Kodak □ □ 35mm (Color Print) □ □ □ □ □ □ □ Konica □ □ 35mm (Color Slides) □ □ □ □ □ □ □ Polaroid 600 Instant □ □ Polaroid Spectra Instant □ □ APS (Advanced Photo System) □ □ □ □ □ □ □ Other Polaroid □ □ Other Black & White Film □ □ □ □ □ □ □ Store Brand □ □ Other Color Film □ □ □ □ □ □ □ Other Brands □ □ None of These □

Brands owned: DISPOSABLE/ THROWAWAY CAMERAS Ricoh □ Bought in Last Sigma □ Own 12 Months Did you use any disposable/ throwaway cameras Sony □ in the last 12 months? Yes No Racquetball Racquet □ □ Toshiba □ □ □ Racquetball Balls □ □ Vivitar □ Baseball/ Softball Equipment □ □ Yashica □ IF YES Soccer Equipment □ □ Other brands □ Brands bought in last 12 months: Snow Skis □ □ Fuji □ Ski Poles □ □ How much did the (newest) camera cost? Kodak □ Snowboard □ □ Other □ $500 or more □ Ski Boots □ □ $300 - 499 □ Personal Watercraft (i.e. Jet Ski) □ □ CAMERA OWNERSHIP AND PURCHASE $100 - 299 □ Waterbike □ □ $50 - 99 □ Bicycle □ □ Yes No Under $50 □ Home Gym Equipment □ □ Do you own a camera? □ □ Gym Bags □ □ IF OWNED A DIGITAL CAMERA Free Weights/ Dumbbells □ □ IF YES Please mark how many digital pictures you have Rowing Machine □ □ Number of still cameras you own: taken in the last 12 months. Stationary Bicycle □ □ 3 or more □ Treadmill □ □ 2 □ 500 or more □ Stair Climbing Machine □ □ 1 □ 100 - 499 □ Cross Country Ski Exerciser □ □

Types owned: 50 - 99 □ Backpacking Equipment □ □ 35mm □ 25 - 49 □ Coolers □ □ APS (Advanced Photo System) □ 1 - 24 □ Camping Tents □ □ Digital □ None □ Camping Lanterns □ □ Instant □ Other Camping Equipment □ □ Other □ SPORTING GOODS Basketball(s) □ □ Football(s) □ □ Brands owned: For each of the sporting goods listed, please mark Golf Clubs □ □ Canon □ those you own. Then for each item you own, please Golf Balls □ □ mark those you bought in the last 12 months. Fuji □ Golf Gloves □ □ HP Photosmart □ Bought Skateboard □ □ Kodak □ in Last Own 12 Months None of These □ Konica □ Kyocera □ Fishing Rod □ □ GREETING CARDS Mamiya □ Fishing Reel □ □ Minolta □ Rifle for Hunting □ □ Did you purchase any greeting Yes No Nikon □ Shotgun for Hunting □ □ cards in the last 3 months? □ □ Olympus □ Factory Loaded Ammunition □ □ Panasonic □ Airguns □ □ Pentax □ Hunting Clothes □ □ Polaroid I-Zone □ Bowling Ball □ □ Other Polaroid □ Tennis Racquet □ □ Tennis Balls □ □

82 Shopping

FOOD SHOPPING OTHER SHOPPING (EXCLUDING FOOD) STRIP MALLS

When you shop for food, how often do you refer to each When you shop for non-food items, how often do you Have you gone to a strip mall in the Yes No of the following for finding and choosing the items you refer to each of the following for finding and choosing last 4 weeks? □ □ buy? the items you buy?

Always Sometimes Never Always Sometimes Never IF YES Advertising on the Floor □ □ □ Advertising on the Floor □ □ □ About how many times did you go to a strip mall in Advertising on Shopping Advertising on Shopping the last 4 weeks? Cart □ □ □ Cart □ □ □ Announcements in Store □ □ □ Departmental Signs or Aisle 10 or more □ Computerized Information/ Markers □ □ □ 8 - 9 □ Coupon Center □ □ □ Lighted Merchandise Graphics 6 - 7 □ In-Store Demonstrations □ □ □ □ □ □ On the Internet 4 - 5 □ In-Store Samples □ □ □ □ □ □ 1 - 3 □ Message/ Offers at the Radio/ Public Address Announcements in Store Shelf □ □ □ □ □ □ Signs on Merchandise Racks On the Internet □ □ □ SHOPPING MALLS or Shelves □ □ □ Overhead Aisle Markers □ □ □ Store Brochures/ Flyers □ □ □ Radio/ Public Address Have you gone to a shopping mall in Yes No Video Monitor Displays Announcements in Store □ □ □ □ □ □ the last 4 weeks? □ □ Video Monitor Displays □ □ □

IF YES About how many times did you go to a mall in the last 4 weeks?

10 or more □ 8 - 9 □ 6 - 7 □ 4 - 5 □ 1 - 3 □

SHOPPING DISTANCE

On a typical shopping trip, how far are you willing to travel to each of these types of stores? Number of Miles Willing to Travel Less than 1 1 2 3-4 5-9 10-15 16-20 21-30 31 or more Arts and Crafts Store □ □ □ □ □ □ □ □ □ Clothing Store □ □ □ □ □ □ □ □ □ Convenience Store □ □ □ □ □ □ □ □ □ Discount Department Store □ □ □ □ □ □ □ □ □ Drugstore □ □ □ □ □ □ □ □ □ Footwear Store □ □ □ □ □ □ □ □ □ Full Department Store □ □ □ □ □ □ □ □ □ Home Electronics Store □ □ □ □ □ □ □ □ □ Home Furniture Store □ □ □ □ □ □ □ □ □ Home Improvement Store □ □ □ □ □ □ □ □ □ Sporting Goods Store □ □ □ □ □ □ □ □ □ Supermarket □ □ □ □ □ □ □ □ □ Toy Store □ □ □ □ □ □ □ □ □ Warehouse Store □ □ □ □ □ □ □ □ □ Automotive Parts Store □ □ □ □ □ □ □ □ □ Gas Station □ □ □ □ □ □ □ □ □ Fast Food Restaurant □ □ □ □ □ □ □ □ □ Family Restaurant □ □ □ □ □ □ □ □ □ Movie Theater □ □ □ □ □ □ □ □ □ Car Dealership □ □ □ □ □ □ □ □ □ Banks □ □ □ □ □ □ □ □ □

83 Shopping

Number of Times in Last 4 Weeks SUPERMARKETS AND FOOD STORES Shopped in Last 4 Weeks 10 or More 4-9 1-3

Please mark the supermarkets and food stores you shopped at in the Wal-Mart Super Center □ □ □ □ last 4 weeks. Then, for each store shopped at, please mark the number Waldbaum’s □ □ □ □ of times you shopped there in the last 4 weeks. Wegman’s □ □ □ □ Weis Markets □ □ □ □ Number of Times in Last 4 Weeks Shopped in Whole Foods □ □ □ □ Last 4 Weeks 10 or More 4-9 1-3 Winn-Dixie □ □ □ □ A&P Food Store □ □ □ □ Other □ □ □ □ ACME □ □ □ □ None □ Albertsons □ □ □ □ Bi-Lo □ □ □ □ Brookshire Grocery □ □ □ □ C Town □ □ □ □ CONVENIENCE STORES Cub Foods □ □ □ □ Dominick’s Finer Foods □ □ □ □ Please mark the convenience stores you shopped at in the last 4 weeks. Then, for each store shopped at, please mark the number of times you shopped Edward’s Superfood Store □ □ □ □ there in the last 4 weeks. Farmer Jack □ □ □ □ Number of Times in Last 4 Weeks Food Lion □ □ □ □ Shopped in Foodtown □ □ □ □ Last 4 Weeks 10 or More 4-9 1-3 Fred Meyer □ □ □ □ 7-Eleven □ □ □ □ Giant (PA)/ Martin’s □ □ □ □ AM/PM Mini Markets □ □ □ □ Giant Eagle □ □ □ □ Circle K □ □ □ □ Giant Food Stores □ □ □ □ Citgo Quick Mart □ □ □ □ Cumberland Farms □ □ □ □ Harris − Teeter □ □ □ □ Dairy Mart □ □ □ □ H.E.B. Pantry □ □ □ □ Holiday Stationstores □ □ □ □ Hy-Vee □ □ □ □ On the Run □ □ □ □ IGA Markets □ □ □ □ Quick Check Food Stores □ □ □ □ Jewel □ □ □ □ Quick Trip □ □ □ □ King Kullen □ □ □ □ Speedway SuperAmerica □ □ □ □ King Soopers □ □ □ □ Stop-N-Go □ □ □ □ Kroger □ □ □ □ Wawa Food Markets □ □ □ □ White Hen Pantry □ □ □ □ Meijer □ □ □ □ Other □ □ □ □ Pathmark □ □ □ □ None □ Pick ’N Save □ □ □ □ Piggly Wiggly □ □ □ □ Price Chopper □ □ □ □ Publix □ □ □ □ DRUGSTORES Raley’s □ □ □ □ Ralph’s □ □ □ □ Please mark the drugstores you shopped at in the last 4 weeks. Then, for each store shopped at, please mark the number of times you shopped Randall’s □ □ □ □ there in the last 4 weeks. Safeway □ □ □ □ Number of Times in Last 4 Weeks Save-A-Lot □ □ □ □ Shopped in Schnucks Markets □ □ □ □ Last 4 Weeks 10 or More 4-9 1-3 Shaw’s □ □ □ □ CVS □ □ □ □ ShopRite □ □ □ □ Drug Emporium □ □ □ □ Smith’s Food & Drug □ □ □ □ Eckerd □ □ □ □ Spartan Stores □ □ □ □ Kaiser Pharmacy □ □ □ □ Longs □ □ □ □ Stater Bros. □ □ □ □ Medicine Shoppe □ □ □ □ Stop & Shop □ □ □ □ Osco □ □ □ □ Super Fresh □ □ □ □ Rite-Aid □ □ □ □ Super Valu □ □ □ □ Sav-On □ □ □ □ Tom Thumb □ □ □ □ Walgreen’s □ □ □ □ Tops Friendly Markets □ □ □ □ Other □ □ □ □ Trader Joe’s □ □ □ □ None □ Vons □ □ □ □

84 Shopping

Times Shopped in Last 4 Weeks DEPARTMENT, DISCOUNT, CHILDREN’S TOY, Shopped Purchased Last 7 or in Last CLOTHING AND FOOTWEAR STORES 3 Months More 3-6 1-2 None 4 Weeks Finish Line □ □ □ □ □ □ Please mark the department, discount, children’s toy, clothing and footwear Foley’s □ □ □ □ □ □ stores where you shopped at in the last 3 months. For each store shopped Foot Action □ □ □ □ □ □ at, please mark the number of times you shopped there in the last 4 weeks. Kids Foot Locker □ □ □ □ □ □ In addition, please mark those stores that you purchased at, in the Lady Foot Locker □ □ □ □ □ □ last 4 weeks. Foot Locker □ □ □ □ □ □ Fortunoffs □ □ □ □ □ □ Times Shopped in Last 4 Weeks Shopped Purchased Last 7 or in Last 3 Months More 3-6 1-2 None 4 Weeks GameStop □ □ □ □ □ □ Abercrombie & Fitch □ □ □ □ □ □ Gap □ □ □ □ □ □ A.C. Moore □ □ □ □ □ □ Goody’s Family Clothing □ □ □ □ □ □ Academy □ □ □ □ □ □ Hallmark/ Hallmark American Eagle Outfitters □ □ □ □ □ □ Crown Stores □ □ □ □ □ □ Anchor Blue □ □ □ □ □ □ Hecht’s □ □ □ □ □ □ Ann Taylor □ □ □ □ □ □ Herberger’s □ □ □ □ □ □ Arden B □ □ □ □ □ □ Hobby Lobby Stores □ □ □ □ □ □ The Athlete’s Foot □ □ □ □ □ □ JC Penney □ □ □ □ □ □

Babies “R” Us □ □ □ □ □ □ J.Crew □ □ □ □ □ □ Banana Republic □ □ □ □ □ □ Jo-Ann Stores □ □ □ □ □ □ Bass Shoes □ □ □ □ □ □ Kaufmann’s □ □ □ □ □ □ Bealls □ □ □ □ □ □ KB Toys □ □ □ □ □ □ Bebe □ □ □ □ □ □ Kmart □ □ □ □ □ □ Belk □ □ □ □ □ □ Kohl’s □ □ □ □ □ □ Big 5 Sporting Goods □ □ □ □ □ □ Lane Bryant □ □ □ □ □ □ Big Lots □ □ □ □ □ □ L’eggs/ Hanes/ Bali Outlets □ □ □ □ □ □

BJ’s Wholesale Club □ □ □ □ □ □ The Limited □ □ □ □ □ □ Bloomingdale’s □ □ □ □ □ □ Limited Too □ □ □ □ □ □ Bob’s Stores □ □ □ □ □ □ Loehmann’s □ □ □ □ □ □ Bon-Ton (Pomeroy’s) □ □ □ □ □ □ Lord & Taylor □ □ □ □ □ □ Boscov’s □ □ □ □ □ □ Macy’s □ □ □ □ □ □ Build-A-Bear □ □ □ □ □ □ Mandee’s □ □ □ □ □ □ Burberry □ □ □ □ □ □ Marshall Field’s □ □ □ □ □ □ Burlington Coat Factory □ □ □ □ □ □ Marshalls □ □ □ □ □ □

Carson Pirie Scott □ □ □ □ □ □ Maurices □ □ □ □ □ □ Casual Corner □ □ □ □ □ □ McSports □ □ □ □ □ □ Champ’s Sports □ □ □ □ □ □ Meier & Frank □ □ □ □ □ □ Chico’s □ □ □ □ □ □ Meijer □ □ □ □ □ □ Costco □ □ □ □ □ □ The Men’s Wearhouse □ □ □ □ □ □ Dick’s Sporting Goods □ □ □ □ □ □ Mervyn’s □ □ □ □ □ □ Dillard’s □ □ □ □ □ □ Michaels □ □ □ □ □ □ The Disney Store □ □ □ □ □ □ Modell’s Sporting Goods □ □ □ □ □ □

Dollar General Store □ □ □ □ □ □ Naturalizer Shoe Store □ □ □ □ □ □ Dress Barn □ □ □ □ □ □ Neiman Marcus □ □ □ □ □ □ Dunham’s Sports □ □ □ □ □ □ New York & Company □ □ □ □ □ □ EB Games □ □ □ □ □ □ Nike □ □ □ □ □ □ Eddie Bauer □ □ □ □ □ □ Nine West □ □ □ □ □ □ Elder Beerman Stores □ □ □ □ □ □ Nordstrom □ □ □ □ □ □ Express □ □ □ □ □ □ Nordstrom Rack □ □ □ □ □ □ Express Men’s □ □ □ □ □ □ Off 5th □ □ □ □ □ □

Family Dollar Store □ □ □ □ □ □ Old Navy □ □ □ □ □ □ Famous-Barr □ □ □ □ □ □ Oshman’s □ □ □ □ □ □ Famous Footwear □ □ □ □ □ □ Palais Royal □ □ □ □ □ □ Fashion Bug □ □ □ □ □ □ Pamida Stores □ □ □ □ □ □ Filene’s □ □ □ □ □ □ Parisian □ □ □ □ □ □ Filene’s Basement □ □ □ □ □ □ Continued on next page

85 Shopping

Times Shopped in Last 4 Weeks Shopped Purchased HOME ELECTRONICS STORES Last 7 or in Last 3 Months More 3-6 1-2 None 4 Weeks Please mark the home electronics stores you shopped at in the last 3 months.

Payless Shoe Source □ □ □ □ □ □ For each store shopped at, please mark the number of times you shopped Rack Room Shoes □ □ □ □ □ □ there in the last 4 weeks. In addition, please mark those stores that you Ralph Lauren □ □ □ □ □ □ purchased at, in the last 4 weeks. Robinson’s May □ □ □ □ □ □ Times Shopped in Last 4 Weeks Shopped Purchased Ross Dress for Less □ □ □ □ □ □ Last 7 or in Last 3 Months More 3-6 1-2 None 4 Weeks Saks Fifth Avenue □ □ □ □ □ □ Best Buy □ □ □ □ □ □ Sam’s Club □ □ □ □ □ □ Circuit City □ □ □ □ □ □ Sears □ □ □ □ □ □ Fry’s Electronics □ □ □ □ □ □ The Good Guys! □ □ □ □ □ □ Shopko □ □ □ □ □ □ PC Richard & Son □ □ □ □ □ □ Sports Authority □ □ □ □ □ □ Radio Shack □ □ □ □ □ □ Stage Stores □ □ □ □ □ □ Tweeter □ □ □ □ □ □ Stein Mart □ □ □ □ □ □ Other □ □ □ □ □ □ Steve Madden □ □ □ □ □ □ None □ Strawbridge’s □ □ □ □ □ □ Talbots □ □ □ □ □ □ Target □ □ □ □ □ □ HOME IMPROVEMENT STORES

TJ Maxx □ □ □ □ □ □ Please mark the home improvement stores you shopped at in the last 3 months. Toys “R” Us □ □ □ □ □ □ For each store shopped at, please mark the number of times you shopped Value City □ □ □ □ □ □ there in the last 4 weeks. In addition, please mark those stores that you Victoria’s Secret □ □ □ □ □ □ purchased at, in the last 4 weeks.

Wal-Mart □ □ □ □ □ □ Times Shopped in Last 4 Weeks Shopped Purchased Wet Seal □ □ □ □ □ □ Last 7 or in Last 3 Months More 3-6 1-2 None 4 Weeks Younkers □ □ □ □ □ □ Ace Hardware □ □ □ □ □ □ Home Depot □ □ □ □ □ □ Other □ □ □ □ □ □ Lowe’s □ □ □ □ □ □ None □ Lumbermen’s □ □ □ □ □ □ Menards □ □ □ □ □ □ HOME FURNISHING AND HOUSEWARE STORES True Value Hardware □ □ □ □ □ □ Other □ □ □ □ □ □ Please mark the home furnishing and houseware stores you shopped at in None □ the last 3 months. For each store shopped at, please mark the number of times you shopped there in the last 4 weeks. In addition, please mark those stores that you purchased at, in the last 4 weeks. OFFICE SUPPLY/ COMPUTER STORES

Times Shopped in Last 4 Weeks Please mark the office supply or computer stores at which you shopped in the Shopped Purchased Last 7 or in Last last 3 months. For each store shopped at, please mark the number of times you 3 Months More 3-6 1-2 None 4 Weeks shopped there in the last 4 weeks. In addition, please mark those stores that you Art Van Furniture □ □ □ □ □ □ purchased at, in the last 4 weeks. Bed, Bath & Beyond □ □ □ □ □ □ Times Shopped in Last 4 Weeks Cost Plus World Market □ □ □ □ □ □ Shopped Purchased Crate & Barrel □ □ □ □ □ □ Last 7 or in Last 3 Months More 3-6 1-2 None 4 Weeks Ethan Allen □ □ □ □ □ □ CompUSA □ □ □ □ □ □ Expo Design Center □ □ □ □ □ □ Kinko’s □ □ □ □ □ □ Garden Ridge □ □ □ □ □ □ Micro Center □ □ □ □ □ □ Haverty’s □ □ □ □ □ □ Office Depot □ □ □ □ □ □ IKEA □ □ □ □ □ □ Office Max □ □ □ □ □ □ Staples □ □ □ □ □ □ Levitz Furniture □ □ □ □ □ □ Online Store □ □ □ □ □ □ Linens ’n Things □ □ □ □ □ □ Other □ □ □ □ □ □ Pier 1 Imports □ □ □ □ □ □ None □ Pottery Barn □ □ □ □ □ □ Rhodes □ □ □ □ □ □ Rooms to Go □ □ □ □ □ □ Williams-Sonoma □ □ □ □ □ □ Other □ □ □ □ □ □ None □

86 Shopping

PURCHASES MADE WITHIN DEPARTMENT/ DISCOUNT STORES

Did you make a purchase at a department store and/ or a discount store in the last 3 months? Yes No □ □

IF YES For each department or discount store listed below where you may have made a purchase, please indicate in which department(s) these purchases were made in the last 3 months. Appliances/ Hardware/ Clothing/ Electronics/ Sporting Home Housewares/ Food/ Accessories Footwear Computers Goods Improvements Furniture Jewelry Automotive Cosmetics Toys Drug Other

BJ’s Wholesale Club □□□□ □ □□□□□□□ Bealls □□□□ □ □□□□□□□ Bloomingdale’s □□□□ □ □□□□□□□ Bon-Ton (Pomeroy’s) □□□□ □ □□□□□□□ Boscov’s □□□□ □ □□□□□□□

Carson Pirie Scott □□□□ □ □□□□□□□ Costco □□□□ □ □□□□□□□ Dillard’s □□□□ □ □□□□□□□ Famous-Barr □□□□ □ □□□□□□□ Filene’s □□□□ □ □□□□□□□

Foley’s □□□□ □ □□□□□□□ Hecht’s □□□□ □ □□□□□□□ Herberger’s □□□□ □ □□□□□□□ JC Penney □□□□ □ □□□□□□□ Kaufmann’s □□□□ □ □□□□□□□

Kmart □□□□ □ □□□□□□□ Kohl’s □□□□ □ □□□□□□□ Lord & Taylor □□□□ □ □□□□□□□ Macy’s □□□□ □ □□□□□□□ Meijer □□□□ □ □□□□□□□

Mervyn’s □□□□ □ □□□□□□□ Neiman Marcus □□□□ □ □□□□□□□ Nordstrom □□□□ □ □□□□□□□ Off 5th □□□□ □ □□□□□□□ Parisian □□□□ □ □□□□□□□

Ross Dress for Less □□□□ □ □□□□□□□ Saks Fifth Avenue □□□□ □ □□□□□□□ Sam’s Club □□□□ □ □□□□□□□ Sears □□□□ □ □□□□□□□ Shopko □□□□ □ □□□□□□□

Stage Stores □□□□ □ □□□□□□□ Target □□□□ □ □□□□□□□ Value City □□□□ □ □□□□□□□ Wal-Mart □□□□ □ □□□□□□□ Younkers □□□□ □ □□□□□□□

Other Department Store □□□□ □ □□□□□□□ Other Discount Store □□□□ □ □□□□□□□

87 Shopping

ATTITUDES/ OPINIONS ABOUT SHOPPING

Shopping is an activity that most people engage in and often people have different approaches or differing opinions about shopping. Please tell us the extent to which you agree or disagree with each statement by marking one box opposite each statement. If you are not sure, please mark ЉNeither Agree Nor DisagreeЉ and go on to the next statement.

Agree Agree Neither Agree Disagree Disagree A Lot A Little Nor Disagree A Little A Lot

When I shop I usually visit a variety of stores □ □ □ □ □ I usually only shop at my favorite stores because I know they have the brands I like □ □ □ □ □ I rarely go shopping □ □ □ □ □ Because of a coupon, I’d be drawn to a store I normally don’t shop at □ □ □ □ □ My friend’s opinion of a store influences whether I shop there □ □ □ □ □

Even when I do not purchase something, I enjoy shopping □ □ □ □ □ For relatively expensive items, I’ll shop at different stores to make certain I get the best price □ □ □ □ □ A store’s environment can make a difference in whether I shop there □ □ □ □ □ I normally only shop at stores that are conveniently located nearby □ □ □ □ □ I usually only go shopping when I have to buy something I really need □ □ □ □ □

I will buy products from stores that don’t specialize in those products because of price □ □ □ □ □ I prefer shopping at local stores to shopping at national store chains □ □ □ □ □ I am usually willing to shop at new stores □ □ □ □ □ I usually only shop at my favorite stores because I know what kind of service I will receive □ □ □ □ □ I prefer buying a product from a specialty store than a store that doesn’t specialize in that product □ □ □ □ □

I go shopping frequently □ □ □ □ □ I especially enjoy shopping with someone of the opposite sex □ □ □ □ □ I am usually the first among my friends to shop at a new store □ □ □ □ □ I generally plan far ahead to buy expensive items such as automobiles □ □ □ □ □ I prefer shopping at specialty stores because the employees are knowledgeable of the products □ □ □ □ □

I usually only shop at my favorite stores because they are conveniently located nearby □ □ □ □ □ I am drawn to stores I normally don’t shop at by sales □ □ □ □ □ I prefer to go shopping alone □ □ □ □ □ I often use the Internet to help plan my shopping trips □ □ □ □ □ I tend to spend long periods of time in a store browsing □ □ □ □ □

I am willing to travel up to an hour or more to shop at my favorite stores □ □ □ □ □ I prefer shopping at specialty stores because they tend to carry the best brands □ □ □ □ □ I prefer to shop with my friends □ □ □ □ □ I usually head right for the clearance rack when I enter a store □ □ □ □ □ I tend to buy things on the spur of the moment □ □ □ □ □

I am willing to travel an hour or more to shop at factory outlet stores □ □ □ □ □ When shopping with others, I prefer splitting up so I can do my own shopping □ □ □ □ □ I usually only shop at my favorite stores because they have the prices I like □ □ □ □ □ When shopping, I just get what I need and leave □ □ □ □ □ I often go out of my way to find new stores to shop at □ □ □ □ □

Price isn’t the most important factor—it is getting exactly what I want □ □ □ □ □ I prefer shopping at specialty stores because they tend to carry more brands □ □ □ □ □ I prefer to shop with my family □ □ □ □ □ I tend to hold out on buying things I want until they go on sale □ □ □ □ □ I really enjoy any kind of shopping □ □ □ □ □ I buy goods produced by my own country whenever I can □ □ □ □ □ I spend a lot of money on toiletries and cosmetics for personal use □ □ □ □ □

88 TOILETRIES Toiletries

BLUSHER Most Also NOTE: Pages 90-91 are questions to be Brands you use: Often Use answered by women only. Page Yes No Cover Girl □ □ numbers are indicated on the Do you use it? □ □ bottom of each page. Elizabeth Arden □ □ Estee Lauder □ □ IF YES Most Also Types you use: Often Use Lancôme □ □ MEN: Please skip to Toothpaste on page Cream/ Gel/ Liquid □ □ L’Oréal □ □ 92. Powder/ Cake □ □ M.A.C. □ □ Stick Mary Kay □ □ FOUNDATION MAKE-UP □ □ Max Factor □ □ Yes No Brands you use: Maybelline □ □ Do you use it? □ □ Almay □ □ Neutrogena □ □ Avon □ □ Prescriptives □ □ IF YES Most Also Revlon □ □ Types you use: Often Use Bobbi Brown □ □ Bonne Bell □ □ Wet ‘n’ Wild □ □ Cream □ □ Chanel □ □ Other Brands □ □ Liquid □ □ Clinique □ □ Powder Cream/ Cream-to-Powder □ □ Cover Girl □ □ Number of times used in last 7 days: Dual Purpose (Powder/ Elizabeth Arden □ □ Foundation in Compact) □ □ 14 or more □ Estee Lauder □ □ 8 - 13 □ Fashion Fair □ □ Brands you use: 7 □ Almay □ □ Lancôme □ □ 4 - 6 □ Avon □ □ L’Oréal □ □ 2 - 3 □ Bobbi Brown □ □ M.A.C. □ □ 1 □ Chanel □ □ Mary Kay □ □ None □ Clinique □ □ Max Factor □ □ Cover Girl □ □ Maybelline □ □ EYE SHADOW/ EYE LINER/ EYE BROW PENCIL Elizabeth Arden □ □ Merle Norman □ □

Estee Lauder □ □ Neutrogena □ □ Do you use them? Eye Eye Eye Brow Shadow Liner Pencil Fashion Fair □ □ Prescriptives □ □ Yes □ □ □ Lancôme □ □ Revlon □ □ No □ □ □ L’Oréal □ □ Wet ‘n’ Wild □ □

M.A.C. □ □ Other Brands □ □ IF YES Eye Eye Mary Kay □ □ Kinds you use: Shadow Liner Max Factor □ □ Number of times used in last 7 days: Crayon/ Pencil □ □ Maybelline □ □ Cream □ □ 14 or more □ Merle Norman □ □ Liquid □ □ 11 - 13 □ Neutrogena □ □ Powder □ □ 8 - 10 □ Olay □ □ Other □ □ 7 □ Prescriptives □ □ 4 - 6 □ Eye Eye Eye Brow Revlon □ □ 2 - 3 □ Brands you use: Shadow Liner Pencil Ultima II □ □ 1 □ Almay □ □ □ Wet ‘n’ Wild □ □ None □ Avon □ □ □ Other Brands □ □ Bobbi Brown □ □ □ MASCARA Bonne Bell □ □ □ Number of times used in last 7 days: Yes No Chanel □ □ □ Do you use it? □ □ Clinique □ □ □ 14 or more □ Cover Girl □ □ □ 11 - 13 □ IF YES Most Also Elizabeth Arden □ □ □ 8 - 10 □ Kinds you use: Often Use Estee Lauder □ □ □ 7 □ Regular (Not Waterproof/ Fashion Fair □ □ □ 4 - 6 □ Resistant) □ □ Jane □ □ □ 2 - 3 □ Water Resistant □ □ Lancôme □ □ □ 1 □ Waterproof □ □ L’Oréal □ □ □ None □ Brands you use: M.A.C. □ □ □ Almay □ □ Mary Kay □ □ □ Avon □ □ Max Factor □ □ □ Bobbi Brown □ □ Maybelline □ □ □ Chanel □ □ Merle Norman □ □ □ Christian Dior □ □ Revlon □ □ □ Clarins □ □ Wet ‘n’ Wild □ □ □ Clinique □ □ Other Brands □ □ □

Continued on next page

90 Toiletries

Number of times used in last 7 days: NAIL POLISH/ NAIL CARE PRODUCTS SANITARY PADS & NAPKINS

Eye Eye Eye Brow Shadow Liner Pencil Yes No Yes No 14 or more □ □ □ Do you use it? □ □ Do you use them? □ □ 8 - 13 □ □ □ IF YES Most Also 7 □ □ □ Brands you use: Often Use IF YES Most Also Types you use: Often Use 4 - 6 □ □ □ Almay □ □ 2 - 3 □ □ □ Regular/ Maxi Pads □ □ Avon □ □ 1 □ □ □ Ultra Thin Pads □ □ Chanel □ □ None □ □ □ Clinique □ □ Forms you use: Cover Girl □ □ Pads With Wings □ □ LIPSTICK & LIP GLOSS Cutex □ □ Pads Without Wings □ □ Estee Lauder □ □ Yes No Kinds you use: Fashion Fair □ □ Do you use it? □ □ Regular/ Non-Deodorant □ □ L’Oréal □ □ Deodorant □ □ IF YES Most Also Lancôme □ □ Types you use: Often Use Max Factor □ □ Brands you use: Compact Lip Color □ □ Maybelline □ □ Always □ □ Lip Gloss □ □ Nicole □ □ Carefree □ □ Lip Pencil □ □ O.P.I. □ □ Kotex □ □ Lip Stain □ □ Revlon □ □ Maxithins □ □ Lipstick □ □ Sally Hansen □ □ New Freedom □ □ Wet ‘n’ Wild □ □ Stayfree □ □ Brands you use: Other Brands □ □ Store Brand □ □ Almay □ □ Other Brands □ □ Avon □ □ Number of times used in last 30 days: Bobbi Brown □ □ Bonne Bell □ □ 10 or more □ PANTILINERS/ SHIELDS Chanel □ □ 7 - 9 □ Clarins □ □ 5 - 6 □ Yes No Clinique □ □ 2 - 4 □ Do you use them? □ □ Cover Girl □ □ 1 □ Elizabeth Arden □ □ None □ IF YES Most Also Kinds you use: Often Use Estee Lauder □ □ Regular/ Non-Deodorant □ □ Fashion Fair □ □ TAMPONS Deodorant □ □ Jane □ □ Yes No Lancôme □ □ Do you use them? □ □ Length you use: L’Oréal □ □ Regular □ □ M.A.C. □ □ IF YES Most Also Absorbency you use: Often Use Long □ □ Mary Kay □ □ Regular □ □ Max Factor □ □ Slender □ □ Brands you use: Maybelline □ □ Super □ □ Always Alldays □ □ Merle Norman □ □ Super Plus □ □ Carefree □ □ Neutrogena □ □ Kotex □ □ Olay □ □ Kinds you use: Store Brand □ □ O.P.I. □ □ Regular/ Non-Deodorant □ □ Other Brands □ □ Revlon □ □ Deodorant □ □ Ultima II □ □ Wet ‘n’ Wild □ □ HOME PREGNANCY TESTS Brands you use: Other Brands □ □ Kotex □ □ Have you used a home pregnancy Yes No Number of times used in last 7 days: O. B. □ □ test in the last 12 months? □ □ Playtex □ □ Lip Tampax □ □ Lipstick Gloss IF YES Most Also Store Brand □ □ Brands you used: Often Used 14 or more □ □ Other Brands □ □ 8 - 13 □ □ Answer □ □ 7 □ □ Clearblue Easy □ □ 4 - 6 □ □ Confirm □ □ 2 - 3 □ □ EPT □ □ 1 □ □ Fact Plus □ □ None □ □ First Response □ □ Store Brand □ □ Other Brands □ □

91 Toiletries

YEAST INFECTION PRODUCTS Mark the number of times you used in average day Mark the number of times you used in average day (Only for each brand you use). (Only for each brand you use). Yes No 3 or 3 or More 2 1 0 More 2 1 0 Do you use them? □ □ Listerine Essential Care □ □ □ □ Colgate Wave □ □ □ □ IF YES Most Also Mentadent □ □ □ □ Other Colgate □ □ □ □ Types you use: Often Use Pepsodent □ □ □ □ Crest □ □ □ □ 1 Day Treatment □ □ Plus + White □ □ □ □ Mentadent □ □ □ □ 3 Day Treatment □ □ Rembrandt □ □ □ □ Oral-B Advantage □ □ □ □ 7 Day Treatment □ □ Sensodyne □ □ □ □ Oral-B Cross Action □ □ □ □ Tom’s Of Maine □ □ □ □ Oral-B Indicator □ □ □ □ Brands you use: Femstat □ □ Ultra Brite □ □ □ □ Other Oral-B □ □ □ □ Gyne-Lotrimin □ □ Store Brand □ □ □ □ Sea-Bond Denture Brush □ □ □ □ Monistat □ □ Other Brands □ □ □ □ Store Brand □ □ □ □ Mycelex □ □ Other Brands □ □ □ □ Vaginex □ □ TOOTHBRUSHES (POWER) Vagisil □ □ MOUTHWASH/ DENTAL RINSE Yes No Vagistat □ □ Do you use them? □ □ Yes No Store Brand □ □ Do you use it? □ □ Other Brands □ □ IF YES Most Also Types you use: Often Use IF YES

Battery Operated □ □ Mark the number of times you used in last 7 days MENSTRUAL & PRE-MENSTRUAL PAIN Electric-Rechargeable □ □ (Only for each brand you use). 8 or Have you had menstrual/ period pain or pre-menstrual More 6-7 1-5 0 Mark the number of times you used in average day syndrome (PMS) in the last 12 months? ACT □ □ □ □ (Only for each brand you use). Yes No Cepacol Gold □ □ □ □ □ □ 3 or Cepacol Mint □ □ □ □ More 2 1 0 IF YES Lavoris Colgate □ □ □ □ □ □ □ □ Kinds of products used to relieve the pain: Listerine Original (Gold) Crest □ □ □ □ □ □ □ □ Non-prescription □ Listerine Cool Mint (Blue) Interplak □ □ □ □ □ □ □ □ Prescription □ Listerine Freshburst (Green) Oral-B Powered by Braun □ □ □ □ □ □ □ □ Both □ Other Listerine Reach □ □ □ □ □ □ □ □ Did not use a product □ Listermint Sonicare □ □ □ □ □ □ □ □ Mentadent Store Brand □ □ □ □ □ □ □ □ Plax Original (Red) NOTE: BOTH MEN AND WOMEN CONTINUE HERE Other Brands □ □ □ □ □ □ □ □ Plax Soft Mint (Green) □ □ □ □ TOOTHPASTE TOOTHBRUSHES (MANUAL) Other Plax □ □ □ □ Rembrandt □ □ □ □ Yes No Yes No Scope Original Mint □ □ □ □ Do you use it? □ □ Do you use them? □ □ Scope Cool Peppermint □ □ □ □ Targon □ □ □ □ IF YES Most Also IF YES Most Also Forms you use: Often Use Types you use: Often Use Viadent □ □ □ □ Store Brand □ □ □ □ Paste □ □ Firm Bristle □ □ Other Brands □ □ □ □ Paste/ Gel Combination □ □ Medium Bristle □ □ Gel □ □ Soft/ Extra Soft Bristle □ □ DENTURE ADHESIVES & FIXATIVES Handle-type you use: Kinds you use: Straight Handle □ □ Yes No Whitening □ □ Angled Handle □ □ Do you use them? □ □ Tartar Control □ □ Baking Soda/ Peroxide □ □ Forms you use: IF YES Most Also Brands you use: Often Use Sensitive □ □ Full Head □ □ Butler Secure □ □ Regular □ □ Compact Head □ □ Effergrip □ □ Fixodent □ □ Mark the number of times you used in average day Mark the number of times you used in average day OraFix □ □ (Only for each brand you use). (Only for each brand you use). Poli-Grip □ □ 3 or 3 or Sea-Bond □ □ More 2 1 0 More 2 1 0 Store Brand □ □ Aim □ □ □ □ Aquafresh □ □ □ □ Other Brands □ □ Aquafresh □ □ □ □ Butler G-U-M □ □ □ □ Arm & Hammer □ □ □ □ Colgate Active Angle □ □ □ □ Close-Up □ □ □ □ Colgate Massager □ □ □ □ Colgate □ □ □ □ Colgate Navigator □ □ □ □ Crest □ □ □ □ Colgate Total Professional □ □ □ □

92 Toiletries

DENTURE CLEANERS Mark the number of times you used in last 7 days HAIR CONDITIONER/ TREATMENT (Only for each brand you use). (FOR USE AT HOME) Yes No 8 or More 4-7 1-3 0 Yes No Do you use them? □ □ Agree □ □ □ □ Do you use it? □ □ IF YES Alberto VO5 □ □ □ □ IF YES Most Also Mark the number of times used in last 7 days Aussie □ □ □ □ Types you use: Often Use (Only for each brand you use). Aveda □ □ □ □ Deep Conditioning □ □ 8 or Avon □ □ □ □ Extra Body □ □ More 7 1-6 0 Bath & Body Works □ □ □ □ Ban-A-Stain □ □ □ □ For Color-Treated or Permed Hair □ □ Biolage by Matrix □ □ □ □ Efferdent □ □ □ □ For Dry Hair □ □ Other Matrix □ □ □ □ Pepsodent □ □ □ □ For Normal Hair □ □ Clairol Herbal Essences □ □ □ □ Polident □ □ □ □ For Oily Hair □ □ Dark & Lovely □ □ □ □ Smoker’s Polident □ □ □ □ Denorex □ □ □ □ Forms you use: Stain Away □ □ □ □ Leave In □ □ Dove □ □ □ □ Store Brand □ □ □ □ Regular/ Rinse-Out □ □ Finesse □ □ □ □ Other Brands □ □ □ □ Flex (Revlon) □ □ □ □ Mark the number of times you used in last 7 days Frizz Ease □ □ □ □ TOOTH WHITENERS Garnier Fructis □ □ □ □ (Only for each brand you use). Head & Shoulders □ □ □ □ Yes No 7 or Infusium 23 □ □ □ □ More 3-6 1-2 0 Do you use them? □ □ John Frieda □ □ □ □ Agree □ □ □ □ Johnson’s Baby Shampoo □ □ □ □ Alberto VO5 Hot Oil □ □ □ □ IF YES Most Also Other Alberto VO5 Types you use: Often Use L’Oréal □ □ □ □ Conditioners □ □ □ □ Neutrogena Clean □ □ □ □ Strips □ □ Aussie □ □ □ □ Neutrogena Shampoo Gels □ □ (Original) □ □ □ □ Aveda □ □ □ □ Neutrogena T-Gel □ □ □ □ Avon □ □ □ □ Brands you use: Other Neutrogena □ □ □ □ Bath & Body Works □ □ □ □ Colgate Simply White □ □ Nexxus □ □ □ □ Biolage by Matrix □ □ □ □ Crest Night Effects □ □ Nizoral □ □ □ □ Other Matrix □ □ □ □ Crest WhiteStrips □ □ Pantene Pro-V □ □ □ □ Clairol Herbal Essences □ □ □ □ Dr. George’s □ □ Paul Mitchell □ □ □ □ Dark & Lovely □ □ □ □ Mentadent □ □ Pert Plus (Regular) □ □ □ □ Dove □ □ □ □ Natural White □ □ Pert Plus Dandruff Control □ □ □ □ Finesse □ □ □ □ Optiwhite □ □ Physique □ □ □ □ Flex (Revlon) □ □ □ □ Plus + White □ □ Redken □ □ □ □ Frizz Ease □ □ □ □ Rembrandt □ □ Salon Selectives □ □ □ □ Garnier Fructis □ □ □ □ Store Brand □ □ Selsun-Blue □ □ □ □ Head & Shoulders □ □ □ □ Other Brands □ □ St. Ives □ □ □ □ Infusium 23 □ □ □ □ Suave □ □ □ □ John Frieda □ □ □ □ L’Oréal □ □ □ □ SHAMPOO (FOR USE AT HOME) Thermasilk □ □ □ □ TRESemmé □ □ □ □ Neutrogena Clean □ □ □ □ Neutrogena Conditioner Yes No White Rain □ □ □ □ (Original) □ □ □ □ Store Brand Do you use it? □ □ □ □ □ □ Other Neutrogena □ □ □ □ Other Brands □ □ □ □ Nexxus □ □ □ □ IF YES Most Also Pantene Pro-V □ □ □ □ Kinds you use: Often Use Paul Mitchell □ □ □ □ For Color Treated or Permed Hair □ □ Physique □ □ □ □ For Damaged Hair □ □ Redken □ □ □ □ For Dandruff/ Dry Scalp □ □ Salon Selectives □ □ □ □ For Dry Hair □ □ St. Ives □ □ □ □ For Extra Body □ □ Suave □ □ □ □ For Normal Hair □ □ Thermasilk □ □ □ □ For Oily Hair □ □ TRESemmé □ □ □ □ For Silver/ Grey Hair □ □ White Rain □ □ □ □ Combination Shampoo/ Conditioner □ □ Store Brand □ □ □ □ All-Purpose/ Regular □ □ Other Brands □ □ □ □

93 Toiletries

HAIR SPRAY (MEN’S AND WOMEN’S) Number of times you used in last 7 days: HAIR COLORING PRODUCTS (For each product you use). (FOR USE AT HOME) Yes No Lotion/ Do you use it? □ □ Liquid/ Mousse Gel Spritz Cream Tonic Yes No IF YES Most Also Do you use them? □ □ Types you use: Often Use 14 or more □ □ □ □ □ 10 - 13 □ □ □ □ □ Maximum Hold □ □ IF YES Most Also 8 - 9 □ □ □ □ □ Regular Hold □ □ Types you use: Often Use 7 □ □ □ □ □ Soft Hold □ □ Temporary Rinse □ □ 4 - 6 □ □ □ □ □ Super Hold □ □ Semi-Permanent Color □ □ 3 □ □ □ □ □ Permanent Color □ □ Kinds you use: 2 □ □ □ □ □ Highlighting, Frosting, Scented □ □ 1 □ □ □ □ □ Tipping, Streaking Kit □ □ Unscented □ □ None □ □ □ □ □ Bleach □ □ Forms you use: Lightener □ □ Aerosol Spray □ □ Mark the number of times you used in last 7 days

Pump Spray □ □ (Only for each brand you use). Mark the number of times you used in 7 or last 12 months(Only for each brand you use). Mark the number of times you used in last 7 days More 3-6 1-2 0 4 or Alberto VO5 □ □ □ □ More 2-3 1 0 (Only for each brand you use). Aussie □ □ □ □ Clairol Balsam Color □ □ □ □ 7 or Aveda More 3-6 1-2 0 □ □ □ □ Clairol Herbal Essences □ □ □ □ Bath & Body Works Alberto VO5 □ □ □ □ □ □ □ □ Clairol Hydrience □ □ □ □ Bed Head Aqua-Net □ □ □ □ □ □ □ □ Clairol Lasting Color □ □ □ □ Biolage by Matrix Aussie □ □ □ □ □ □ □ □ Clairol Natural Instincts □ □ □ □ Clairol Condition 3-in-1 Bath & Body Works □ □ □ □ □ □ □ □ Clairol Nice’n Easy □ □ □ □ Clairol Herbal Essenses Bed Head □ □ □ □ □ □ □ □ Clairol Textures & Tones □ □ □ □ Consort Biolage by Matrix □ □ □ □ □ □ □ □ Clairol Ultress □ □ □ □ Dep Clairol Condition 3-in-1 □ □ □ □ □ □ □ □ Miss Clairol □ □ □ □ Finesse Clairol Final Net □ □ □ □ □ □ □ □ Other Clairol □ □ □ □ Frizz Ease Clairol Herbal Essenses □ □ □ □ □ □ □ □ Creme of Nature □ □ □ □ Garnier Fructis Consort □ □ □ □ □ □ □ □ Dark & Lovely □ □ □ □ Groom & Clean Finesse □ □ □ □ □ □ □ □ Garnier 100% Color □ □ □ □ Infusium 23 LA Looks □ □ □ □ □ □ □ □ Garnier Nutrisse □ □ □ □ John Frieda L’Oréal Studio Line □ □ □ □ □ □ □ □ Other Garnier □ □ □ □ LA Looks Nexxus □ □ □ □ □ □ □ □ Grecian Formula □ □ □ □ L’Oréal Studio Line Pantene Pro-V □ □ □ □ □ □ □ □ Just For Men □ □ □ □ Lusters Paul Mitchell □ □ □ □ □ □ □ □ L’Oréal Colorspa □ □ □ □ Nexxus Physique □ □ □ □ □ □ □ □ L’Oréal Couleur Experte □ □ □ □ Pantene Pro-V Power Hold □ □ □ □ □ □ □ □ L’Oréal Excellence □ □ □ □ Paul Mitchell Rave □ □ □ □ □ □ □ □ L’Oréal Féria □ □ □ □ Physique Redken □ □ □ □ □ □ □ □ L’Oréal Preference □ □ □ □ Power Hold Salon Selectives □ □ □ □ □ □ □ □ Other L’Oréal □ □ □ □ Rave Suave □ □ □ □ □ □ □ □ Revlon Colorsilk □ □ □ □ Redken Thermasilk □ □ □ □ □ □ □ □ Revlon High Dimension □ □ □ □ Salon Selectives TRESemmé □ □ □ □ □ □ □ □ Other Revlon □ □ □ □ Sebastian White Rain □ □ □ □ □ □ □ □ Soft Sheen □ □ □ □ Suave Other Brands □ □ □ □ □ □ □ □ Sun In □ □ □ □ Thermasilk □ □ □ □ Other Brands □ □ □ □ HAIR STYLING MOUSSE, GELS, TRESemmé □ □ □ □ SPRITZ, CREAMS, LOTIONS, OR TONIC Vitalis □ □ □ □ (MEN’S AND WOMEN’S) White Rain □ □ □ □ Other Brands □ □ □ □ Yes No Do you use them? □ □

IF YES Most Also Types you use: Often Use

Mousse □ □ Gel □ □ Spritz □ □ Cream □ □ Tonic □ □ Lotion/ Liquid □ □

94 Toiletries

Mark the number of times you used in last 7 days HOME PERMANENTS & RELAXERS Mark the number of times you used in last 7 days (Only for each brand you use). (Only for each brand you use). Yes No 8 or 7 or More 7 1-6 0 More 4-6 1-3 None Do you use them? □ □ Degree Spectrum Almay □ □ □ □ Most Also IF YES Protection □ □ □ □ Often Use Alpha Hydrox □ □ □ □ Types you use: Dove □ □ □ □ Aveeno □ □ □ □ Regular □ □ Dove Silk Protection □ □ □ □ Avon □ □ □ □ Body/ Wave □ □ Dry Idea □ □ □ □ Basis □ □ □ □ Curly □ □ Gillette Series □ □ □ □ Bath & Body Works □ □ □ □ Extra Curly □ □ Lady Mitchum □ □ □ □ Bioré □ □ □ □ Other □ □ Mitchum □ □ □ □ Cetaphil □ □ □ □ Old Spice Classic □ □ □ □ Clean & Clear □ □ □ □ Forms you use: Old Spice High Endurance □ □ □ □ Clearasil □ □ □ □ Cream □ □ Old Spice Red Zone □ □ □ □ Clinique □ □ □ □ Foam □ □ Right Guard Sport □ □ □ □ Dove □ □ □ □ Lotion □ □ Right Guard Xtreme □ □ □ □ Elizabeth Arden □ □ □ □ Secret □ □ □ □ Estee Lauder □ □ □ □ Mark the number of times you used in Secret Platinum Protection □ □ □ □ Lancôme □ □ □ □ last 12 months(Only for each brand you use). Secret Sheer Dry □ □ □ □ L’Oréal □ □ □ □ 3 or Soft & Dri □ □ □ □ Mary Kay □ □ □ □ More 2 1 0 Lady Speed Stick □ □ □ □ Nature’s Care □ □ □ □ Dark & Lovely □ □ □ □ Speed Stick □ □ □ □ Neutrogena □ □ □ □ Gentle-Treatment □ □ □ □ Speed Stick 24-7 □ □ □ □ Nivea Visage □ □ □ □ L’Oréal □ □ □ □ Speed Stick Power of Nature □ □ □ □ Noxzema □ □ □ □ Lusters □ □ □ □ Speed Stick Ultimate □ □ □ □ Olay □ □ □ □ Ogilvie □ □ □ □ Suave □ □ □ □ Oxy □ □ □ □ Optimum □ □ □ □ Suave Naturals □ □ □ □ pHisoDerm □ □ □ □ Revlon □ □ □ □ Suave Performance Series □ □ □ □ Pond’s □ □ □ □ Other Brands □ □ □ □ Suave Ultimate Protection □ □ □ □ Purpose □ □ □ □ Sure □ □ □ □ Revlon □ □ □ □ DEODORANTS & ANTI-PERSPIRANTS Sure Advantage □ □ □ □ Roc □ □ □ □ Other Brands □ □ □ □ Sea Breeze □ □ □ □ Yes No St. Ives Swiss Formula □ □ □ □ Do you use them? □ □ FACIAL CLEANSING & Stridex □ □ □ □ IF YES Most Also MEDICATED PRODUCTS Store Brand □ □ □ □ Types you use: Often Use Yes No Other Brands □ □ □ □ Clear/ Invisible □ □ Do you use them? □ □ Not Clear (White or Colored) □ □ Number of times used in last 7 days: IF YES Most Also Forms you use: Types you use: Often Use Roll-on □ □ Facial Astringent/ Toner/ Freshener □ □ Cleansing Acne Astringents/ Aerosol/ Spray □ □ Creams/ Lotions Care Toners/ Cleansing Cloths □ □ Gels/ Scrubs Remedies Fresheners Solid/ Stick □ □ Cream □ □ Gel □ □ 14 or more □ □ □ Foaming Face Wash □ □ 8 - 13 □ □ □ Kinds you use: Gel □ □ 7 □ □ □ Scented □ □ Lotion □ □ 4 - 6 □ □ □ Unscented □ □ Masks □ □ 2 - 3 □ □ □ Medicated Pads □ □ 1 □ □ □ Mark the number of times you used in last 7 days Pore Strips □ □ None □ □ □ Scrubs □ □ (Only for each brand you use). Other □ □ 8 or More 7 1-6 0 Reasons you use: Adidas □ □ □ □ Acne Care □ □ Almay □ □ □ □ Anti-Aging □ □ Arm & Hammer Ultramax □ □ □ □ Facial Cleansing □ □ Arrid XX □ □ □ □ Axe □ □ □ □ Ban Beautifully Smooth □ □ □ □ Ban Classic □ □ □ □ Brut □ □ □ □ Degree □ □ □ □

95 Toiletries

Number of times used in last 7 days: MOISTURIZERS/ CREAMS/ LOTIONS SHAVING CREAM OR GEL

14 or more □ Yes No Yes No 8 - 13 □ Do you use it? Do you use them? □ □ □ □ 7 □ IF YES Most Also 4 - 6 □ IF YES Most Also Types you use: Often Use Types you use: Often Use 2 - 3 □ Regular □ □ 1 □ Cream □ □ Medicated □ □ None □ Lotion □ □ Moisturizing/ Conditioning □ □ Oil □ □ CONDOMS For Sensitive Skin □ □ Spray □ □ For Tough Beards □ □ Tinted □ □ Yes No Kinds you use: Other □ □ Do you use them? □ □ Aloe/ Lanolin □ □ IF YES Most Also Lemon/ Lime □ □ Forms you use: Types you use: Often Use Menthol Anti-Bacterial □ □ □ □ Latex □ □ Musk Regular □ □ □ □ Natural Skin □ □ Spice Sensitive Skin □ □ □ □ Unscented With Sunscreen/ Sunblock □ □ Brands you use: □ □ Class Act Other Without Sunscreen/ Sunblock □ □ □ □ □ □ Durex (Gold Coin, Ramses, Sheik) □ □ Forms you use: Lifestyles □ □ Brands you use: Aerosol - Foam □ □ Almay NaturaLamb □ □ □ □ Aerosol - Gel □ □ Alpha Hydrox Trojan Her Pleasure □ □ □ □ Mug □ □ Aquaphor Trojan Magnum □ □ □ □ Tube □ □ Aveeno Other Trojan □ □ □ □ Other □ □ Avon □ □ Other Brands □ □ Brands you use: Bath & Body Works □ □ Aveeno □ □ Biore □ □ HAIR REMOVAL (BLEACH, Barbasol □ □ The Body Shop □ □ DEPILATORIES, WAXING) Colgate □ □ Burt’s Bees □ □ Yes No Edge Gel □ □ Caress □ □ Do you use them? □ □ Gillette Foamy □ □ Cetaphil □ □ Gillette Satin Care □ □ Clarins □ □ IF YES Most Also Types you use: Often Use Gillette Series □ □ Clean & Clear □ □ Bleach □ □ Other Gillette □ □ Clinique □ □ Cream □ □ Neutrogena □ □ Curel □ □ Gel □ □ Noxzema □ □ Dove □ □ Lotion □ □ Old Spice □ □ Elizabeth Arden □ □ Wax □ □ Skintimate □ □ Estee Lauder □ □ Soft Shave □ □ Eucerin □ □ Brands you use: Store Brand □ □ Fruit of the Earth □ □ Aussie Nad’s □ □ Other Brands □ □ Jergens □ □ Epil-Stop □ □ Johnson & Johnson □ □ Hair-Off □ □ Number of times used in last 7 days: Keri □ □ Jolen □ □ Lancôme □ □ Nair □ □ 14 or more □ L’Oréal □ □ One Touch □ □ 8 - 13 □ Lubriderm □ □ Sally Hansen □ □ 7 □ Mary Kay □ □ Surgi-Wax/ Surgi-Cream/ 6 □ Surgi-Lotion □ □ Neutrogena □ □ 4 - 5 □ Veet □ □ Nivea □ □ 2 - 3 □ Store Brand □ □ Olay □ □ 1 □ Other Brands □ □ Pond’s □ □ None □ Purpose □ □ Revlon □ □ Roc □ □ Shiseido □ □ St. Ives Swiss Formula □ □ Suave □ □ Vaseline Intensive Care □ □ Vaseline Petroleum Jelly □ □ Store Brand □ □ Other Brands □ □

96 Toiletries

RAZOR BLADES DISPOSABLE RAZORS/ SHAVERS SUNTAN/ SUNSCREEN, AFTER SUN (FOR NON-DISPOSABLE SHAVERS) AND SUNLESS TANNING PRODUCTS Yes No (APPLIED TO THE SKIN) Yes No Do you use them? □ □ Do you use them? □ □ Yes No IF YES Do you use them? □ □ IF YES Most Also Mark the number of times you shaved with a Types you use: Often Use disposable shaver in the last 7 days(Only for each IF YES Most Also Single □ □ Types you use: Often Use brand you use). Double □ □ 5 or Sun Block (SPF 15+) □ □ Triple □ □ more 3-4 1-2 None Tan Accelerator □ □ Quad □ □ Bic Comfort Twin/ Softwin □ □ □ □ Sun Screen (SPF 5-14) □ □ Bic Comfort 3 □ □ □ □ Mark the number of times you shaved with a blade Tan Magnifier □ □ Bic Soleil □ □ □ □ shaver in the last 7 days(Only for each brand Sun Tan (SPF 0-4) □ □ Other Bic □ □ □ □ you use). Zinc Oxide □ □ Gillette Agility □ □ □ □ 5 or Sunless Tan □ □ more 3-4 1-2 None Gillette Custom Plus □ □ □ □ After Sun Products □ □ Gillette Atra/ Atra Plus □ □ □ □ Gillette Daisy/ Daisy Plus □ □ □ □ Other □ □ Gillette MACH 3 □ □ □ □ Gillette Good News □ □ □ □ Gillette MACH 3 Turbo □ □ □ □ Gillette Sensor 3 □ □ □ □ Sunscreen/ Suntan Sunblock Sunless Gillette M3 Power □ □ □ □ Noxzema Skin Fitness □ □ □ □ Brands you use: (SPF 0-4) (SPF 5+) Tan

Gillette Sensor □ □ □ □ Old Spice High Endurance □ □ □ □ Aloe Sun □ □ □ Gillette Sensor 3 □ □ □ □ Personna Flicker □ □ □ □ Avon □ □ □ Gillette Sensor For Women □ □ □ □ Schick ST Disposable □ □ □ □ Bain de Soleil □ □ □ Gillette Sensor Excel □ □ □ □ Schick Xtreme3 □ □ □ □ Banana Boat □ □ □ Gillette Sensor Excel for Women□ □ □ □ Store Brand □ □ □ □ Bath & Body Works □ □ □ Gillette Trac II/ Trac II Plus □ □ □ □ Other Brands □ □ □ □ Bullfrog □ □ □ Gillette Venus □ □ □ □ Clarins □ □ □ Gillette Venus Divine □ □ □ □ ELECTRIC & BATTERY SHAVERS Clinique □ □ □ Other Gillette □ □ □ □ Coppertone (Original) Yes No □ □ □ Noxzema Skin Fitness Coppertone Shade Do you use them? □ □ □ K-3 Triple □ □ □ □ □ □ Coppertone Sport □ □ □ Old Spice High Endurance □ □ □ □ IF YES Most Also Other Coppertone □ □ □ Personna Acti-Flexxx □ □ □ □ Types you use: Often Use Endless Summer □ □ □ Personna Tri-Flexxx □ □ □ □ Foil □ □ Estee Lauder □ □ □ Schick Fx/ Diamond/ Sports/ Rotary □ □ Hawaiian Tropic □ □ □ Track □ □ □ □ Johnson’s Baby Oil □ □ □ Schick Personal Touch □ □ □ □ Brands you use: Lancôme □ □ □ Schick Protector □ □ □ □ Braun □ □ L’Oreal Dermo-Expertise Schick Silk Effects/ Silk □ □ □ Conair □ □ Effects Plus □ □ □ □ Neutrogena □ □ □ EpiLady □ □ Schick Tracer Fx Sport □ □ □ □ No-Ad □ □ □ Norelco □ □ Schick Xtreme3 Refillable □ □ □ □ Ocean Potion □ □ □ Panasonic □ □ Schick Intuition □ □ □ □ Sea & Ski □ □ □ Remington □ □ Schick Quattro □ □ □ □ Sundown □ □ □ Wahl □ □ Other Schick □ □ □ □ Tropical Blend □ □ □ Other Brands □ □ Store Brand □ □ □ □ Vaseline Intensive Care □ □ □ Other Brands □ □ □ □ Other Brands □ □ □ Number of times shaved with electric or battery shaver in last 7 days: Number of bottles/ tubes used in last 12 months:

14 or more □ Suntan/ Sunscreen After Sunless 8 - 13 □ Lotion Sun Tan

7 □ 4 or more □ □ □ 6 □ 3 □ □ □ 5 □ 2 □ □ □ 4 □ 1 □ □ □ 3 □ Less than 1 □ □ □ 2 □ None □ □ □ 1 □ None □

97 Toiletries

AFTER SHAVE LOTION & COLOGNE PERFUME, COLOGNE & TOILET WATER Brands used/ bought for someone else in last 12 months:

Do you use them or buy Yes No Do you use them or do you Yes No Bought for Used Someone Else them for someone else? □ □ buy them for someone else?□ □ Vanderbilt □ □ IF YES IF YES Vanilla Fields □ □ Types used or bought for someone else in Types used or bought for someone in Vera Wang □ □ last 12 months: last 12 months: Victoria’s Secret □ □ You Bought for Bought for Used Someone Else Used Someone Else White Shoulders □ □ Types Used: Wings □ □ After Shave Lotion □ □ Body Spray □ □ Yves St. Laurent □ □ Cologne □ □ Cologne □ □ Other Brands □ □ Perfume □ □

Brands used or bought for someone in Toilet Water □ □ Number of times used for each type in last 12 months: last 7 days:(If you use perfume, cologne, or Kinds Used: Adidas Moves □ □ toilet water). Liquid □ □ Afta □ □ Spray □ □ Cologne or Aqua Velva □ □ Other □ □ Perfume Toilet Water Aramis □ □ 14 or more □ □ Aspen □ □ 8 - 13 □ □ Brands used/ bought for someone else in Avon □ □ last 12 months: 7 □ □ Bod □ □ 4 - 6 □ □ British Sterling □ □ Adidas Moves □ □ 2 - 3 □ □ Brut □ □ Anais Anais □ □ 1 □ □ Calvin Klein □ □ Avon □ □ None □ □ Chanel □ □ Bath & Body Works □ □ Christian Dior □ □ BCBG □ □ Cool Water □ □ Calvin Klein □ □ Drakkar Noir □ □ Chanel □ □ English Leather □ □ Chantilly □ □ Estee Lauder □ □ Chloe □ □ Fahrenheit □ □ Christian Dior □ □ Gillette Series □ □ Clinique □ □ Giorgio Armani □ □ Cool Water □ □ Givenchy □ □ Elizabeth Arden □ □ Grey Flannel □ □ Elizabeth Taylor □ □ Halston □ □ Estee Lauder □ □ Jovan Musk Oil □ □ Fendi □ □ Karl Lagerfeld □ □ Giorgio Armani □ □ Kenneth Cole □ □ Givenchy □ □ Lancôme □ □ Glow by Jlo □ □ Mennen Skin Bracer □ □ Gucci □ □ Nautica □ □ Guerlain Shalimar □ □ Nivea for Men □ □ Halston □ □ Old Spice □ □ Healing Garden □ □ Pierre Cardin □ □ Jean Naté □ □ Preferred Stock □ □ Jovan □ □ Ralph Lauren □ □ Kenneth Cole □ □ Stetson □ □ Lady Stetson □ □ Tommy Hilfiger □ □ Lancôme □ □ Other Brands □ □ Liz Claiborne □ □ Miracle □ □ Number of times you used each in last 7 days: Navy □ □ (If you use after shave lotion or cologne). Nina Ricci □ □ Ohm by Olay □ □ After Shave Lotion Cologne Oscar De La Renta □ □ 14 or more □ □ Ralph Lauren □ □ 8 - 13 □ □ Revlon □ □ 7 □ □ Tommy Hilfiger □ □ 4 - 6 □ □ 2 - 3 □ □ 1 □ □ None □ □

98 HEALTH & MEDICINE Health & Medicine

WATCHING YOUR DIET VITAMIN/ MINERAL TABLETS, Most Also Brands you use: Often Use (FOR HEALTH OR WEIGHT) CAPSULES OR LIQUIDS Solgar □ □ (NON-PRESCRIPTION) Sundown □ □ Are you presently watching Yes No Yes No Theragran □ □ your diet? □ □ Do you use them? □ □ Theragran Heart Right □ □ Theragran M □ □ IF YES IF YES Most Also TwinLab □ □ Indicate the reason for watching your diet. Types you use: Often Use (Mark as many as apply) Viactiv □ □ Multiple Formula □ □ Store Brand □ □ A □ □ Blood Sugar Level □ Other Brands □ □ B-12 □ □ Calcium Intake □ B Complex □ □ How often did you take vitamin/ mineral Cholesterol Level □ tablets, capsules or liquids in the last 30 days? B Complex with C (Stress formula) □ □ Diabetes □ C □ □ Fat Intake □ More than once a day □ D □ □ Food Allergy □ Once a day □ E □ □ Heart Disease □ 1 to 3 times a week □ Amino Acids □ □ Hypertension □ 1 to 3 times a month □ Antioxidants □ □ Lactose Intolerance □ Never in last month □ Beta Carotene □ □ Salt Intake □ Calcium Supplement □ □ To Gain Weight □ Dietary Supplements □ □ To Lose Weight □ Fish Oil Supplement □ □ To Maintain Weight □ Garlic Supplements □ □ Other □ Herbal Supplements □ □ High Potency □ □ Indicate which non-prescription products or methods, if any, you have used or participated in. Iron Supplement □ □ (Mark all that apply) Other Minerals □ □ Prenatal □ □ Meal Replacement □ Stress Formula □ □ Pills □ Other □ □ Reducing Candies □ Brands you use: Diet Center □ Caltrate □ □ Jenny Craig □ Centrum □ □ NutriSystem □ Centrum Performance □ □ Weight Watchers □ Centrum Silver □ □ Other Club/ Diet Clinic □ Citracal □ □ Online Diet Club □ Essential Balance By Nature Made □ □ Other □ Other Nature Made □ □ Do not use any non-prescription General Nutrition Center (GNC) product or method □ □ □ Geritol □ □

Indicate which type of food products you buy Mag Ox □ □ when watching your diet: Olay Vitamins Tabs/ Caps □ □ One-a-Day 50+ □ □ Fat-Free/ Non-Fat □ One-a-Day Active □ □ Low Fat □ One-a-Day Essential □ □ Low Calorie □ One-a-Day Maximum Formula □ □ Low Carb □ One-a-Day Men’s Formula □ □ Sugar-Free □ One-a-Day Today □ □ Low Sugar □ One-a-Day Women’s Formula □ □ Low Cholesterol □ One Source □ □ Low Sodium □ Os-Cal □ □ High Fiber □ Schiff □ □ Lactose-Free □ Shaklee □ □ Natural or Organic □ Slow Mag □ □

100 Health & Medicine

COLD, ALLERGY & SINUS Most Also HEADACHE & PAIN RELIEVERS REMEDIES (NON-PRESCRIPTION) Brands you use: Often Use (NON-PRESCRIPTION) Coricidin Cold & Flu □ □ Yes No Yes No Coricidin D □ □ Coricidin Maximum Strength Flu Do you use them? □ □ Do you use them? □ □ □ □ Dimetapp 12-Hour Non-Drowsy IF YES Most Also IF YES Extentabs □ □ Types you use: Often Use Formula you use: Dimetapp Cold & Allergy □ □ Regular Strength □ □ 4 - 6 hours □ Dimetapp Cold & Congestion □ □ Extra/ Maximum Strength □ □ 12 hours □ Dimetapp Decongestant □ □ Migraine □ □ Other □ Dristan □ □ Nighttime □ □ Drixoral Cold & Allergy □ □ Number of times you used each type of Drixoral Nasal Decongestant □ □ Forms you use: non-prescription remedy in last 12 months: Motrin IB Sinus □ □ Caplet □ □ (Only for each type you use) Nasalcrom □ □ Gel Caps □ □ 13 or Robitussin Cold Formula □ □ Gel Tabs/ Liqui-Gels □ □ More 7-12 1-6 0 Robitussin Flu □ □ Liquid □ □ Allergy □ □ □ □ Robitussin Honey Cold □ □ Tablet/ Pill/ Powder □ □ Cold □ □ □ □ Robitussin Honey Flu □ □ Other □ □ Flu □ □ □ □ Robitussin Night Relief Formula □ □

Sinus Condition □ □ □ □ Other Robitussin □ □ Brands you use: Other □ □ □ □ Sine-Aid □ □ Advil □ □ Sine-Off □ □ Aleve □ □ Most Also Sinutab Non-Drying □ □ Alka-Seltzer □ □ Brands you use: Often Use Sinutab Sinus □ □ Anacin □ □ Actifed Cold & Allergy □ □ Sinutab Sinus Allergy □ □ Ascriptin □ □ Actifed Cold & Sinus □ □ Sudafed 12-Hour Cold □ □ Bayer Aspirin □ □ Advil Cold & Sinus □ □ Sudafed 24-Hour □ □ BC □ □ Afrin □ □ Sudafed Cold & Allergy □ □ Benadryl □ □ Alka-Seltzer Plus Cold Medicine □ □ Sudafed Cold & Sinus □ □ Bufferin □ □ Alka-Seltzer Plus Cough & Cold □ □ Sudafed Nasal Decongestant □ □ Doan’s □ □ Alka-Seltzer Plus Flu □ □ Sudafed Sinus □ □ Ecotrin □ □ Alka-Seltzer Plus Night Time Cold □ □ Other Sudafed □ □ Equate □ □ Alavert □ □ Tavist D □ □ Excedrin □ □ Benadryl Allergy □ □ Theraflu □ □ Goody’s □ □ Benadryl Allergy & Sinus □ □ Triaminicin □ □ Ibuprin □ □ Benadryl Allergy/ Cold □ □ Tylenol Allergy/ Sinus □ □ Midol □ □ Other Benadryl □ □ Tylenol Cold □ □ Motrin IB □ □ Chlor-Trimetron □ □ Tylenol Flu □ □ Pamprin □ □ Claritin □ □ Tylenol Sinus □ □ St. Joseph □ □ Cold-Eeze □ □ Vicks DayQuil □ □ Tylenol □ □ Comtrex Acute Head Cold □ □ Vicks Formula 44 □ □ Tylenol 8-Hour □ □ Comtrex Allergy/ Sinus □ □ Vicks NyQuil □ □ Vanquish □ □ Comtrex Cold & Cough Relief □ □ Vicks VapoRub □ □ Store Brand □ □ Comtrex Deep Chest Cold □ □ Zicam □ □ Other Brands □ □ Comtrex Flu Therapy □ □ Store Brand □ □

Comtrex Sinus & Nasal □ □ Other Brands □ □ What do you use them for? Contac Cold □ □ (Mark as many as apply) Contac Day & Night □ □ Contac Severe Cold & Flu □ □ Arthritis or Rheumatism □ Other Contac □ □ Backaches □ Coricidin Chest Congestion & Cough □ □ Other Muscle or Body Aches □ Coricidin Cold & Cough □ □ Colds, Flu or Fever □ Heart Attack Prevention □ Menstrual or Period Pain □ Migraine Headaches □ Regular Headaches □ Sinus/ Allergies □ Sleeplessness □ Sore Throat □ Stroke Prevention □ Other □

Continued on next page

101 Health & Medicine

What do you use them for?(Mark as many as apply) Number of times used in last 6 months: Number of times used in last 30 days: Acid Reflux □ Once a day or more often □ Diarrhea □ Once a day or more often □ 2 or 3 times a week □ Gas □ 2 or 3 times a week □ Once a week □ Heartburn □ Once a week □ 2 or 3 times a month □ Indigestion □ 2 or 3 times a month □ Once a month □ Stress □ Once a month □ Never in last month □ Ulcer □ Less than once a month □ Upset Stomach □ Never in last 6 months □ HEARTBURN, INDIGESTION AIDS, Other □ ANTI-NAUSEA, UPSET STOMACH & COUGH SYRUPS (NON-PRESCRIPTION) DIARRHEA REMEDIES Number of times used in last 6 months: (NON-PRESCRIPTION) Yes No Once a day or more often □ Do you use them? □ □ Yes No 2 or 3 times a week □ Do you use them? □ □ Once a week □ IF YES Most Also 2 or 3 times a month □ Types you use: Often Use

IF YES Most Also Once a month □ Cough Suppressant □ □ Types you use: Often Use Less than once a month □ Decongestant □ □ Caplets □ □ Never in last 6 months □ Expectorant □ □ Liquid - Regular □ □ Liquid - Extra Strength □ □ LAXATIVES (NON-PRESCRIPTION) Brands you use: Seltzer (Tablet or Powder) □ □ Benylin □ □

Chewable Tablet □ □ Yes No Buckley’s Cough & Cold DM □ □ Regular Strength Tablet □ □ Do you use them? □ □ Halls □ □ Extra Strength Tablet □ □ Robitussin □ □

Other □ □ IF YES Most Also Triaminic □ □ Types you use: Often Use Tylenol □ □ Kinds you use: Liquid □ □ Vicks 44 Cough □ □ Non-Flavored □ □ Pill/ Tablet □ □ Vicks NyQuil Cough □ □ Fruit Flavored □ □ Chewables □ □ Store Brand □ □ Mint Flavored □ □ Gelcaps □ □ Other Brands □ □ Brands you use: Powder (Mix With Water) □ □

Alka-Seltzer □ □ Wafer □ □ The last time you used a cough syrup, how Beano □ □ Other □ □ often did you use it? Dramamine □ □ 4 times a day or more □ GasAid □ □ Brands you use: 2 or 3 times a day Gas-X □ □ Benefiber □ □ □ Once a day Gaviscon □ □ Citrucel □ □ □ Less than once a day Imodium □ □ Colace □ □ □ Kaopectate □ □ Correctol □ □ Maalox □ □ Dulcolax □ □ Mylanta □ □ Ex-Lax □ □ Mylicon □ □ Fiber Choice □ □ Pepcid AC/ Pepcid Complete □ □ FiberCon □ □ Pepto-Bismol □ □ Fleet □ □ Phazyme □ □ Freelax □ □ Phillips Milk of Magnesia □ □ Gentlax □ □ Prilosec □ □ Metamucil □ □ Rolaids □ □ Peri-Colace □ □ Tagamet HB □ □ Phillips Milk of Magnesia □ □ Tums □ □ Senokot □ □ Zantac 75 □ □ Surfac □ □ Store Brand □ □ Store Brand □ □ Other Brands □ □ Other Brands □ □

102 Health & Medicine

SORE THROAT PRODUCTS PAIN RELIEVING RUBS, LIQUIDS & FIRST AID BANDAGES & TOPICAL (NON-PRESCRIPTION) WRAPS (NON-PRESCRIPTION) ANTIBIOTIC REMEDIES (EXCLUDING COUGH SYRUPS) (NON-PRESCRIPTION) Yes No Yes No Yes No Do you use them? □ □ Do you use them? □ □ Do you use them? □ □ IF YES Most Also Types you use: Often Use IF YES Most Also IF YES Most Also Types you use: Often Use Types you use: Often Use Heat Wraps □ □ Liquid Adhesive Bandages □ □ Drops □ □ □ □ Lotion Bath Treatment □ □ Liquid □ □ □ □ Ointment Cream □ □ Lozenges □ □ □ □ Spray Gel □ □ Spray □ □ □ □ Lotion/ Liquid Other □ □ □ □ Kinds you use: Ointment □ □ Brands you use: Extra Strength □ □ Powder □ □ Absorbine □ □ Regular □ □ Spray □ □ Aquaphor □ □ Sugar-Free □ □ Stick □ □ Arthritis Hot □ □ Vitamin C □ □ Wipes □ □ Aspercreme □ □ Brands you use: Bayer Muscle & Joint Pain Relief □ □ Brands you use: Aspergum □ □ BenGay □ □ Aveeno □ □ Celestial Seasonings □ □ Capzasin □ □ Bactine □ □ Cepacol □ □ Flexall □ □ Band-Aid □ □ Cepastat □ □ Heet □ □ Benadryl □ □ Chloraseptic □ □ Icy Hot □ □ Betadine □ □ Cold-Eeze □ □ Mentholatum Deep Heating Rub □ □ Caladryl □ □ Dimetapp □ □ Myoflex □ □ Calamine Lotion □ □ Fisherman’s Friend □ □ Sportscreme □ □ Campho Phenique □ □ Halls □ □ Thera-Gesic □ □ Cortaid □ □ Luden’s □ □ Therapeutic Mineral Ice □ □ Cortizone □ □ N’ICE □ □ Thermacare □ □ Curad □ □ Ricola □ □ Tiger Balm □ □ Gold Bond □ □ Robitussin’s Honey Cough Drops □ □ Store Brand □ □ Johnson & Johnson First Aid Cream □ □ Other Robitussin Cough Drops □ □ Other Brands □ □ Lanacane □ □ Smith Bros. □ □ Mycitracin □ □ Sucrets □ □ What do you use them for?(Mark as many as apply) Neosporin □ □ Tylenol Sore Throat □ □ Arthritic Pain □ Nexcare □ □ Vicks □ □ Backaches □ Polysporin □ □ Store Brand □ □ Menstrual Pain □ Solarcaine □ □ Other Brands □ □ Pain from Sports/ Exercise □ Spenco 2nd Skin □ □ Sore Muscle Pain □ Store Brand Antibiotics □ □ The last time you used sore throat products, Other □ Store Brand Bandages □ □ how often did you use them? Other Brands □ □ 4 times a day or more □ 2 or 3 times a day □ Once a day □ Less than once a day □

103 Health & Medicine

PRESCRIPTION EYEGLASSES EYE DROPS & EYE WASH Did you take any of the following prescription & CONTACT LENSES (NON-PRESCRIPTION) drugs in the last 12 months? (Please mark as many as apply) Do you currently wear prescription Yes No Yes No Flovent □ eyeglasses or contact lenses? □ □ Do you use them? □ □ Fosamax □

IF YES Glucovance □ IF YES Brands you use: Humalog □ Types you wear and types bought for self in last Alcon □ Imitrex □ 12 months: Bausch & Lomb □ Integrilin □ Bought Boston □ Lamisil □ in Last 12 Wear Months Clear Eyes □ Levaquin □ Prescription Eyeglasses - Bifocals □ □ Collyrium □ Lipitor □ Prescription Eyeglasses - Murine □ Nasacort □ Changeable Tint Lenses □ □ OcuClear □ Nasonex □ Prescription Eyeglasses - Regular □ □ Refresh □ Neulasta □ Contact Lenses - Colored/ Tinted □ □ Tears Naturale □ Neurontin □ Contact Lenses - Disposable □ □ Visine □ Nexium □ Contact Lenses - Extended Wear □ □ Other Brands □ Norvasc □ Contact Lenses - Gas Permeable □ □ Ortho Evra □ Number of times used in last 3 months: Contact Lenses - Hard □ □ Ortho Tri-Cyclen/ Ortho Tri-Cyclen Lo □ Contact Lenses - Soft □ □ Once a day or more □ Patanol □ Contact Lenses - Other □ □ 2 or 3 times a week □ Paxil □ Once a week □ Peg-Intron □ If you bought prescription eyeglasses or contact lenses 2 or 3 times a month □ Penlac □ for yourself in the last 12 months. Once a month □ Plavix □ Less than once a month □ Where were they purchased: Pravachol □ Never in last 3 months □ Premarin □ Eye Masters □ Prempro □ Lens Crafters □ PRESCRIPTION DRUGS Prevacid □ Pearle Vision □ Procrit □ Department Store □ Have you taken any prescription Yes No Protopic □ Online □ drugs in the last 12 months? □ □ Prozac □ Optometrist/ Eye Doctor □ IF YES Retin-A-Micro □ Other □ Did you take any of the following prescription Sonata □ drugs in the last 12 months? Strattera □ CONTACT LENS CLEANING SOLUTION (Please mark as many as apply) Synthroid □ Synvisc □ Yes No Actonel □ Taxotere □ Do you use it? □ □ Actos □ Valtrex □ Adderall □ IF YES Velcade □ Advair □ Brands you use: Viagra Allegra □ Alcon □ □ Viracept Altace □ Allergran □ □ Wellbutrin/ Wellbutrin SR Amaryl □ Bausch & Lomb □ □ Xolair Ambien □ Boston □ □ Zithromax Aranesp □ Ciba Vision □ □ Zocor Aricept □ Store Brand □ □ Zofran Avandia □ Other Brands □ □ Zoloft □ Avastin □ Zyprexa □ BenzaClin □ Zyrtec □ Botox □ Other Prescription Drug(s) □ Cadeut □ Celebrex □ Clarinex □ Concerta □ Detrol/ Detrol LA □ Differin □ Diflucan □ Diovan □ Elidel □ Evista □ Flomax □ Flonase □

104 Health & Medicine

AILMENTS Please mark the types of healthcare professionals you consulted with for any

Please indicate which conditions you have been told by a doctor or other healthcare professional that you currently have or hadailments in in the last 12 months? the last 12 months. For each condition you have or had in the last 12 months, please indicate if you used a non-prescription or a prescription product for that condition and indicate the severity of that condition. In the last column, please indicate whichAcupuncturist □ conditions you do not have, but you feel at risk for. Allergist □ Alternative Health Practitioner □ Don’t Have Have/ Used in Last 12 Months Cardiologist □ Had in Non- But Feel Last 12 Prescription Prescription Suffered in Last 12 Months At Risk For Chiropractor □ Months Product Product Severe Moderate Mild Condition Dentist □ Acid Reflux Disease (GERD) □ □ □ □ □ □ □ Dermatologist □ ADD/ ADHD □ □ □ □ □ □ □ Ear, Nose & Throat □ Anxiety □ □ □ □ □ □ □ Eye Doctor □ Arthritis (Osteoarthritis) □ □ □ □ □ □ □ Gastroenterologist □ Arthritis (Rheumatoid Arthritis) □ □ □ □ □ □ □ General/ Family Practitioner □ Internist □ Asthma □ □ □ □ □ □ □ Nurse Practitioner □ Athlete’s Foot □ □ □ □ □ □ □ OB/ Gyn □ Backache □ □ □ □ □ □ □ Osteopath □ Chronic Bronchitis □ □ □ □ □ □ □ Pediatrician □ Chronic Pain □ □ □ □ □ □ □ Pharmacist □ Physical Therapist □ Constipation (Chronic) □ □ □ □ □ □ □ Podiatrist □ COPD (Chronic Obstructive Other Pulmonary Disease) □ □ □ □ □ □ □ □ Depression □ □ □ □ □ □ □ Please indicate whether you are currently Diabetes □ □ □ □ □ □ □ responsible for the care of a family member Eczema/ Psoriasis □ □ □ □ □ □ □ or friend suffering from any of the following conditions. Emphysema □ □ □ □ □ □ □ Flu □ □ □ □ □ □ □ Alzheimer’s Disease □ Gas □ □ □ □ □ □ □ Attention Deficit Disorder (ADD) or Genital Herpes □ □ □ □ □ □ □ Attention Deficit Hyperactivity Heart Attack/ Stroke □ □ □ □ □ □ □ Disorder (ADHD) □ Cancer □ Heart Disease/ Congestive Chronic ear infections (child) □ Heart Failure □ □ □ □ □ □ □ HIV/ AIDS □ Heartburn □ □ □ □ □ □ □ None of the above □ Hemorrhoids □ □ □ □ □ □ □ Hepatitis C □ □ □ □ □ □ □ Hiatal Hernia □ □ □ □ □ □ □

High Cholesterol □ □ □ □ □ □ □ Hypertension/ High Blood Pressure □ □ □ □ □ □ □ Impotence/ Loss of Libido □ □ □ □ □ □ □ Indigestion □ □ □ □ □ □ □ Insomnia/ Sleep Disorder □ □ □ □ □ □ □

Irritable Bowel Syndrome □ □ □ □ □ □ □ Migraine Headache □ □ □ □ □ □ □ Nail Fungus □ □ □ □ □ □ □ Nasal Allergies/ Hay Fever □ □ □ □ □ □ □ Osteoporosis □ □ □ □ □ □ □

Overactive Bladder □ □ □ □ □ □ □ Overweight (30 lbs or more) □ □ □ □ □ □ □ Stomach Ulcers □ □ □ □ □ □ □ Urinary Tract Infection (UTI) □ □ □ □ □ □ □ None of These □

105 Health & Medicine

ATTITUDES/ OPINIONS ABOUT PHARMACEUTICALS

There are many different opinions about how well medicines work and how people use them to get better. Please tell us the extent to which you agree or disagree with each statement by marking one box opposite each statement. If you are not sure, please mark ЉNeither Agree Nor DisagreeЉ and go on to the next statement.

Agree Agree Neither Agree Disagree Disagree A Lot A Little Nor Disagree A Little A Lot

Non-prescription store brand drugs work as well as advertised brands □ □ □ □ □ At the first sign of pain or discomfort, I take medication □ □ □ □ □ I have regular medical check-ups even if I’m not ill □ □ □ □ □ I often carefully examine the ingredient list on over-the-counter medicines □ □ □ □ □ I always try to eat healthy foods and maintain a balanced diet □ □ □ □ □

I rarely get sick □ □ □ □ □ It is important to go to the doctor when I’m ill □ □ □ □ □ I frequently take preventative medicine □ □ □ □ □ Normally, I only use drug brands that are recommended by my physician □ □ □ □ □ I prefer alternative medicine to standard medical practices □ □ □ □ □

I actively seek information about nutrition and healthy diet □ □ □ □ □ I look for health information so that I can choose from different healthcare treatments □ □ □ □ □ I do not seek help from doctors or nurses unless I am very sick or injured □ □ □ □ □ I always read the small print in magazine/ newspaper pharmaceutical ads □ □ □ □ □ Over-the-counter medicines are safer than prescription medicines □ □ □ □ □

I research treatment options on my own then ask my doctor about them □ □ □ □ □ I take counsel on health issues from my friends □ □ □ □ □ I always do what my doctor tells me to do □ □ □ □ □ It is worth paying more for branded prescription medications rather than to get generic product □ □ □ □ □ HMOs and insurance companies have too much power over my family’s healthcare □ □ □ □ □

I am willing to pay extra for prescription drugs not covered by health insurance □ □ □ □ □ The most expensive medicine is usually the best □ □ □ □ □ Prescription drugs are more effective than over-the-counter remedies □ □ □ □ □ I expect the treatments my doctor prescribes to work nearly all the time □ □ □ □ □ I am willing to ask my doctor for a prescription medication that I have seen or heard advertised □ □ □ □ □

The side effects associated with some prescription drugs sometimes scare me off a particular brand □ □ □ □ □ There is not much point in taking non-prescription medicines since they don’t really work □ □ □ □ □ When I am sick, I still drag myself to work □ □ □ □ □ I take non-prescription medicine as soon as I get sick □ □ □ □ □ People need more vitamins as they get older □ □ □ □ □

I believe that vitamins and other nutrients really make a difference □ □ □ □ □ Vitamins/ minerals should be taken for long-term health benefits □ □ □ □ □ I am comfortable registering on a web site which consistently offers useful information about my particular health condition □ □ □ □ □ Health information put out by pharmaceutical companies is credible and useful □ □ □ □ □

I always look for the most advanced medicines available □ □ □ □ □ I trust homeopathic medicine □ □ □ □ □ I rarely consult my physician about the non-prescription medication I take □ □ □ □ □ Medication for my health condition has really made my life better □ □ □ □ □ If an advertised drug brand is not doctor recommended then it has no integrity □ □ □ □ □

I gather health information from my doctor □ □ □ □ □ I gather health information from web sites □ □ □ □ □ I gather health information from newsletters □ □ □ □ □ I rely primarily on my doctor to guide me on medical and health matters □ □ □ □ □ I gather health information from the library □ □ □ □ □

106 HOME & OFFICE Home & Office

PERSONAL COMPUTERS AT WORK PERSONAL COMPUTERS AT HOME LONG DISTANCE TELEPHONE USAGE (WITHIN AND OUTSIDE Do you use a personal Yes No Do you own a personal Yes No OF UNITED STATES) computer at work? □ □ computer at home? □ □ Have you made any long distance calls to areas within the IF YES IF YES continental United States in the last 30 days for either How many hours a week, on average, do you use a What make of computer do you use at work? personal or business reasons? Long distance computer at home? (Please mark all that apply) means calls for which you pay an extra charge. Yes No 15 hours or more □ Acer □ □ □ 10 to 14 hours □ Alienware □ 5 to 9 hours □ Apple Macintosh/ Power Macintosh □ Have you made any long distance calls to areas 2 to 4 hours □ Compaq □ outside the continental United States in the Less than 2 hours □ Dell □ last 3 months for either personal or business reasons? Emachines □ Yes No Fujitsu □ WEB TV □ □ Gateway □ Do Not IF YES Hewlett Packard □ Already Plan Plan Which long distance telephone services did you use Do you have or plan Have to Buy to Buy IBM □ for the calls you made? Sony Vaio □ to buy Web TV? □ □ □ Personal Business Toshiba □ AT&T □ □ Other IBM compatible □ Bell South □ □ Other Brand □ IDT □ □ PDAs (PERSONAL DIGITAL ASSISTANT)/ MCI □ □ Type used at work:(Please mark all that apply) HANDHELD ORGANIZERS Qwest □ □ SBC (Ameritech, Southwestern Do you own a PDA/ Handheld Yes No Desktop □ Bell, SNET, Pac Bell) □ □ Organizer? Laptop/ Notebook □ □ □ Sprint □ □ Other □ Verizon □ □ IF YES Other □ □ Brands you own: For which purposes do you use a computer at Do Not Know □ □ work?(Please mark all that apply) BlackBerry □ Casio □ If you made calls for personal reasons, CLIÉ (Sony) □ Accounting □ approximately how much were the total charges Business Analysis/ Forecasting □ Compaq □ for the long distance/ International calls you made Desktop Publishing □ Handspring □ for personal reasons in the last 30 days? Education/ Training □ Hewlett Packard □ Internet/ E-mail Palm □ □ $151 or more □ Filing/ Database Management Other □ □ $101 - $150 □ Graphics/ Presentation □ $76 - $100 □ Programming □ PAGERS/ BEEPERS $51 - $75 □ Retrieval of News/ $36 - $50 □ Information/ Data Services □ Do you have or use a Yes No $26 - $35 □ Telecommuting (i.e., work from pager/ beeper? □ □ $11 - $25 home, work on the road) □ □ $10 or less Time Management □ □ OVERNIGHT DELIVERY Travel Planning □ Word Processing □ Have you used any overnight air Other □ package or letter delivery service in Yes No

the last 6 months? □ □ How many hours a week, on average, do you use a IF YES computer at work? Services used: DHL/ Airborne □ 21 or more hours □ Express Mail (U.S. Postal Service) □ 15 to 20 hours □ FedEx □ 10 to 14 hours □ United Parcel Service (UPS) □ 5 to 9 hours □ Other □ 2 to 4 hours □ Less than 2 hours □

108 Home & Office

LOCAL TELEPHONE USAGE COLLECT CALLS TELEPHONE CREDIT CARD OR PREPAID CALLING CARD Have you made any local Have you made any collect calls either within the U.S. or telephone calls in the last 30 outside the U.S. in the last 3 months? Do you have or use a telephone days for business or personal Yes No credit card or prepaid calling Yes No reasons? □ □ Yes, within the U.S. □ card? □ □ Yes, outside the U.S. □ IF YES No, I have not made any IF YES Which local service did you use for the calls you collect calls □ Types used: made? Prepaid Calling Card □ Telephone Credit Card □ Personal Business IF YES How many collect calls have you made in the AT&T □ □ last 3 months? If used telephone credit card, with which telephone Bell South □ □ Within Outside U.S. U.S. service? MCI □ □ 1 call Qwest □ □ □ □ AT&T □ SBC (Ameritech, Southwestern 2 - 3 calls □ □ IDT □ Bell, SNET, Pac Bell) □ □ 4 - 6 calls □ □ MCI □ Sprint □ □ 7 - 9 calls □ □ Sprint □ Verizon □ □ 10 - 12 calls □ □ Verizon □ Other □ □ 13 or more calls □ □ Local □ Do Not Know □ □ Other □ How did you usually make those collect calls? If you made calls for personal reasons, Within Outside U.S. U.S. approximately how much were the total charges How much did you spend on telephone credit cards or prepaid calling cards in the last 30 days? for your local telephone services, including any Dial 1-800-CALL-ATT □ □ calling features or additional lines you may have, in Dial 0 and tell the operator the last 30 days? I want to make a collect call □ □ Dial 1-800-COLLECT □ □ Telephone Prepaid Credit Calling Dial 0 plus the area code Card Card $151 or more □ and number I’m calling □ □ $151 or more □ □ $101 - $150 □ Some other way □ □ $101 - $150 □ □ $76 - $100 □ $76 - $100 □ □ $51 - $75 □ How many collect calls, if any, have you received in $51 - $75 □ □ $36 - $50 □ the last 3 months? $36 - $50 □ □ $26 - $35 □ Received From $26 - $35 □ □ $11 - $25 □ Within Outside U.S. U.S. $11 - $25 □ □ $10 or less □ 0 calls □ □ $10 or less □ □ 1 call □ □

2 - 3 calls □ □ Number of long distance calls and local calls made 4 - 6 calls □ □ in last 30 days using telephone credit cards or

7 - 9 calls □ □ prepaid calling cards: 10 - 12 calls □ □ Long Distance Local 13 or more calls □ □

16 or more □ □ How many of those collect calls were local 11 - 15 □ □ versus long distance: 6 - 10 □ □ Long 3 - 5 □ □ Local Distance 1 - 2 □ □ None □ □ None □ □ Less than half □ □ Half □ □ More than half □ □ All □ □

109 Home & Office

Which one of the following best describes your USAGE OF “800” OR “900” FUTURE OF YOUR HOME current cellular/ wireless plan? (Please mark one TELEPHONE NUMBERS TELEPHONE NUMBER only.)

Did you make any toll free “800” number telephone calls Annual or Multi-Year Contract Plan □ How likely are you to move your home telephone in the last 6 months? Did you make any “900” Prepaid Plan □ number to a cell phone? number telephone calls in the last 6 months? No Contract Plan (Not a Prepaid Plan) □ Already Have □ “800” “900” Very Likely □ Number Number Is your plan an: Likely □ Yes □ □ Somewhat Likely □ No □ □ Individual Plan □ Family Plan □ Not Very Likely □ Not At All Likely □ IF YES About how many “800” number calls did you Which of the following services does your make in the last 6 months, and how many cellular/ wireless phone include?(Please mark BATTERIES “900” number calls did you make in the all that apply). last 6 months? Have you bought any in the last 12 months, either for Analog Mode □ yourself or for someone else? “800” “900” Call Blocking □ Number Number Yes No Call Forwarding □ 21 or more □ □ □ □ Call Waiting □ 11 - 20 □ □ Caller ID □ 6 - 10 □ □ IF YES Most Also Camera/ Picture Phone □ Types you bought: Often Bought 1 - 5 □ □ Digital Mode □ Alkaline □ □ Games □ CELLULAR/ WIRELESS PHONES General Purpose □ □ Internet Access □ Heavy Duty □ □ Do you own a cellular/ Yes No Nationwide Coverage □ Lithium/ Lithium Plus □ □ wireless phone? □ □ Text Messaging □ Rechargeable □ □ Three Way Calling □ IF YES Other □ □ Voice Mail □ Used primarily for: Other Business □ □ Brands you bought: Personal □ Duracell □ □ Last month’s cellular/ wireless phone bill: Energizer □ □ $250 or more □ Brand owned: Eveready □ □ $200 - $249 Audiovox □ □ Fuji □ □ $150 - $199 BlackBerry □ □ GE (Sanyo) □ □ $100 - $149 Kyocera □ □ Kodak □ □ $50 - $99 LG □ □ Panasonic □ □ Under $50 Motorola □ □ Rayovac □ □ NEXTEL □ Other Brands □ □ What percentage of your cellular/ wireless Nokia □ phone usage is for business? Panasonic □ Number of batteries bought in last 12 months: Samsung □ 76% - 100% □ 30 or more □ Sanyo □ 25% - 75% □ 20 - 29 □ Sony Ericsson □ 1% - 24% □ 16 - 19 □ Sprint □ None □ 10 - 15 □ Verizon □ 6 - 9 □ Other □ 1 - 5 □

Company subscribed to: PUBLIC PAY PHONES Alltel □ AT&T Wireless □ Have you used a public pay phone Yes No Cellular One □ in the last 30 days? □ □ Cingular Wireless □ NEXTEL Communications □ IF YES Qwest Wireless □ How many times did you use a public pay Sprint PCS □ phone in the last 30 days? T-Mobile □ U.S. Cellular □ 5 or More □ Verizon Wireless □ 3 - 4 Times □ Virgin Mobile □ 1 - 2 Times □ Other □

110 MONEY MANAGEMENT Money Management

ATM (AUTOMATIC TELLER MACHINE) TAX PREPARATION BANKS CARD Have you used a professional Which of these banks did you use in the last 12 months? Yes No tax preparation service in the Yes No Do you have an ATM Card? □ □ last 12 months? □ □ Primary Also Bank Use

IF YES IF YES Banco Popular □ □ Number of times you used it to access cash in Which of the following services did you use: Bank of America/ Fleet □ □ last 30 days: Bank of New York □ □ H&R Block □ Bank One □ □ Jackson Hewitt □ 4 or more times □ BB&T (Branch Banking and Notary Public □ Trust Corp.) □ □ 2 - 3 times □ Private Accountant □ Chase □ □ Once □ Other □ Citibank □ □ Did not use □ Citizens Bank □ □ Comerica □ □ TRAVELERS CHEQUES PAYDAY LOAN Fifth Third □ □ HSBC □ □ Have you bought any travelers Yes No A payday loan is an advance on your paycheck. Typically, cash advances up to $500 are loaned for a fee until your Key Bank □ □ cheques in the last 12 months? □ □ next payday. National City □ □ PNC □ □ IF YES Have you applied for a payday loan Yes No SouthTrust □ □ Brands bought: in the last 12 months? American Express □ □ □ SunTrust □ □ Bank of America □ US Bank □ □ Barclay □ SENDING MONEY Wachovia □ □ Citicorp □ Washington Mutual □ □ Have you sent money to someone either within the U.S. MasterCard □ Wells Fargo □ □ or outside the U.S. in the last 12 months? VISA □ World Savings □ □ Other □ Credit Unions □ □ Yes, within the U.S. □ Savings & Loans □ □ Yes, outside the U.S. □ Total value of cheques bought in Other Banks (not Credit Unions or Savings & Loans) □ □ last 12 months: No, I have not sent any money. □ None of These □

IF YES $2,000 or more □ Which of the following services or ways have CREDIT MONITORING $1,000 - $1,999 □ you used to send money to someone in the $600 - $999 □ last 12 months? Do you use a credit monitoring $450 - $599 □ service to monitor your credit Yes No $300 - $449 □ rating? □ □ American Express □ Less than $300 □ Bancomer □ Delgado Travel □ Where did you purchase your travelers cheques? Dolex □ Gigante Express □ AAA Office □ Money Gram □ Commercial Bank □ Orlandi Valuta □ Savings Bank □ Pronto Envío □ Savings & Loan Institution □ Ria Envía □ Other Financial Institution □ Travelers Express □ Travel Agent □ Vigo □ Online □ Western Union □ Other □ A Friend or Relative □ Bank Money Order □ Did you pay a fee Yes No U.S. Postal Money Order □ when you bought them? □ □ Bank Wire Transfer □ An Overnight Courier □ For which purposes have you bought Regular U.S. Mail □ travelers cheques in the last 12 months? Travel Agency □ (Mark as many as apply) Some Other Way □

Business □ Vacation □ Other □

112 Money Management

CREDIT CARDS

Yes No Do you have any credit cards? □ □

IF YES Please mark those you have. In addition, please mark the cards that you used in the last 12 months and those you used in the last 30 days. Only for those used in the last 30 days, about how many times did you use each in the last 30 days?

Card(s) Used By You In Number of Times You Used in Last 30 Days

Last Last 20 or 6-19 1-5 Have 12 Months 30 Days More Times Times Times

Gasoline Credit Card □ □ □ □ □ □ American Express Blue □ □ □ □ □ □ American Express Blue for Business □ □ □ □ □ □ American Express Corporate Card □ □ □ □ □ □ American Express Executive Corporate Card □ □ □ □ □ □ American Express Gold □ □ □ □ □ □ American Express Green □ □ □ □ □ □ American Express Optima □ □ □ □ □ □ American Express Platinum □ □ □ □ □ □ Diners Club International □ □ □ □ □ □ Discover □ □ □ □ □ □ MasterCard Business Card □ □ □ □ □ □ MasterCard Gold □ □ □ □ □ □ MasterCard Platinum □ □ □ □ □ □ MasterCard Standard □ □ □ □ □ □ VISA Business Card □ □ □ □ □ □ VISA Gold □ □ □ □ □ □ VISA Platinum □ □ □ □ □ □ VISA Standard □ □ □ □ □ □ Other Bank Credit Cards □ □ □ □ □ □ JCPenney □ □ □ □ □ □ Sears □ □ □ □ □ □ Other Department Store Credit Cards □ □ □ □ □ □ Clothing/ Specialty Store Cards □ □ □ □ □ □ Other Credit Cards □ □ □ □ □ □

For each of the following types of credit cards, please mark the number of different accounts you have for each. Mark those which are affiliated with an airline or hotel for which you earn bonus points each time you use it. Mark those which are affiliated with an automotive corporation. Mark those which are sponsored by an organization or group to which you belong - excluding your employer. How much of your monthly bill do you usually pay? Number Have Airline/ Hotel Automotive Organization Usually Pay 3 or More 2 1 Affiliation Affiliation Affiliation All Part Minimum None

American Express □ □ □ □ □ □ □ □ □ □ Diners Club □ □ □ □ □ □ □ □ □ □ Discover □ □ □ □ □ □ □ □ □ □ MasterCard □ □ □ □ □ □ □ □ □ □ VISA □ □ □ □ □ □ □ □ □ □

DEBIT CARDS

Yes No Do you have any debit cards? □ □

IF YES Please mark those you have. In addition, please mark the cards that you used in the last 12 months and those you used in the last 30 days. Only for those used in the last 30 days, about how many times did you use each in the last 30 days?

Card(s) Used By You In Number of Times You Used in Last 30 Days Last Last 20 or 6-19 1-5 Have 12 Months 30 Days More Times Times Times

MasterCard □ □ □ □ □ □ VISA □ □ □ □ □ □ Other □ □ □ □ □ □

113 Money Management

LOANS For each of the following types of loans that you have, please indicate the type of institution that you have borrowed from.

Savings Bank/ Discount Commercial Savings & Loan Full-Service Brokerage Mutual Have Bank Association Credit Union Brokerage Firm Firm Fund Firm Other Auto Loan(s) for New Car □ □ □ □ □ □ □ □ Car Title Loan □ □ □ □ □ □ □ □ Personal Loan(s) for Education Only □ □ □ □ □ □ □ □ Personal Loan(s) Not for Education □ □ □ □ □ □ □ □ Home Improvement Loan(s) □ □ □ □ □ □ □ □ Home Mortgage (1st) □ □ □ □ □ □ □ □ Home Equity Loan □ □ □ □ □ □ □ □ Secured Line of Credit Account(s) □ □ □ □ □ □ □ □ Unsecured Line of Credit Account(s) □ □ □ □ □ □ □ □ Do Not Have Any of These □

BANKING & INVESTMENTS For each of the following that you currently have, please indicate the type of institution that you use.

Savings Bank/ Discount Commercial Savings & Loan Full-Service Brokerage Mutual Have Bank Association Credit Union Brokerage Firm Firm Fund Firm Other Non-Interest Bearing Checking Account(s) □ □ □ □ □ □ □ □ Interest Bearing Checking Account(s) □ □ □ □ □ □ □ □ Savings Account(s) □ □ □ □ □ □ □ □ Savings Certificates (CD) Short Term (6 Months or Less) □ □ □ □ □ □ □ □ Savings Certificates (CD) Long Term (More Than 6 Months) □ □ □ □ □ □ □ □ Cash Management Account(s) □ □ □ □ □ □ □ □ Check Guarantee Card □ □ □ □ □ □ □ □ Debit Card/ Electronic Funds Transfer □ □ □ □ □ □ □ □ Senior Citizens Club □ □ □ □ □ □ □ □ Do Not Have Any of These □

TYPE OF INVESTMENT Which of the following do you (in your own name or jointly) own? For each type you own, what is the approximate current market value of each holding? (This is for statistical purposes only.) Value of Holding $100,000 $50,000- $25,000- $10,000- $5,000- Under Own or more $99,999 $49,999 $24,999 $9,999 $5,000 U.S. Savings Bonds □ □ □ □ □ □ □ Other U.S. Government Bonds □ □ □ □ □ □ □ City/ Municipal or State Bonds □ □ □ □ □ □ □ Money Market □ □ □ □ □ □ □ Mutual Funds □ □ □ □ □ □ □ Corporate Bonds □ □ □ □ □ □ □ Common or Preferred Stock in Company You Work For □ □ □ □ □ □ □ Common Stock in Any Other Company □ □ □ □ □ □ □ Other Securities (Commodities/ Warrants/ Puts/ Calls/ Options) □ □ □ □ □ □ □ U.S. Treasury Bills or Notes □ □ □ □ □ □ □ Investment Collectibles (Art, Antiques, Cars, etc.) □ □ □ □ □ □ □ International Investments □ □ □ □ □ □ □ Keogh/ SEPP-IRA/ Pension □ □ □ □ □ □ □ Trust Agreement □ □ □ □ □ □ □ 401k □ □ □ □ □ □ □ 529 College Savings □ □ □ □ □ □ □ Other College Savings □ □ □ □ □ □ □ IRA □ □ □ □ □ □ □ Tax Shelters □ □ □ □ □ □ □ Tax Shelters Annuities □ □ □ □ □ □ □ Online Trading □ □ □ □ □ □ □ Do Not Own Any of These □

If you own common or preferred stock in any company other than the company you work for, and have purchased it in the last 12 months, please indicate about how many stock transactions, counting purchases and sales separately, you have made in the last 12 months: 50 or More 26-49 11-25 6-10 3-5 1-2 0 or None □ □ □ □ □ □ □

114 Money Management

MUTUAL FUND/ BROKERAGE ACCOUNTS

Yes No Do you have any mutual fund or brokerage accounts? □ □

IF YES Please indicate the following for each firm you have an account with: Is that firm your primary firm? Is that account a retirement (IRA, Keogh, 401k) or a non-retirement account? Is the account full-service, discount, online or wireless?

Account Purpose Type of Account(s) (Please mark all that apply) (Please mark all that apply) Have Primary Non- Full Account Firm Retirement Retirement Service Discount Online Wireless

A.G. Edwards □ □ □ □ □ □ □ □ A.I.M. □ □ □ □ □ □ □ □ American Century □ □ □ □ □ □ □ □ American Express □ □ □ □ □ □ □ □ American Funds □ □ □ □ □ □ □ □ Bear Stearns □ □ □ □ □ □ □ □ Charles Schwab □ □ □ □ □ □ □ □ Dreyfus □ □ □ □ □ □ □ □ E*Trade □ □ □ □ □ □ □ □ Edward Jones □ □ □ □ □ □ □ □ Fidelity Investments □ □ □ □ □ □ □ □ Goldman Sachs □ □ □ □ □ □ □ □ JPMorgan Chase □ □ □ □ □ □ □ □ Lehman Brothers □ □ □ □ □ □ □ □ Merrill Lynch □ □ □ □ □ □ □ □ Morgan Stanley Dean Witter □ □ □ □ □ □ □ □ Oppenheimer □ □ □ □ □ □ □ □ Paine Webber □ □ □ □ □ □ □ □ Prudential Financial □ □ □ □ □ □ □ □ Quick & Reilly □ □ □ □ □ □ □ □ Salomon Smith Barney □ □ □ □ □ □ □ □ Scudder □ □ □ □ □ □ □ □ T. Rowe Price □ □ □ □ □ □ □ □ Vanguard □ □ □ □ □ □ □ □ Other Brokerage Firms □ □ □ □ □ □ □ □

ECONOMIC OUTLOOK How likely are you to purchase a big-ticket item (i.e. major appliance, car, etc.) Do you think that you are better off or worse off financially now than you werewithin the next 30 days? 12 months ago? Not at all likely □ Significantly worse off □ Somewhat likely □ Somewhat worse off □ Likely □ About the same □ Very likely □ Somewhat better off □ Extremely likely □ Significantly better off □ How likely are you to purchase a medium-ticket item (i.e. small appliance, Do you think that in the coming 12 months you will be better off or worse offelectronics, etc.) within the next 30 days? financially than you are now? Not at all likely □ Significantly worse off □ Somewhat likely □ Somewhat worse off □ Likely □ About the same □ Very likely □ Somewhat better off □ Extremely likely □ Significantly better off □ How much money do you expect to spend on household essentials (i.e. food, gas, Do you think that in the coming 12 months the American economy will be betteretc.) in the next 30 days as compared to the last 30 days? off or worse off than it is now? A lot less □ Significantly worse off □ A little less □ Somewhat worse off □ About the same □ About the same □ A little more □ Somewhat better off □ A lot more □ Significantly better off □

115 Money Management

What is the value of your current Life LIFE/ HEALTH INSURANCE Insurance policy? Homeowners/ Tenants Automotive Mercury □ □ Do you currently have any medical/Yes No $500,000 or more □ MetLife/ Metropolitan □ □ health/ hospital or life insurance? □ □ $200,000 - $499,999 □ Nationwide □ □ $100,000 - $199,999 □ IF YES Progressive □ □ Types Owned: $ 50,000 - $ 99,999 □ Prudential Financial □ □ Medical/ Health/ Hospital Insurance □ $ 20,000 - $ 49,999 □ SAFECO □ □ Life Insurance □ Less than $20,000 □ State Farm □ □ Travelers □ □ If you carry Life Insurance, please mark the kind of How did you obtain your current medical U.S.A.A. □ □ Life Insurance carried: policy? Other □ □ Term Life □ Whole/ Universal/ Variable Your/ Your spouse’s place of work or union □ (Cash Value) Life □ If you have home or tenant insurance, how did you Fraternal or Other Membership Group Life □ obtain it? Group □ Individual Annuity □ Medicaid □ Insurance Company (no agent) □ Other □ Medicare □ Through an Agent □ Medigap/ Medicare Supplement □ Place of Work or Union □ Please check the company or companies with Insurance Agent or Broker □ Bank or Mortgage Lending which you have a policy. Insurance Company (no agent) □ Institution □ Life Health In Response to Mail Advertising Other □ Aetna □ □ or Telephone Solicitation □ AFLAC □ □ In Response to Newspaper or What is the highest limit of the homeowner, Allianz □ □ Magazine Advertising □ personal property or vehicle policies (injury liability) Allstate □ □ In Response to Television or Radio □ you currently carry? American General □ □ Online □ AXA/ Equitable □ □ Other □ Homeowners/ Blue Cross/ Blue Shield □ □ Tenants Automotive CIGNA □ □ $300,000 or more □ □ CNA □ □ PROPERTY & VEHICLE INSURANCE $200,000 - $299,999 Colonial Penn □ □ □ □ $100,000 - $199,999 □ □ Employer’s Health □ □ Do you currently have any insurance on $ 75,000 - $ 99,999 □ □ Farmers □ □ your home, personal belongings Yes No $ 50,000 - $ 74,999 □ □ First Colony □ □ or vehicles? □ □ $ 25,000 - $ 49,999 The Hartford □ □ □ □ IF YES $ 10,000 - $ 24,999 Health Care Service □ □ □ □ Types owned: Less than $10,000 Healthlink □ □ □ □ Homeowners □ Jackson National Life □ □ Tenants □ Jefferson Pilot □ □ OTHER INSURANCE (EXCLUDING ANY OF Automotive □ John Hancock □ □ THE ABOVE MENTIONED INSURANCE) Lincoln National □ □ Please check the company or companies with Do you currently have any Yes No Mass Mutual □ □ which you have a policy. other kinds of insurance? □ □ MetLife/ Metropolitan □ □ Homeowners/ MONY Group □ □ Tenants Automotive IF YES Nationwide □ □ AAA □ □ Please mark the type(s) of insurance you currently New York Life □ □ AIG/ 21st Century □ □ carry. Northwestern Mutual □ □ Allstate □ □ Oxford □ □ Amica □ □ Boat Owners/ Inland Marine □ Pacific Life □ □ Commerce □ □ Convalescent (Long Term) Care □ Phoenix □ □ Country Companies □ □ Dental □ Principal □ □ Encompass (CNA) □ □ Loss of Income (Through Prudential Financial □ □ Erie □ □ Medical Causes/ Disability) □ State Farm □ □ Farm Bureau □ □ Personal Liability (Not Automotive or Homeowners) □ Teachers (TIAA) □ □ Farmers □ □ “Umbrella Coverage” Liability □ TransAmerica □ □ Fire Insurance Exchange □ □ Vision Care □ Unicare □ □ GEICO □ □ Small Business □ UnitedHealthcare □ □ The Hartford AARP □ □ Surety (Bond) □ UNUM/ Provident □ □ Liberty Mutual □ □ Zurich Kemper □ □ Professional Malpractice □ Other □ □ Other □

116 OPINIONS Opinions

MEDIA AND YOU

We would like to know more about your use of media. Some people only use English-language media or Spanish-language media. Some people use a combination of English and Spanish media. Please answer Yes or No for each question.

Yes No Daily or Sunday (weekend) Newspapers: Have you read or looked into any English-language daily or Sunday (weekend) newspapers in the last 30 days? □ □ Have you read or looked into any Spanish-language daily or Sunday (weekend) newspapers in the last 30 days? □ □

Web Sites: Have you visited any English-language web sites in the last 30 days? □ □ Have you visited any Spanish-language web sites in the last 30 days? □ □

Magazines: Have you read or looked into any English-language magazines in the last 30 days? □ □ Have you read or looked into any Spanish-language magazines in the last 30 days? □ □

Television: Have you watched any English-language television in the last 7 days? □ □ Have you watched any Spanish-language television in the last 7 days? □ □

Radio: Have you listened to any English-language radio stations in the last 7 days? □ □ Have you listened to any Spanish-language radio stations in the last 7 days? □ □

ADVERTISING OUTSIDE THE HOME

People often come across advertising outside the home.

Which of the following types of advertising outside the home have you noticed in the past 30 days? Which of the following types of advertising outside the home have you noticed in the past 7 days? In general, how much attention do you pay to this type of advertising?

How much attention do you pay to this type of advertising Past 30 Past 7 Days Days A lot A little None Airport Displays □ □ □ □ □ Banner Displays by Airplanes or Blimps □ □ □ □ □ Bus Shelters or Benches □ □ □ □ □ Buses □ □ □ □ □ Large Billboards □ □ □ □ □ Mobile Billboards on Trucks or Vans □ □ □ □ □ Subway Trains or Platforms □ □ □ □ □ Taxis □ □ □ □ □ Telephone Kiosks □ □ □ □ □

118 Opinions

YOUR ATTITUDES, OPINIONS AND INTERESTS

We’d like you to tell us your personal views about different things that you think or do. Please tell us the extent to which you agree or disagree with each statement by marking one box opposite each statement. If you are not sure, please mark “Neither Agree Nor Disagree” and go to the next statement.

Agree Agree Neither Agree Disagree Disagree A Lot A Little Nor Disagree A Little A Lot

I enjoy taking risks □ □ □ □ □ I’m very happy with my life as it is □ □ □ □ □ I enjoy spending time with my family □ □ □ □ □ I like to enjoy life and do not worry about the future □ □ □ □ □ Money is the best measure of success □ □ □ □ □ I only go work at my current job for the money □ □ □ □ □ I prefer to spend a quiet evening at home than to go out □ □ □ □ □ How I spend my time is more important than how much money I make □ □ □ □ □ It is more important to do your duty than to live for your own enjoyment □ □ □ □ □ I am willing to sacrifice time with my family in order to get ahead □ □ □ □ □ I feel very alone in the world □ □ □ □ □ I worry a lot about myself □ □ □ □ □

I like to do things that are unconventional □ □ □ □ □ There’s little I can do to change my life □ □ □ □ □ We rarely sit down to a meal together at home □ □ □ □ □ If I won the lottery, I would never work again □ □ □ □ □ Pornographic movie houses and shops should be closed down □ □ □ □ □ I hate doing any form of housework □ □ □ □ □ I am good at fixing mechanical things □ □ □ □ □ I do some sport/ exercise at least once a week □ □ □ □ □ I am perfectly happy with my standard of living □ □ □ □ □ I am a workaholic □ □ □ □ □ It is important to be attractive to the opposite sex □ □ □ □ □ I want to get to the very top in my career □ □ □ □ □

I consider myself interested in the arts □ □ □ □ □ I would like to set up my own business one day □ □ □ □ □ I am interested in international events □ □ □ □ □ A woman’s place is in the home □ □ □ □ □ It is important my family thinks I am doing well □ □ □ □ □ I do not want responsibility, I would rather be told what to do □ □ □ □ □ I look at the work I do as a career rather than just as a job □ □ □ □ □ I like spending most of my time at home with my family □ □ □ □ □ In a job, security is more important to me than money □ □ □ □ □ It’s important to me to attend religious services □ □ □ □ □ I’d rather have a boring job than no job at all □ □ □ □ □ I only give flowers when I can’t think of any other present □ □ □ □ □

I consider myself to be a conservative, evangelical Christian □ □ □ □ □ It’s worth paying extra for quality goods □ □ □ □ □ I consider myself more pro-life than pro-choice □ □ □ □ □ I am a perfectionist □ □ □ □ □ My faith is really important to me □ □ □ □ □ I am interested in other cultures □ □ □ □ □ I enjoy owning good quality things □ □ □ □ □ I like to stand out in a crowd □ □ □ □ □ Children should be allowed to express themselves freely □ □ □ □ □ There is too much sponsorship of “the arts” and sporting events these days □ □ □ □ □ I’m always looking for new ideas to improve my home □ □ □ □ □ I am good at fixing things □ □ □ □ □ I prefer to have as few possessions as possible □ □ □ □ □ I like to provide my children with the things I didn’t have as a child □ □ □ □ □ I often indulge my children with little extras □ □ □ □ □ I decide what I want before I go shopping □ □ □ □ □

Continued on next page

119 Opinions

Agree Agree Neither Agree Disagree Disagree A Lot A Little Nor Disagree A Little A Lot

I make a conscious effort to recycle paper, glass, cans, etc. □ □ □ □ □ I enjoy watching religious television programs □ □ □ □ □ On the whole, people get what they deserve in life □ □ □ □ □ My home is an important part of who I am □ □ □ □ □ Packaging for products should be recycled □ □ □ □ □ When buying toiletries, the brand I choose is very important to me □ □ □ □ □ Marijuana should be legalized □ □ □ □ □ I would never buy cosmetics that have been tested on animals □ □ □ □ □ I am an optimist □ □ □ □ □ I can’t bear untidiness □ □ □ □ □ I enjoy entertaining people in my home □ □ □ □ □ I usually speak my mind even if it upsets people □ □ □ □ □

I try to be nice to people as much as I can □ □ □ □ □ I find that I am easily swayed by other people’s views □ □ □ □ □ I often do things on the spur of the moment □ □ □ □ □ I like to just enjoy life □ □ □ □ □ I try not to worry about the future □ □ □ □ □ My friends are more important to me than my family □ □ □ □ □ It is important to keep young looking □ □ □ □ □ People have a responsibility to use recycled products whenever possible □ □ □ □ □ Home décor is of particular interest to me □ □ □ □ □ People have a duty to recycle □ □ □ □ □ Music is an important part of my life □ □ □ □ □ People have to take me as they find me □ □ □ □ □

Real men don’t cry □ □ □ □ □ It is important that a company acts ethically □ □ □ □ □ You should seize opportunities in life when they arise □ □ □ □ □ In this day and age it is important to juggle various tasks at the same time □ □ □ □ □ I prefer to work as part of a team than work alone □ □ □ □ □ It’s important to me to feel respected by my peers □ □ □ □ □ It is important to continue learning new things throughout your life □ □ □ □ □ I don’t like to judge other people on the way they choose to live their life □ □ □ □ □ I consider myself to be a spiritual person □ □ □ □ □ I like to understand about nature □ □ □ □ □ If at first you do not succeed you must keep trying □ □ □ □ □ I consider myself to be a creative person □ □ □ □ □

It is important to be well-informed about things □ □ □ □ □ I like to have a circle of close friends who support me in hard times □ □ □ □ □ I like to have control over people and resources □ □ □ □ □ I am willing to volunteer my time for a good cause □ □ □ □ □ I think we should strive for equality for all □ □ □ □ □ I think it’s important to have a lasting relationship with one partner □ □ □ □ □ I worry about violence and crime □ □ □ □ □ I have a keen sense of adventure □ □ □ □ □ I like to pursue a life of challenge, novelty and change □ □ □ □ □ It is important to respect traditional customs and beliefs □ □ □ □ □ I find it difficult to say no to my kids □ □ □ □ □ I have a practical outlook on life □ □ □ □ □ I am worried about pollution and congestion caused by cars □ □ □ □ □

Technology I’m always the first among my friends to have the latest in electronic equipment □ □ □ □ □ I’ll pay just about anything for an electronic product that I really want □ □ □ □ □ I like to get as much information as possible about an electronic item before I buy it □ □ □ □ □ I always shop for the best deal in electronic equipment □ □ □ □ □ My friends often ask for my advice before buying electronic equipment □ □ □ □ □

Continued on next page

120 Opinions

Agree Agree Neither Agree Disagree Disagree A Lot A Little Nor Disagree A Little A Lot

Technology (continued) Computers confuse me, I will never get used to them □ □ □ □ □ I always ask my friends for advice before I buy any electronic equipment □ □ □ □ □ I like or want to learn more about computer technology and the Internet □ □ □ □ □ I like the idea of digital TV □ □ □ □ □ I try to keep up with developments in technology □ □ □ □ □ I love to buy new gadgets and appliances □ □ □ □ □

Lifestyles and the Internet The Internet has changed the way I spend my free time □ □ □ □ □ The Internet has changed the way I get information about products and services □ □ □ □ □ I spend less time sleeping because of the Internet □ □ □ □ □ I spend less time watching television on my television set because of the Internet □ □ □ □ □ The Internet has become a new way for me to socialize or meet people □ □ □ □ □ The Internet has changed the way I shop for products/ services □ □ □ □ □ I spend less time reading magazines in print because of the Internet □ □ □ □ □ The Internet has become a primary source of entertainment for me personally □ □ □ □ □ The Internet has become a primary source of entertainment for my family □ □ □ □ □ The Internet has changed the way I work □ □ □ □ □ The Internet has increased my desire to learn/ search for Information □ □ □ □ □ I spend less time listening to non-Internet radio because of the Internet □ □ □ □ □ The Internet has had no impact on my life □ □ □ □ □ I spend less time reading newspapers in print because of the Internet □ □ □ □ □ When I need information the first place I look is the Internet □ □ □ □ □

Personal Finance It is important to be well-insured when it comes to life insurance □ □ □ □ □ It is important to be well-insured when it comes to homeowners or renters insurance □ □ □ □ □ I find advertising for financial services to be interesting □ □ □ □ □ I read the financial pages of my newspaper □ □ □ □ □ I often prefer to pay cash for things I buy □ □ □ □ □ Financial security after retirement is the responsibility of each individual □ □ □ □ □ I’ll pay any price for good financial advice □ □ □ □ □ I like to know as much as possible about a financial service/ investment before I commit to it □ □ □ □ □ I always shop for the best deal in financial/ investment services □ □ □ □ □ My friends or associates often ask for my advice in financial matters □ □ □ □ □ I feel financially secure □ □ □ □ □ I leave the financial arrangements in our home to someone else □ □ □ □ □ I know nothing about finances and investments □ □ □ □ □ Investing in the stock market is too risky for me □ □ □ □ □ I like other people to think I’m a financial success □ □ □ □ □ I’m careful with my money □ □ □ □ □ I am no good at saving money □ □ □ □ □ I teach my children to be careful with money □ □ □ □ □ I tend to spend money without thinking □ □ □ □ □ I don’t like the idea of being in debt □ □ □ □ □ I am very good at managing money □ □ □ □ □

Diet and Health I’ll pay just about anything when it concerns my health □ □ □ □ □ I will spend whatever I have to, to make myself look younger □ □ □ □ □ I agree with the increasing bans on cigarette smoking □ □ □ □ □ I consider my diet to be very healthy □ □ □ □ □ I think fast food is all junk □ □ □ □ □ I know I should exercise more than I do □ □ □ □ □ I always think of the calories in what I eat □ □ □ □ □ I make sure I exercise regularly □ □ □ □ □ My friends often ask my advice about health and nutrition □ □ □ □ □ I don’t often have the time to prepare/ eat healthy meals □ □ □ □ □ I like to know as much as possible about ingredients before I buy food products □ □ □ □ □

Continued on next page

121 Opinions

Agree Agree Neither Agree Disagree Disagree A Lot A Little Nor Disagree A Little A Lot

Diet and Health (continued) I’ll try any new diet □ □ □ □ □ I am working at eating a well-balanced diet □ □ □ □ □ I try to eat healthier foods these days □ □ □ □ □ I’m usually the first to try a new health food □ □ □ □ □ Because of my busy lifestyle, I don’t take care of myself as well as I should □ □ □ □ □ I am a vegetarian □ □ □ □ □ I like to treat myself to foods not good for me □ □ □ □ □

Travel I prefer traveling in the U.S. as opposed to traveling to foreign countries □ □ □ □ □ When I am on vacation, I only want to relax □ □ □ □ □ I try to go somewhere different for vacation every time □ □ □ □ □ I love the idea of traveling abroad □ □ □ □ □ I would be willing to make travel arrangements through a company I have never heard of □ □ □ □ □ I like to go on vacation where activities are organized for me □ □ □ □ □

Media I often notice the ads in the lobbies of movie theaters □ □ □ □ □ I often pay attention to the commercials that play along with the movie previews in the movie theater □ □ □ □ □ I find TV advertising interesting and quite often it gives me something to talk about □ □ □ □ □ Magazines are my main source of entertainment □ □ □ □ □ I rely on radio to keep me informed □ □ □ □ □ I think a lot of advertising patronizes women □ □ □ □ □

I find some TV advertising OK, but I think quite a lot of it is devious □ □ □ □ □ If I couldn’t have cable, I wouldn’t watch television □ □ □ □ □ I rely on TV to keep me informed □ □ □ □ □ Most magazines are worth the money □ □ □ □ □ Television is my main source of entertainment □ □ □ □ □ There are TV programs that I arrange my schedule around □ □ □ □ □ I listen to the radio when I need a quick news update □ □ □ □ □ Nearly all TV advertising annoys me □ □ □ □ □

Radio is my main source of entertainment □ □ □ □ □ I rely on newspapers to keep me informed □ □ □ □ □ I often read ads in magazines just out of curiosity □ □ □ □ □ I don’t make purchase decisions based on advertising □ □ □ □ □ When I am watching television, I am usually involved in other activities □ □ □ □ □ I typically avoid watching television commercials □ □ □ □ □ I remember advertised products when I am shopping □ □ □ □ □ Advertising to children is wrong □ □ □ □ □ I don’t like advertising in general □ □ □ □ □ Whenever commercials come on, I typically mute the television □ □ □ □ □ Whenever commercials come on, I change channels □ □ □ □ □

I like television commercials that make me laugh □ □ □ □ □ Advertising helps me learn about the products companies have to offer □ □ □ □ □ Advertising is a waste of my time □ □ □ □ □ I enjoy watching kids’ TV shows with my children □ □ □ □ □ Advertising helps me choose products to buy for my children □ □ □ □ □ I value the local paper because it covers local news □ □ □ □ □ I expect advertising to be entertaining □ □ □ □ □ I rely on magazines to keep me informed □ □ □ □ □ Cable TV has too many channels; I never know which one to choose □ □ □ □ □ I enjoy reading ads in magazines □ □ □ □ □ When in the car, I always listen to the radio □ □ □ □ □ I am more inclined to purchase a product from a corporation that sponsors events than from a corporation that doesn’t □ □ □ □ □ The supplemental sections in newspapers make them more interesting □ □ □ □ □ I trust the information I read in newspapers □ □ □ □ □

Continued on next page

122 Opinions

Agree Agree Neither Agree Disagree Disagree A Lot A Little Nor Disagree A Little A Lot

Media (continued) I often notice the ads at bus stops □ □ □ □ □ I often notice the ads on trains □ □ □ □ □ I often notice the ads on buses □ □ □ □ □ I often notice the ads in taxis □ □ □ □ □ I often notice the ads in billboards □ □ □ □ □

The growth in the number of cable networks is diluting the quality of television □ □ □ □ □ Well-designed outdoor advertising can improve the urban landscape □ □ □ □ □ I like the idea of having a large selection of TV channels □ □ □ □ □ I cannot resist buying magazines □ □ □ □ □ I am a TV addict □ □ □ □ □ I listen to the radio every day □ □ □ □ □ I am a regular movie theater goer □ □ □ □ □ I read a newspaper most days □ □ □ □ □ I always choose that my name not be included on mailing lists □ □ □ □ □

PRODUCT PLACEMENT

Here are some things that both men and women have said to us about the practice of including or referencing brand name products in movies in theaters or in television shows. Please read through each statement and tell us the extent to which you agree or disagree with each statement by marking one box opposite each statement. If you are not sure please mark ЉNeither Agree Nor DisagreeЉ and go on to the next statement.

Agree Agree Neither Agree Disagree Disagree A Lot A Little Nor Disagree A Little A Lot Television When I watch television, I often notice brand name products used as part of the set □ □ □ □ □ After I watch my favorite TV show, I can remember the brand name products the characters were using during the show □ □ □ □ □ To see a character interact with brand name products that I use makes the TV show more real to me □ □ □ □ □ I don’t mind if brand name products appear in TV shows □ □ □ □ □ I hate seeing brand name products in TV shows if they are placed for commercial purposes □ □ □ □ □ When I see a character in a TV show using a brand name product I never tried before, I am likely to try it □ □ □ □ □ When I see a brand name product I’ve used before in a TV show, I am reassured that the product is good □ □ □ □ □ When I’m in the grocery store and I see a brand name product I recognize from a TV show, I’m more likely to buy it than its competitor □ □ □ □ □

Movies In Movie Theaters When I watch movies, I often notice brand name products used as part of the set □ □ □ □ □ After I watch a movie, I can remember the brand name products the characters were using during the movie □ □ □ □ □ To see a character interact with brand name products that I use makes the movie more real to me □ □ □ □ □ I don’t mind if brand name products appear in movies □ □ □ □ □ I hate seeing brand name products in movies if they are placed for commercial purposes □ □ □ □ □ When I see a character in a movie using a brand name product I never tried before, I am likely to try it □ □ □ □ □ When I see a brand name product I’ve used before in a movie, I am reassured that the product is good □ □ □ □ □ When I’m in the grocery store and I see a brand name product I recognize from a movie, I’m more likely to buy it than its competitor □ □ □ □ □

123 Opinions

SOCIAL INTERACTION We’d like you to tell us your personal views about different things that you think or do. Please tell us the extent to which you agree or disagree with each statement by marking one box opposite each statement. If you are not sure please mark ЉNeither Agree Nor DisagreeЉ and go on to the next statement.

Agree Agree Neither Agree Disagree Disagree A Lot A Little Nor Disagree A Little A Lot

People say I am expressive when sharing my opinions with others □ □ □ □ □ Conformity makes me uncomfortable □ □ □ □ □ I am good at simplifying things for others □ □ □ □ □ I am not afraid to appear unconventional □ □ □ □ □ My friends and acquaintances look to me to organize our activities □ □ □ □ □ I am consumed with getting the best deal for a service or product I purchase □ □ □ □ □ I like to try new things no one else has □ □ □ □ □ I am often chosen to be the spokesperson in my group □ □ □ □ □ I am willing to help others even if there is no direct benefit to myself □ □ □ □ □ I enjoy keeping in touch with my friends and acquaintances □ □ □ □ □

I like to learn about things, even if they do not seem relevant at the time □ □ □ □ □ I like to put things together in new ways □ □ □ □ □ I am good at leading discussions □ □ □ □ □ I make friends easily □ □ □ □ □ I provide people with the facts and let them make their own decisions □ □ □ □ □ I work hard to convince others about things I believe in □ □ □ □ □ I am adventurous □ □ □ □ □ I like to share my knowledge with others □ □ □ □ □ I have a genuine interest in the people whom I meet □ □ □ □ □ I like to travel the unbeaten path □ □ □ □ □

I’m good at convincing others to try new things □ □ □ □ □ Meeting new people comes easy to me □ □ □ □ □ People are often surprised by the things I know □ □ □ □ □ I like to introduce people to each other □ □ □ □ □ People often copy what I do or wear □ □ □ □ □ People say my enthusiasm is contagious □ □ □ □ □ I have many acquaintances from all walks of life □ □ □ □ □

SELF-CONCEPTS Now, we have some questions about you. We want to know what kinds of products appeal to different kinds of people as they see themselves. For each of the statements below, please say whether you would agree or disagree with it as a description of you. There aren’t any right or wrong answers. If you are not sure about any description, just mark “Neither Agree Nor Disagree” and go to the next one. Agree Agree Neither Agree Disagree Disagree A Lot A Little Nor Disagree A Little A Lot

AFFECTIONATE, passionate, loving, romantic □ □ □ □ □ AMICABLE, amiable, affable, benevolent □ □ □ □ □ AWKWARD, absent-minded, forgetful, careless □ □ □ □ □ BRAVE, courageous, daring, adventuresome □ □ □ □ □ BROAD-MINDED, open-minded, liberal, tolerant □ □ □ □ □ CREATIVE, inventive, imaginative, artistic □ □ □ □ □ DOMINATING, authoritarian, demanding, aggressive □ □ □ □ □ EFFICIENT, organized, diligent, thorough □ □ □ □ □ EGOCENTRIC, vain, self-centered, narcissistic □ □ □ □ □ FRANK, straightforward, outspoken, candid □ □ □ □ □ FUNNY, humorous, amusing, witty □ □ □ □ □ INTELLIGENT, smart, bright, well-informed □ □ □ □ □ KIND, good-hearted, warmhearted, sincere □ □ □ □ □ REFINED, gracious, sophisticated, dignified □ □ □ □ □ RESERVED, conservative, quiet, conventional □ □ □ □ □ SELF-ASSURED, confident, self-sufficient, secure □ □ □ □ □ SOCIABLE, friendly, cheerful, likeable □ □ □ □ □ STUBBORN, hard-headed, head-strong, obstinate □ □ □ □ □ TENSE, nervous, high-strung, excitable □ □ □ □ □ TRUSTWORTHY, competent, reliable □ □ □ □ □

124 Opinions

SHOPPING BEHAVIOR Here are some things which both men and women have said to us about shopping - shopping for all kinds of products, such as those listed in this questionnaire. Please read through each statement and say whether you personally agree or disagree with it. If you are not sure, just mark “Neither Agree Nor Disagree” and go on to the next statement.

Agree Agree Neither Agree Disagree Disagree A Lot A Little Nor Disagree A Little A Lot

I buy products that use recycled paper in their packaging □ □ □ □ □ I shop around a lot to take advantage of specials or bargains □ □ □ □ □ I do not buy unknown brands merely to save money □ □ □ □ □ When in the store, I often buy an item on the spur of the moment □ □ □ □ □ I like to change brands often for the sake of variety and novelty □ □ □ □ □ I always look for the brand name on the package □ □ □ □ □ I usually read the information on product labels □ □ □ □ □ I prefer to buy things that my friends or neighbors would approve of □ □ □ □ □ In general, advertising presents a true picture of the products of well-known companies □ □ □ □ □ I try to keep abreast of changes in styles & fashions □ □ □ □ □

I generally plan far ahead to buy expensive items such as automobiles □ □ □ □ □ I ask people for advice before buying new things □ □ □ □ □ People come to me for advice before buying new things □ □ □ □ □ Shopping for groceries is a bore □ □ □ □ □ All products that pollute the environment should be banned □ □ □ □ □ I buy paper products (napkins, towels, toilet paper, etc.) that are recycled □ □ □ □ □ I would be prepared to pay more for environmentally-friendly products □ □ □ □ □ I enjoy shopping with my children □ □ □ □ □

My children have a significant impact on the brands I choose □ □ □ □ □ I don’t like it when my children ask for non-essential purchases □ □ □ □ □ I find it hard to resist my children’s requests for non-essential purchases □ □ □ □ □ I always look out for special offers □ □ □ □ □ I often postpone purchases for my children until special occasions □ □ □ □ □

ATTITUDES/ OPINIONS ABOUT AUTOMOBILES

Often people use automobiles for many different purposes and reasons. Please tell us how you use automobiles in your life. Please tell us the extent to which you agree or disagree with each statement by marking one box opposite each statement. If you are not sure, please markЉNeither Agree Nor DisagreeЉ and go on to the next statement. Agree Agree Neither Agree Disagree Disagree A Lot A Little Nor Disagree A Little A Lot

I am interested in what goes on under the hood of a car □ □ □ □ □ My car should catch people’s attention □ □ □ □ □ I like to get a new car every two or three years □ □ □ □ □ I use my personal vehicle in my work □ □ □ □ □ My car should be equipped with as many safety features as possible □ □ □ □ □ I like driving □ □ □ □ □ Owning a foreign car is much more prestigious than owning an American car □ □ □ □ □ Friends and family always ask my advice on what car they should buy □ □ □ □ □ A used car is just as good as a new car □ □ □ □ □ Options on a car impress me □ □ □ □ □

I like to drive faster than normal traffic □ □ □ □ □ Before buying a car, I find out about the car’s safety rating □ □ □ □ □ A car’s only purpose is to get from point ‘A’ to point ‘B’ □ □ □ □ □ Having a car that works well for the whole family is very important to me □ □ □ □ □ You can tell a lot about someone by the car they drive □ □ □ □ □ Foreign cars are higher quality than American □ □ □ □ □ My car should express my personality □ □ □ □ □

Comfort is the most important thing in a car □ □ □ □ □ I am often in a car with more than one other person □ □ □ □ □ American auto manufacturers are producing much better cars than they did 10 years ago □ □ □ □ □

Continued on next page

125 Opinions

Agree Agree Neither Agree Disagree Disagree A Lot A Little Nor Disagree A Little A Lot

I prefer driving a luxury vehicle □ □ □ □ □ I normally drive without any passengers □ □ □ □ □ I choose a car mainly on the basis of looks □ □ □ □ □ I normally buy cars brand new □ □ □ □ □ I’d pay extra for an engine with more horsepower □ □ □ □ □ I often go on long car trips for vacations □ □ □ □ □ I keep up on the latest advances in automobile technology □ □ □ □ □ Having a vehicle that can handle rough terrain is very important to me □ □ □ □ □

I am possessive about my car □ □ □ □ □ I regularly wear my seatbelt for safety □ □ □ □ □ I often go for a drive by myself to gain a sense of freedom □ □ □ □ □ The true value of a car is how long it will last □ □ □ □ □ A Sport Utility Vehicle matches my active lifestyle □ □ □ □ □ I get many of the options when I buy a car □ □ □ □ □ American car companies set the standard in automotive engineering □ □ □ □ □

My friends would describe me as a car or truck enthusiast □ □ □ □ □ I seek out vehicles with powerful, spirited engines □ □ □ □ □ I want a vehicle that is bold and stands out from the rest on the road □ □ □ □ □ Owning a vehicle you really like and feel passionate about is part of leading a full life □ □ □ □ □ Japanese vehicle manufacturers better understand my needs more than domestic manufacturers and other imports □ □ □ □ □

REGISTERED TO VOTE OPINIONS

Are you currently registered Yes No Listed below are some statements people have made to describe their general attitudes to vote? □ □ and beliefs about themselves and the world around them. These are just opinions; there are no “right” or “wrong” answers. Please rate how well each statement describes you or IF YES What party are you currently registered with? your opinions. Use a scale of 1 to 10 where a 10 means the statement “describes you completely” and a 1 means the statement “does not describe you at all.” Democrat □ Independent □ Does Not Describes You Republican □ Describe You Completely Other □ 1 2 3 4 5 6 7 8 9 10 I want to feel part of a global community □ □ □ □ □ □ □ □ □ □ POLITICAL OUTLOOK

In terms of your political outlook, do you I’d rather make something usually think of yourself as:(Please mark one box). than buy it □ □ □ □ □ □ □ □ □ □

Very Conservative □ I only buy the most trusted Somewhat Conservative □ brand names □ □ □ □ □ □ □ □ □ □ Middle of the Road □

Somewhat Liberal □ I prefer real-life experiences Very Liberal □ to fiction or fantasy □ □ □ □ □ □ □ □ □ □

Please indicate which of the following best My home is an important describes your sexual orientation. part of who I am □ □ □ □ □ □ □ □ □ □ (Please mark one box). I consider myself an intellectual □ □ □ □ □ □ □ □ □ □ Heterosexual □ Gay □ I always want to be one of the Lesbian □ first to have the new, Bisexual □ high-tech products □ □ □ □ □ □ □ □ □ □ Transgender □

126 S M T W T F S

S M T W T F S DAILY ACTIVITIES Daily Activities

How do you spend your time throughout the day? Please fill out this diary according to how you spent your time yesterday (that is the day before you completed this section). THIS DIARY IS EASY TO FILL OUT! HERE IS AN EXAMPLE OF A PORTION OF THE DIARY:

Let’s say in the beginning of the day yesterday you were: 6:00 am − 7:00 am Sleeping in your home 7:00 am − 8:00 am Eating breakfast alone with the television on 8:00 am − 9:00 am While traveling to work with friends in a car, listened to the radio

NOTE: THERE SHOULD BE AT LEAST 3 ENTRIES FOR EACH TIME PERIOD − ONE FOR EACH OF THE FOLLOWING CATEGORIES:

Œ Where were you?  With Whom? Ž What Were You Doing?

Time Where were you? With Whom? What were you doing?

In a Home Traveling Elsewhere Working, Eating, Etc. Watching, Listening, Reading, Etc. In your own Home/ Apartment Someone else’s Home/ Apartment In a Car Other At Work At School/ College At a Restaurant, Bar, Pub or Café Shopping Other Alone With Family With Friends Other Eating Leisure or Exercising Working (Paid Job) Housework or Gardening Other Watching Television Watching a Video or DVD At the Movies Listening to the Radio Reading a Magazine Reading a Newspaper Reading a Book On Internet−Gathering Information On Computer (Not Internet) Listening to a CD/ Record/ Tape Internet Radio Internet Video Webcasts Internet Newspapers Purchasing something on Internet Viewing Internet Websites Sleeping 6:00-6:59 am □x □ □ □ □ □ □E □ □ □x XAMPLE□□□□□□□□□□□□□□□□□□□□□□□□x 7:00-7:59 am □x □ □ □ □ □ □ □ □ □x □ □ □ □x □ □ □ □ □x □□□□□□□□□□□□□□□

8:00-8:59 am □ □ □x □ □ □ □ □ □ □ □ □x □ □ □ □ □ □ □ □ □ □x □□□□□□□□□□□□

NOTE: If you have done several things in the same time period, please record information about where you were and who you were with for everything you did during that time.

START YOUR DIARY HERE AND CONTINUE TO THE NEXT PAGE

Please indicate what day of the week it was yesterday (that is, what day this diary covers).

Sunday □ Monday □ Tuesday □ Wednesday □ Thursday □ Friday □ Saturday □

128 Daily Activities

Œ  Ž

Time Where were you? With Whom? What were you doing?

In a Home Traveling Elsewhere Working, Eating, Etc. Watching, Listening, Reading, Etc. In your own Home/ Apartment Someone else’s Home/ Apartment In a Car Other At Work At School/ College At a Restaurant, Bar, Pub or Café Shopping Other Alone With Family With Friends Other Eating Leisure or Exercising Working (Paid Job) Housework or Gardening Other Watching Television Watching a Video or DVD At the Movies Listening to the Radio Reading a Magazine Reading a Newspaper Reading a Book On Internet−Gathering Information On a Computer (Not Internet) Listening to a CD/ Record/ Tape Internet Radio Internet Video Webcasts Internet Newspapers Purchasing Something on Internet Viewing Internet Websites Sleeping 6:00-6:59 am □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□

7:00-7:59 am □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□

8:00-8:59 am □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□

9:00-9:59 am □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□

10:00-10:59 am □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□

11:00-11:59 am □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□

12:00-12:59 pm □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□

1:00-1:59 pm □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□

2:00-2:59 pm □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□

3:00-3:59 pm □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□

4:00-4:59 pm □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□

5:00-5:59 pm □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□

6:00-6:59 pm □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□

7:00-7:59 pm □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□

8:00-8:59 pm □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□

9:00-9:59 pm □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□

10:00-10:59 pm □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□

11:00-11:59 pm □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□

12:00-12:59 am □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□

1:00-1:59 am □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□

2:00-2:59 am □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□

3:00-3:59 am □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□

4:00-4:59 am □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□

5:00-5:59 am □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□

129 THANK YOU FOR PARTICIPATING

Your comments are welcome on the back inside cover. . .

Checklist:

● Please mail your survey to us in the self-addressed stamped envelope(s) that we provided for your household. No postage is necessary. ● Please return your survey as soon as it’s completed. You do not have to wait for other household members to complete their surveys. Just seal the envelope and drop it in any mailbox. ● If you have more than three surveys use more than one envelope. If you need additional envelopes, or have any questions, please call us toll-free at 1-800-551-6425, or visit our website at www.SimmonsSurvey.com.

Thank you again for your help!