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CES '08: Go!Explore priced and dated for Europe. More details for the international versions of the PSP GPS navigation system emerge in Las Vegas. A Paris travel directory which offers reviews on Paris hotels, free Paris metro maps and street maps, tours of monuments, museums and exhibitions, photos and greeting cards. Paris Eiffel Tower News helps you discover Paris with a Parisian eye! Psp Go Explore Maps Isotonic Fluids. On an average subway ride, you might see childishly cute character toys and incredibly violent pornography - sometimes enjoyed by the same passenger, at the same time! Japan has beautiful temples and gardens which are often surrounded by garish signs and ugly buildings. Chino Valley Az Review Unlimited High Speed Wireless Internet. By Carlos Buente in Worldwide Web May 25, 2015. Alaska airline. Chicken spedini dvd decypter.

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Go!Explore was unveiled in January and consists of a GPS receiver for the PSP, and a UMD containing maps. Previous maps have used data coded. Perspectives on the relationship between otolith growth and the conversion of isotope activity.

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1 label C Interview # D (1-6) 1 7 NAME DATE Survey of the American Consumer 74 IF THIS BOOKLET IS NOT PICKED UP WITHIN TWO WEEKS FROM DATE RECEIVED, PLEASE CALL: AMERICAN INSTITUTE OF CONSUMER STUDIES AICSINFO.COM

2 Dear Survey Member: You have been selected to participate in an important consumer research study. We would like to thank you in advance for taking part. In order for the study to succeed and fulfill its intended purpose, which is to provide information to manufacturers as to consumer preference of products and services, every question must be answered. Your answers will be grouped with 10,000 other people s who have taken the time to fill out this questionnaire. This will help us provide a complete and accurate picture for manufacturers and will enable them to produce and advertise more effectively the kinds of products people want. As your answers are tabulated by computer, your individual responses are kept strictly confidential. You are to complete the first section of this booklet. The second section, beginning with page 87, is to be completed by the person who does most of the shopping for groceries and household items. If that is you, please continue and complete the second section. If that is not you, please have the person who does most of the shopping fill out the second section. Once again, we appreciate your help and cooperation. Sincerely, American Institute of Consumer Studies The first section of this booklet (Pages 1-86) is to be completed by the person who was interviewed: First Name Last Name Please record the date you started filling out this booklet. Month Day Year Copyright 2015 GfK Mediamark Research & Intelligence, LLC. All rights reserved. This work is comprised of confidential and copyrighted material and is the property of GfK Mediamark Research & Intelligence, LLC. No part of this work may be used, distributed, sold, revealed, reproduced, or transmitted in any form or by any means, electronic or mechanical, including photocopy recording or any information storage and retrieval system now known or to be invented, without the prior written permission of GfK Mediamark Research & Intelligence, LLC.

3 Page 1 In order that you may complete this booklet easily and quickly, please read and follow these simple instructions. 1. For each product place an X in the box beside the word TOTAL if you have used that product in the last 6 months. If you have not used the product in the last 6 months, leave the box blank and go to the next product. 2. For each type, etc. (if any), place an X in the box beside the type, etc. you have used. 3. Place an X beside each brand name used. If you have used a brand that is not listed, write in the name and mark the box. 4. On the line beside TOTAL write in the number used in the specified time period. The time period differs for each product category, so please read each heading very carefully. 5. Then enter the number of times each type, etc. (if any) was used in the specified time period. 6. Then enter the number of times each brand was used in the specified time period. IF YOU HAVE USED NONE IN THE SPECIFIED TIME PERIOD ENTER 0. IF YOU DON T KNOW EXACT QUANTITIES PLEASE ESTIMATE AS BEST YOU CAN. The total number of times brands were used should add to the TOTAL at the top of the column. The total number of times types, etc. were used should add to the TOTAL at the top of the column. TOOTHPASTE INSTRUCTIONS 001 TOTAL:.. M 00 Baking Soda.. M 01 Non Baking Soda.. M 02 Tartar Control.. M 03 Regular.. M 04 FORMS: Gel.. M 05 Paste.. M 06 Aim.. M 07 Aquafresh.. M 08 Aquafresh Advanced.. M 09 Aquafresh Extreme Clean. M 10 Aquafresh Whitening.. M 11 Arm & Hammer Advance White.. M 12 Other Arm & Hammer.. M 13 Close-Up.. M 14 Colgate 2 in 1.. M 15 Colgate Max Fresh.. M 16 Colgate Optic White.. M 17 Colgate Regular M 18 Colgate Sensitive.. M 19 Colgate Sparkling White.. M 20 Colgate Tartar Protection.. M 21 Colgate Total.. M 22 Colgate Total Advanced.. M 23 Colgate Baking Soda and Peroxide Whitening.. M 24 Other Colgate.. M 25 Crest Be.. M 26 Crest Complete.. M 27 Crest Pro-Health.. M 28 Crest Regular Gel.. M 29 Crest Regular Paste.. M 30 Crest Sensitivity.. M 31 Crest Tartar Protection.. M 32 Crest 3D White.. M 33 Crest Whitening Plus Scope M 34 Other Crest.. M 35 Pepsodent.. M 36 Rembrandt.. M 37 Sensodyne.. M 38 Sensodyne ProNamel.. M 39 Tom s of Maine.. M 40 Ultrabrite.. M 41 Store s Own Brand.. M 42 M 999 PROPERTIES: Whitening.. M 1 Sensitive.. M 2 This example indicates that this person: used toothpaste in the last 6 months used baking soda in the last 6 months used non-baking soda in the last 6 months used regular in the last 6 months used paste in the last 6 months used Colgate with Baking Soda and Peroxide Whitening and Smerb in the last 6 months used toothpaste 14 times in the last 7 days used baking soda 6 times in the last 7 days used non-baking soda 8 times in the last 7 days used regular 14 times in the last 7 days used paste 14 times in the last 7 days used Colgate with Baking Soda and Peroxide Whitening 6 times and Smerb 8 times in the last 7 days 74

4 Page 2 The questions on this page refer to places in your area where you might shop. After completing this page, please continue with the rest of the questionnaire. FOOD/WAREHOUSE/ CLUB STORES Grocery Stores: Shopped Times 67A in last 6 in last months 30 days A&P.. M 01 Acme.. M 02 Albertsons.. M 03 Aldi.. M 04 BI-LO.. M 05 Cub Foods.. M 06 Food Lion.. M 12 Fred Meyer.. M 14 GNC.. M 16 Giant.. M 17 Giant Eagle.. M 18 Hannaford.. M 20 Harris Teeter.. M 21 H-E-B.. M 22 Hy-Vee.. M 23 IGA.. M 24 King Soopers.. M 28 Kroger.. M 29 Meijer.. M 30 Military Commissary.. M 31 Piggly Wiggly.. M 35 Price Chopper.. M 36 Publix.. M 37 Ralphs.. M 38 Safeway.. M 39 Save-A-Lot.. M 40 7-Eleven.. M 41 Shop N Save.. M 43 Smith s.. M 45 Stop & Shop.. M 47 Trader Joe s.. M 52 Vons.. M 53 Walmart Supercenter.. M 55 Wegmans.. M 57 Whole Foods Market.. M 58 Winn-Dixie.. M 59 Warehouse/Club Stores: BJ s Wholesale Club.. M 60 Costco Wholesale.. M 61 Sam s Club.. M 62 Amount spent in grocery stores, food stores, supermarkets and warehouse/club stores: Amount spent by household, average week $ 67M-0 Amount spent by you personally, average week $ 67P-0 DRUG STORES Shopped Times last 6 in last 67H months 30 days CVS Pharmacy/Longs Drugs.. M 01 Rite Aid.. M 08 Target Pharmacy.. M 10 Walmart Pharmacy.. M 12 Walgreen s.. M 13 APPLIANCE, HARDWARE AND ELECTRONICS STORES 67K Shopped Times last 12 in last months 30 days APPLIANCE AND HARDWARE STORES Ace Hardware.. M 02 Harbor Freight Tools.. M 03 Home Depot.. M 04 Lowe s.. M 05 Sears Appliance & Hardware M 08 Sherwin Williams.. M 09 Tractor Supply Company.. M 10 True Value.. M 11 67W ELECTRONICS STORES Apple Store.. M 01 Best Buy.. M 02 RadioShack.. M 06 RAC Rent-A-Center.. M 07 DEPARTMENT, CLOTHING/SHOES & SPECIALTY STORES Shopped Times last 3 in last 67F months 30 days Abercrombie & Fitch.. M 01 Aéropostale.. M 02 American Eagle Outfitters.. M 03 Ann Taylor.. M 04 Banana Republic.. M 06 Bath & Body Works.. M 07 Bealls.. M 08 Bed Bath & Beyond.. M 09 Belk.. M 10 Big Lots.. M 12 Bloomingdale s.. M 13 The Body Shop.. M 14 Burlington Coat Factory.. M 15 Champs Sports.. M 17 Chico s.. M 18 Crate & Barrel.. M 19 David s Bridal.. M 20 Dick s Sporting Goods.. M 21 Dillard s.. M 22 The Disney Store.. M 23 Dollar General.. M 24 Dollar Tree.. M 25 Dress Barn.. M 26 DSW.. M 27 Eddie Bauer.. M 28 Express.. M 29 Family Dollar.. M 30 Famous Footwear.. M 31 Finish Line.. M 32 Foot Action.. M 33 Foot Locker.. M 34 Forever M 35 Fred s.. M 36 The Gap.. M 37 H&M.. M 38 Hallmark Gold Crown.. M 39 Hollister.. M 40 J.Crew.. M 41 JCPenney.. M 42 Jo-Ann Fabric and Craft.. M 43 Kmart M 44 Kohl s.. M 46 Lady Foot Locker.. M 47 Lane Bryant.. M 48 LOFT.. M 49 Lord & Taylor.. M 50 Macy s.. M 51 Marshalls.. M 52 Men s Wearhouse.. M 54 Michaels.. M 55 Military Exchange.. M 56 Neiman Marcus.. M 57 New York & Company.. M 58 Nordstrom.. M 59 Old Navy.. M 60 PacSun.. M 61 Payless.. M 62 Pier 1 Imports.. M 64 Pottery Barn.. M 65 Ross Stores.. M 67 Saks Fifth Avenue.. M 68 Sears.. M 69 Sephora.. M 70 Shoe Carnival.. M 71 Sports Authority.. M 72 Talbots.. M 74 Target.. M 75 T.J. Maxx.. M 76 Toys R Us.. M 77 Ulta.. M 78 Victoria s Secret M 79 Walmart.. M 80 Williams-Sonoma.. M 81 OFFICE/COMPUTER SUPPLY STORES Shopped Times last 12 in last 67X months 30 days FedEx Office.. M 01 Office Depot.. M 02 OfficeMax.. M 03 Staples.. M 04

5 Page 3 HEALTH, ANTICAVITY AND BEAUTY AIDS TOOTHPASTE 001 TOTAL:.. M 00 Baking Soda.. M 01 Non Baking Soda.. M 02 Tartar Control.. M 03 Regular.. M 04 FORMS: Gel.. M 05 Paste.. M 06 Aim.. M 07 Aquafresh.. M 08 Aquafresh Advanced.. M 09 Aquafresh Extreme Clean. M 10 Aquafresh Whitening.. M 11 Arm & Hammer Advance White.. M 12 Other Arm & Hammer.. M 13 Close-Up.. M 14 Colgate 2 in 1.. M 15 Colgate Max Fresh.. M 16 Colgate Optic White.. M 17 Colgate Regular M 18 Colgate Sensitive.. M 19 Colgate Sparkling White.. M 20 Colgate Tartar Protection. M 21 Colgate Total.. M 22 Colgate Total Advanced.. M 23 Colgate Baking Soda and Peroxide Whitening.. M 24 Other Colgate.. M 25 Crest Be.. M 26 Crest Complete.. M 27 Crest Pro-Health.. M 28 Crest Regular Gel.. M 29 Crest Regular Paste.. M 30 Crest Sensitivity.. M 31 Crest Tartar Protection.. M 32 Crest 3D White.. M 33 Crest Whitening Plus Scope M 34 Other Crest.. M 35 Pepsodent.. M 36 Rembrandt.. M 37 Sensodyne.. M 38 Sensodyne ProNamel.. M 39 Tom s of Maine.. M 40 Ultrabrite.. M 41 Store s Own Brand.. M 42 M 999 PROPERTIES: Whitening.. M 1 Sensitive.. M 2 DENTAL FLOSS 002 TOTAL:.. M 00 Waxed.. M 01 Unwaxed.. M 02 Flavored.. M 03 Unflavored.. M 04 Aim.. M 05 DenTek.. M 06 G-U-M.. M 07 Johnson & Johnson Reach. M 08 Oral-B.. M 09 Oral-B Glide.. M 10 Plackers.. M 11 Reach Access Flosser.. M 12 Store s Own Brand.. M 13 M 999 TOOTHBRUSHES 003 Bought Number in last 6 in last 6 months months TOTAL:.. M 00 Battery-Operated.. M 01 Electric.. M 02 Manual.. M 03 Firm Bristle.. M 04 Medium Bristle.. M 05 Soft Bristle.. M 06 FORMS: Angled Handle.. M 07 Straight Handle.. M 08 Aquafresh.. M 09 Colgate M 10 Colgate Navigator.. M 11 Colgate Plus.. M 12 Colgate Total Professional. M 13 Colgate Wave.. M 14 Colgate Wisp.. M 15 Other Colgate.. M 16 G-U-M.. M 17 Oral-B Advantage.. M 18 Oral-B CrossAction.. M 19 Oral-B Deep Sweep.. M 20 Oral-B Indicator.. M 21 Oral-B ProfessionalCare.. M 22 Oral-B Pulsar.. M 23 Oral-B Vitality.. M 24 Other Oral-B.. M 25 Reach Advanced Design. M 26 Reach Total Care.. M 27 Other Reach.. M 28 Sonicare.. M 29 Spinbrush.. M 30 Store s Own Brand.. M 31 M 999 LIP CARE 008 TOTAL:.. M 00 Blistex.. M 01 Burt s Bees.. M 02 Carmex.. M 03 ChapStick Classic.. M 04 ChapStick Lip Moisturizer. M 05 ChapStick Ultra SPF M 06 Other ChapStick.. M 07 eos.. M 08 Herpecin L.. M 09 Maybelline Baby Lips.. M 10 Neutrogena.. M 11 Nivea.. M 12 Softlips.. M 13 Vaseline Lip Therapy.. M 14 Other Vaseline.. M 15 Store s Own Brand.. M 16 M 999 MOUTHWASH/ DENTAL RINSE 006 TOTAL:.. M 00 ACT Anticavity Fluoride.. M 01 ACT Restoring.. M 02 ACT Total Care.. M 03 Other ACT Rinse.. M 04 Biotène.. M 05 Cepacol.. M 06 Colgate.. M 07 Crest Pro-Health Rinse.. M 08 Crest 3D White Rinse.. M 09 Lavoris M 10 Listerine (Yellow).. M 11 Listerine Cool Mint (Blue). M 12 Listerine FreshBurst (Green) M 13 Listerine Total Care.. M 14 Listerine Ultraclean.. M 15 Listerine Whitening.. M 16 Listerine Zero.. M 17 Other Listerine.. M 18 Scope Dual-Blast M 19 Scope Original (Green).. M 20 Scope Outlast.. M 21 Tom s of Maine.. M 22 M 999 BREATH FRESHENERS 007 TOTAL:.. M 00 Spray/Drops.. M 01 Mints.. M 02 Gum.. M 03 Liquid.. M 04 Thin Film.. M 05 Binaca.. M 06 Cool Mint Listerine PocketPaks Strips.. M 07 Other Listerine PocketPaks Strips.. M 08 Listerine Pocketmist.. M 09 MintAsure.. M 10 Sweet Breath.. M 11 M 999 TOOTH WHITENERS (not toothpaste) 004 TOTAL:.. M 00 FORMS: Strips.. M 01 Gel.. M 02 Trays.. M 03 Crest 3D White Whitestrips. M 04 Plus White.. M 05 Rembrandt.. M 06 M 999

6 HEALTH AND BEAUTY AIDS Page 4 DEODORANTS AND ANTIPERSPIRANTS 010 TOTAL:.. M 00 Scented.. M 01 Unscented.. M 02 Antiperspirant/Deodorant. M 03 Deodorant Only.. M 04 Adidas.. M 05 Arm & Hammer Roll-On.. M 06 Arm & Hammer Stick/Solid. M 07 Arrid Extra Dry Clear Gel.. M 08 Arrid Extra Dry Spray.. M 09 Arrid XX Roll-On.. M 10 Arrid XX Solid.. M 11 Arrid XX Spray.. M 12 Avon.. M 13 Axe Bodyspray.. M 14 Axe Dry Solid.. M 15 Ban Roll-On.. M 16 Ban Solid.. M 17 Brut Spray.. M 18 Brut Stick.. M 19 Degree Clinical Protection. M 20 Degree Women Solid.. M 21 Degree Women Spray.. M 22 Degree Women Ultra Clear. M 23 Degree Men Spray.. M 24 Degree Men Stick/Solid.. M 25 Dove Clinical Protection.. M 26 Dove Men+Care.. M 27 Dove Roll-On.. M 28 Dove Solid.. M 29 Dove Spray.. M 30 Dry Idea.. M 31 Gillette Clinical.. M 32 Gillette Gel.. M 33 Gillette Solid.. M 34 Lady Speed Stick.. M 35 Lady Speed Stick 24/7.. M 36 Mitchum Gel.. M 37 Mitchum Roll-On.. M 38 Mitchum Solid.. M 39 Mitchum for Women.. M 40 Old Spice High Endurance. M 41 Old Spice Red Zone.. M 42 Old Spice Stick.. M 43 Power Stick.. M 44 Right Guard Sport Gel.. M 45 Right Guard Sport Spray. M 46 Right Guard Sport Solid.. M 47 Right Guard Total Defense 5. M 48 Secret Clinical Strength.. M 49 Secret Invisible Solid.. M 50 Secret Outlast.. M 51 Secret Roll-On.. M 52 Secret Solid.. M 53 Secret Spray.. M 54 Soft & Dri.. M 55 Speed Stick.. M 56 Speed Stick 24/7.. M 57 Suave.. M 58 Sure Solid.. M 59 Sure Spray.. M 60 Tom s of Maine.. M 61 M 999 COMPLEXION CARE PRODUCTS (Facial Cleansers, Facial Toners, etc.) 011 TOTAL:.. M 00 Astringent.. M 01 Cleansers.. M 02 Toner.. M 03 FORMS: Mask.. M 04 Pad.. M 05 Sponge.. M 06 Cloths/Towelettes.. M 07 Bar.. M 08 Cream.. M 09 Gel.. M 10 Lotion.. M 11 Scrub.. M 12 Almay.. M 13 Aveeno.. M 14 Avon Clearskin.. M 15 Other Avon.. M 16 Bioré.. M 17 Bioré Deep Cleansing Pore Strips.. M 18 Cetaphil.. M 19 Clean & Clear Advantage. M 20 Clean & Clear Morning Burst. M 21 Other Clean & Clear.. M 22 Clearasil Daily Face Wash. M 23 Clearasil Ultra.. M 24 Other Clearasil.. M 25 Clinique Facial Soap.. M 26 Other Clinique.. M 27 Estée Lauder.. M 28 Garnier.. M 29 Lancôme.. M 30 L Oréal.. M 31 Mary Kay.. M 32 Neutrogena Deep Clean Cleanser.. M 33 Neutrogena Naturals.. M 34 Neutrogena Oil-Free Acne Wash.. M 35 Neutrogena Pore Refining. M 36 Other Neutrogena.. M 37 Nivea Men.. M 38 Noxzema Skin Cream.. M 39 Olay Daily Facial Cloths.. M 40 Olay Foaming Face Wash. M 41 Olay Pro X.. M 42 Olay Regenerist.. M 43 Olay Total Effects.. M 44 Other Olay.. M 45 Oxy.. M 46 philosophy.. M 47 Pond s Cold Cream.. M 48 Pond s Towelettes.. M 49 Proactiv.. M 50 RoC.. M 51 Sea Breeze Astringent... M 52 Simple.. M 53 St. Ives Apricot Scrub.. M 54 Other St. Ives.. M 55 Stridex.. M 56 Store s Own Brand.. M 57 M 999 Facial skin type: Dry.. M 1 Normal.. M 2 Oily.. M 3 Partly oily/partly dry.. M 4 Sensitive.. M 5 HAND & BODY CREAM, LOTION OR OIL 013 TOTAL:.. M 00 Cream.. M 01 Lotion.. M 02 Oil.. M 03 Spray.. M 04 Aquaphor Ointment.. M 05 Aveeno Daily Moisturizing. M 06 Other Aveeno.. M 07 Avon.. M 08 Baby Magic Baby Lotion.. M 09 Bath & Body Works.. M 10 The Body Shop.. M 11 Burt s Bees.. M 12 Carmex.. M 13 Cetaphil.. M 14 Curél.. M 15 Dermasil.. M 16 Dial 7 Day.. M 17 Dove.. M 18 eos.. M 19 Eucerin Original.. M 20 Eucerin Intensive Repair. M 21 Other Eucerin.. M 22 Gold Bond Medicated Lotion M 23 Gold Bond Ultimate Lotion. M 24 Jergens Natural Glow.. M 25 Jergens Original Scent.. M 26 Jergens Skin Firming.. M 27 Jergens Ultra Healing.. M 28 Other Jergens.. M 29 Johnson s Baby Lotion... M 30 Johnson s Baby Oil.. M 31 Other Johnson s.. M 32 Keri Lotion.. M 33 Kiss My Face.. M 34 L Oréal.. M 35 Lubriderm Advanced Therapy.. M 36 Lubriderm Daily Moisture. M 37 Lubriderm Intense Skin Repair.. M 38 Lubriderm Sensitive Skin. M 39 Mary Kay.. M 40 Neutrogena Hand Cream. M 41 Neutrogena Body Lotion.. M 42 Neutrogena Body Oil.. M 43 Nivea Smooth Sensation. M 44 Other Nivea.. M 45 O Keeffe s Working Hands. M 46 Olay Quench.. M 47 Olay Ultra Moisture.. M 48 Other Olay.. M 49 Palmer s M 50 Sally Hansen.. M 51 St. Ives.. M 52 Suave.. M 53 Vaseline Advanced Repair. M 54 Vaseline Aloe Soothe.. M 55 Vaseline Cocoa Butter.. M 56 Vaseline Essential Healing. M 57 Vaseline Men.. M 58 Vaseline Petroleum Jelly.. M 59 Other Vaseline.. M 60 Store s Own Brand.. M 61 M 999 Used for: Anti-Aging.. M 1 Anti-Cellulite/Firming.. M 2 Dry Skin.. M 3 Moisturizing.. M 4 Self Tan/Glow.. M 5 Sensitive Skin.. M 6

7 Page 5 HEALTH AND BEAUTY AIDS PERSONAL CARE SOAPS BAR 015 TOTAL:.. M 00 Aveeno.. M 01 Burt s Bees.. M 02 Caress.. M 03 Coast.. M 04 Dial Mountain Fresh.. M 05 Dial (Regular).. M 06 Dove.. M 07 Dove Men+Care.. M 08 Dove Sensitive Skin.. M 09 Irish Spring Original.. M 10 Irish Spring Aloe.. M 11 Ivory.. M 12 Jergens.. M 13 Lava.. M 14 Lever M 15 Neutrogena.. M 16 Olay.. M 17 Old Spice.. M 18 Palmolive.. M 19 Safeguard.. M 20 Softsoap Bar.. M 21 Tone.. M 22 Yardley.. M 23 Zest.. M 24 Store s Own Brand.. M 25 M 999 Used for: Antibacterial.. M 1 Complexion.. M 2 Deodorant.. M 3 Moisturizing.. M 4 BODY WASH/ SHOWER GEL 019 TOTAL:.. M 00 Aveeno Body Wash.. M 01 Avon.. M 02 Axe Shower Gel.. M 03 Bath & Body Works.. M 04 Burt s Bees.. M 05 Caress.. M 06 Clean & Clear.. M 07 Coast.. M 08 Dial.. M 09 Dial for Men.. M 10 Dove Body Wash.. M 11 Dove Men+Care.. M 12 Gillette.. M 13 Gold Bond Ultimate.. M 14 Irish Spring.. M 15 Ivory Body Wash.. M 16 Lever M 17 Neutrogena.. M 18 Nivea.. M 19 Olay.. M 20 Old Spice High Endurance. M 21 Old Spice Red Zone.. M 22 Right Guard Total Defense 5 M 23 Softsoap Body Wash.. M 24 St. Ives Body Wash.. M 25 Suave Body Wash.. M 26 Suave Men.. M 27 Tone Body Wash.. M 28 White Rain Body Wash.. M 29 Zest.. M 30 Store s Own Brand.. M 31 M 999 LIQUID SOAPS/ HAND SANITIZERS 017 TOTAL:.. M 00 Liquid Soap.. M 01 Hand Sanitizer.. M 02 Avon.. M 03 Clean & Smooth.. M 04 Dial.. M 05 Dial Complete.. M 06 Germ-X.. M 07 Gold Bond Ultimate.. M 08 Ivory.. M 09 Jergens.. M 10 Lava Soap.. M 11 Lysol No-Touch.. M 12 Method.. M 13 Mrs. Meyer s.. M 14 Purell.. M 15 Softsoap.. M 16 Tone.. M 17 Store s Own Brand.. M 18 M 999 HAIR CONDITIONERS (For use at home) 020 TOTAL:.. M 00 Dry.. M 01 Extra Dry.. M 02 Fine Hair/Extra Body.. M 03 Frizzy.. M 04 Normal.. M 05 Oily.. M 06 Alberto VO5.. M 07 Aussie.. M 08 Aveda.. M 09 Aveeno.. M 10 Avon.. M 11 Bed Head.. M 12 Biolage by Matrix.. M 13 Bumble and Bumble.. M 14 Clear Scalp & Hair.. M 15 Dark & Lovely.. M 16 Dove.. M 17 Finesse.. M 18 Garnier Fructis.. M 19 Herbal Essences.. M 20 Infusium M 21 John Frieda Brilliant Brunette M 22 John Frieda Frizz-Ease.. M 23 John Frieda Sheer Blonde. M 24 L Oréal.. M 25 Matrix.. M 26 Motions.. M 27 Neutrogena Conditioner.. M 28 Nexxus.. M 29 OGX.. M 30 Pantene Pro-V.. M 31 Paul Mitchell.. M 32 Redken.. M 33 Suave.. M 34 TRESemmé.. M 35 Ultra Sheen.. M 36 Vidal Sassoon Pro Series. M 37 White Rain Conditioner.. M 38 M 999 BODY SHAMPOO WASH/ (For SHOWER use at GEL home) 021 TOTAL:.. M 00 FORMS: Shampoo.. M 01 Shampoo plus Conditioner. M 02 Dry Shampoo.. M 03 Baby.. M 04 Color Treated.. M 05 Fine Hair/Extra Body.. M 06 Dry Hair.. M 07 Frizzy Hair.. M 08 Oily Hair M 09 Medicated/Dandruff.. M 10 Normal Hair.. M 11 Permed Hair.. M 12 All Purpose.. M 13 Alberto VO5.. M 14 Aussie.. M 15 Aveda.. M 16 Aveeno.. M 17 Avon.. M 18 Axe.. M 19 Baby Magic Shampoo.. M 20 Bath & Body Works.. M 21 Bed Head.. M 22 Bumble and Bumble.. M 23 Clear Scalp & Hair.. M 24 Dark & Lovely.. M 25 Denorex.. M 26 Dove.. M 27 Finesse.. M 28 Garnier Fructis.. M 29 Güd.. M 30 Head & Shoulders.. M 31 Herbal Essences.. M 32 Infusium M 33 John Frieda Brilliant Brunette M 34 John Frieda Frizz-Ease.. M 35 John Frieda Sheer Blonde. M 36 Johnson s Baby Shampoo. M 37 L Oréal.. M 38 Mane n Tail.. M 39 Matrix.. M 40 Motions.. M 41 Neutrogena M 42 Neutrogena T/Gel.. M 43 Nexxus.. M 44 OGX.. M 45 Pantene Pro-V.. M 46 Paul Mitchell.. M 47 Pert Plus.. M 48 Pert Plus Anti-Dandruff.. M 49 Prell.. M 50 Redken.. M 51 Selsun-Blue.. M 52 Suave.. M 53 Suave Men.. M 54 TRESemmé.. M 55 Vidal Sassoon Pro Series. M 56 White Rain Collections.. M 57 M 999

8 HEALTH AND BEAUTY AIDS Page 6 HAIR CONDITIONING TREATMENT (For use at home) 022 Leave-in Rinse-out Alberto VO5 Hot Oil Aussie 3 Minute Miracle Garnier Fructis Herbal Essences Infusium It s a Pantene Pro-V TCB Hair & Scalp TRESemmé Ultra Sheen HAIR COLORING PRODUCTS last 6 last 6 (For use at home) months months 023 Temporary Rinse Semi-Permanent Color Permanent Color Frost, Tip, Streak Kit Bleach or Lightener FORMS: Liquid/Lotion Mousse/Foam Aloxxi Clairol Natural Instincts Clairol Nice n Easy Other Clairol Dark & Lovely Fat Foam Garnier HerbaShine Garnier Nutrisse Garnier Olia Grecian Formula Herbal Essences John Frieda Precision Foam 19 Just for Men Haircolor Just for Men Autostop Just for Men Must. & Beard. 22 Just for Men Touch of Gray. 23 L Oréal Excellence L Oréal Féria L Oréal Healthy Look L Oréal Preference L Oréal Root Rescue Other L Oréal Revlon Colorsilk Other Revlon Vidal Sassoon Used For: Cover Gray.. 1 Change/Highlight Color.. 2 HAIR GROWTH PRODUCTS 024 Nioxin Propecia Rogaine Scalp Med HAIR SPRAYS (For use at home) 025 Aerosol Spray Manual Pump Spray Spritz Alberto VO Aqua Net Aussie Bed Head Bumble and Bumble Consort Dove Finesse Garnier Fructis Göt2b Herbal Essences John Frieda L Oréal Studio Line Matrix Nexxus Pantene Pro-V Paul Mitchell Rave Redken Sebastian Suave TRESemmé White Rain HAIR STYLING GELS, LOTIONS & MOUSSE 027 Mousse Styling Gel/Lotion Serum Alberto VO American Crew Aussie Aveda Axe Bed Head Bumble and Bumble Dep Dove Finesse Garnier Fructis Göt2b Herbal Essences John Frieda Frizz-Ease LA Looks L Oréal Studio Line Matrix Nexxus Pantene Pro-V Paul Mitchell Redken Sebastian Suave TRESemmé White Rain FACIAL MOISTURIZERS 030 Cream Lotion Ambi Aveeno Avon Bath & Body Works Clean & Clear Clinique Elizabeth Arden Estée Lauder Eucerin Garnier Jergens Lancôme L Oréal RevitaLift L Oréal Youth Code Other L Oréal Mary Kay Neutrogena Healthy Skin. 19 Other Neutrogena Night of Olay Nivea Nivea for Men Noxzema Skin Cream Olay Complete Olay ProX Olay Regenerist Olay Total Effects Other Olay Origins philosophy Pond s RoC StriVectin-SD St. Ives Vaseline How do you use it? Anti-wrinkle Cleansing.. 2 Moisturizing.. 3 Night Cream.. 4 Sunscreen.. 5 Under make-up.. 6 MEN: PLEASE SKIP TO 3 RD COLUMN PAGE 9 WOMEN: PLEASE CONTINUE HOME PERMANENTS AND RELAXERS last 6 last 6 (Women) months months 028 Perm Relaxer Africa s Best African Pride Dark & Lovely Gentle Treatment Motions Ogilvie Optimum Care Soft & Beautiful HAIR CARE PRODUCTS (Women) Used in last 6 months Yes.. 1 Blow Dryer.. 2 Brushes.. 3 Diffuser.. 4 Electric Curlers Electric Curling Iron/Brush.. 6 Hair Rollers Straightening Iron.. 8

9 Page 7 HEALTH AND BEAUTY AIDS BATH/SHOWER ADDITIVES (Women) 032 Bubble Bath Bath Beads/Powder/Salts. 02 In Shower Moisturizer Avon Bath & Body Works Calgon Mr. Bubble Neutrogena Rainbath Olay In-Shower Lotion.. M 09 Vaseline Bath Beads FOUNDATION MAKE-UP (Women) 033 Cream Duo Cream/Powder Liquid Stick Almay Smart Shade Other Almay Avon bareminerals Bobbi Brown Chanel Clinique Superbalanced Other Clinique CoverGirl & Olay Simply Ageless CoverGirl Advanced Radiance CoverGirl Clean CoverGirl Queen Collection. 16 CoverGirl CG Smoothers. 17 CoverGirl TruBlend CoverGirl Ultimate Finish Liquid Powder Other CoverGirl Estée Lauder Fashion Fair Lancôme L Oréal True Match L Oréal Visible Lift Other L Oréal M.A.C Make Up For Ever Mary Kay Maybelline Dream Mousse. 30 Maybelline Fit Me Maybelline Instant Age Rewind Other Maybelline Merle Norman Neutrogena Physicians Formula Revlon Age Defying Revlon ColorStay Revlon PhotoReady Other Revlon Rimmel Smashbox LOOSE OR PRESSED FACE POWDER (Women) 034 Loose Pressed Almay Avon Bobbi Brown Chanel Clinique CoverGirl Estée Lauder Lancôme L Oréal M.A.C Mary Kay Maybelline Merle Norman Neutrogena N.Y.C. New York Color Physicians Formula Revlon BLUSHER (Women) 035 Cream/Gel/Liquid Cream/Powder Cake/Powder Almay Avon Bobbi Brown Chanel Clinique CoverGirl Cheekers CoverGirl Classic Color CoverGirl Instant Cheekbones Other CoverGirl Elizabeth Arden Estée Lauder L.A. Colors Lancôme L Oréal M.A.C Mary Kay Maybelline Fit Me Maybelline Mineral Power. 21 Other Maybelline Merle Norman NARS Neutrogena N.Y.C. New York Color Physicians Formula Revlon Rimmel Smashbox BRONZER (Women) 026 Almay Avon Clinique CoverGirl Estée Lauder Lancôme Mary Kay Maybelline Neutrogena N.Y.C. New York Color Physicians Formula Revlon Rimmel LIPSTICK & LIP GLOSS (Women) 037 Lipcolor in Compact Lipstick Lipstick in a Pencil Lip Gloss Lip Liners Lip Stain Almay Avon Bobbi Brown Bonne Bell Burt s Bees Chanel Clinique CoverGirl LipPerfection CoverGirl Outlast Other CoverGirl Dior Elizabeth Arden Estée Lauder Fashion Fair L.A. Colors Lancôme L Oréal Colour Riche L Oréal Infallible Other L Oréal M.A.C Make Up For Ever Mary Kay Maybelline Color Sensational Maybelline Superstay 24 Color Other Maybelline Merle Norman Neutrogena N.Y.C. New York Color Revlon ColorBurst Revlon ColorStay Revlon Super Lustrous Other Revlon Rimmel Sally Hansen Smashbox Wet n Wild

10 HEALTH AND BEAUTY AIDS Page 8 EYE SHADOW (Women) 038 Crayon/Pencil Cream Powder Almay Avon bareminerals Bobbi Brown Chanel Clinique CoverGirl Eye Enhancers. 10 Other CoverGirl e.l.f Estée Lauder L.A. Colors Lancôme L Oréal M.A.C Mary Kay Maybelline ExpertWear Maybelline Eye Studio Other Maybelline Milani N.Y.C. New York Color Physicians Formula Revlon ColorStay Other Revlon Rimmel Victoria s Secret Wet n Wild EYE LINER (Women) 039 Cake Liquid Pen (Felt Tip) Pencil Almay Avon Bobbi Brown Chanel Clinique CoverGirl Perfect Point Plus. 10 Other CoverGirl e.l.f Estée Lauder Lancôme L Oréal M.A.C Mary Kay Maybelline Define-a-Line. 18 Maybelline Eye Studio Gel. 19 Maybelline Ultra Liner Maybelline Unstoppable Other Maybelline Milani Neutrogena N.Y.C. New York Color Revlon ColorStay Other Revlon Rimmel Wet n Wild MASCARA (Women) 040 Regular Water Proof/Resistant FORMS: Curling Volume/Thickening Almay One Coat Other Almay Avon Clinique CoverGirl Clump Crusher. 09 CoverGirl LashBlast CoverGirl LashExact CoverGirl Professional Other CoverGirl Dior Estée Lauder Lancôme L Oréal Double Extend L Oréal Voluminous Other L Oréal M.A.C Mary Kay Maybelline the Colossal Maybelline Great Lash Maybelline the Falsies Maybelline Volum Express. 25 Other Maybelline Neutrogena Revlon Rimmel NAIL CARE PRODUCTS & POLISH (Women) 041 Basecoat Cuticle Care Polish (Nail Color) Strengthener/Hardener Topcoat FORMS: Fast Drying Regular Drying Gel Avon Chanel CoverGirl Essie Estée Lauder L.A. Colors Lancôme L Oréal Maybelline Nicole by OPI N.Y.C. New York Color OPI Pure Ice Revlon Rimmel Sally Hansen Nail Care Sally Hansen Complete Salon Polish Sally Hansen Diamond Strength Polish Sally Hansen Insta-Dri Sally Hansen Miracle Gel. 28 Sally Hansen Salon Effects Nail Polish Strips Sally Hansen Xtreme Wear. 30 Other Sally Hansen Polish. 31 Sinful Colors Wet n Wild NAIL POLISH REMOVER (Women) 042 Cutex (instant) Cutex (liquid) Pretty Nails (instant) Sally Hansen Kwik Off (instant) Sally Hansen (liquid) Store s Own Brand FEMININE HYGIENE DEODORANT/ CLEANSING PRODUCTS (Women) 043 Always Wipes FDS Monistat Stay Fresh Norforms Playtex Cleansing Cloths. 05 Summer s Eve Cleansing Wash Other Summer s Eve Vagisil Deodorant Powder. 08 Vagisil Wash Other Vagisil FEMININE HYGIENE DOUCHES (Women) 044 Massengill Summer s Eve Vinegar & Water Other Summer s Eve TAMPONS (Women) 045 Used in Number last 6 in last months 30 days Slender Regular Super Super-Plus U by Kotex o.b Playtex Gentle Glide Playtex Sport RepHresh Brilliant Tampax Cardboard Applicator Tampax Compak Tampax Pearl (Plastic Applicator) Tampax Radiant Store s Own Brand.. 14

11 Page 9 HEALTH AND BEAUTY AIDS SANITARY NAPKINS (Women) 046 Used in Number/ PERFUME AND COLOGNE FOR WOMEN 049 AFTERSHAVE LOTION & COLOGNE FOR MEN 050 Scented Unscented Regular (non-winged) With Wings Always Infinity Always Radiant Infinity Always Overnight Maxi Always Regular Maxi Always Ultra Thin Other Always Stayfree Maxi Regular Stayfree Maxi Super Stayfree Ultra Thin Other Stayfree U by Kotex Maxi U by Kotex Overnight Pads. 16 U by Kotex Ultra Thin Other U by Kotex Store s Own Brand PANTILINERS (Women) 048 Used in Number/ Scented Unscented Odor Absorbing Regular Long/Extra Coverage Thong Always Incredibly Thin Always Radiant Always Xtra Protection Other Always Carefree Original Carefree Acti-Fresh Other Carefree Tampax Pearl U by Kotex Lightdays Regular U by Kotex Lightdays Long. 16 Other U by Kotex Store s Own Brand IN-HOME PREGNANCY TEST/ OVULATION TEST last 12 last 12 (Women) months months 047 Pregnancy Test Ovulation Test/Predictor Clearblue e.p.t First Response Store s Own Brand Cologne Perfume After Bath Splash Body Spray Acqua di Gioia Angel Avon Bath & Body Works Beautiful Beyoncé Body Fantasies Britney Spears Burberry Body Cashmere Mist Celine Dion Chance Chanel No Other Chanel Charlie Chloé ck One Clinique Happy Coach Coco Mademoiselle Curve DKNY Dolce & Gabbana Escada Eternity Euphoria Flowerbomb Gucci Guess Halle Issey Miyake J adore Jennifer Lopez Jimmy Choo Jovan Juicy Couture La Vie Est Belle Lady Gaga L Air du Temps Marc Jacobs Mary Kay Michael Kors Miss Dior Modern Muse Narciso Rodriguez Obsession Opium Oscar de la Renta Passion Pleasures Poison Prada Ralph Red Door Romance Sarah Jessica Parker Secret Body Spray Shalimar Sì Tory Burch Trésor Vera Wang Victoria s Secret White Diamonds White Linen Wind Song After Shave Cologne Million.. M 03 Acqua di Gio.. M 04 Adidas.. M 05 Afta.. M 06 Aqua Velva.. M 07 Armani Code.. M 08 Avon Bleu de Chanel Brut Chanel Chrome ck One Cool Water Curve Diesel Dolce & Gabbana Drakkar Noir Ed Hardy English Leather Ermenegildo Zegna Eternity euphoria men Gillette Gucci Hugo Boss Issey Miyake Jean Paul Gaultier Le Male. 29 Kenneth Cole L Homme Yves Saint Laurent. 31 McGraw Montblanc Legend Nautica Nivea for Men Obsession For Men Old Spice Pierre Cardin Playboy Polo Black Polo Blue Polo Red Polo Sport Other Polo Prada Sean John Skin Bracer Stetson Usher VIP Versace TOTAL PERFUME AND COLOGNE EXPENDITURES Amount you personally spent on perfume & cologne, last 12 months: As a gift: For Men For Women $ 1-$ $ 50-$ $100-$ $250 or more For yourself: For Men For Women $ 1-$ $ 50-$ $100-$ $250 or more Write in number bought, last 12 months: For Men For Women 14K 14L As a gift For yourself

12 HEALTH AND BEAUTY AIDS Page 10 DISPOSABLE RAZORS 053 TOTAL: Bic Classic Lady Bic Comfort 3 Advance Bic Comfort Twin Bic Flex Bic Soleil Bic Twin Select Other Bic Gillette Custom Plus Gillette Fusion Gillette Good News! Plus. 10 Gillette Mach Gillette Sensor Gillette Venus Disposables. 13 Noxzema Schick Quattro for Women. 15 Schick Xtreme Other Schick RAZOR BLADES 054 TOTAL: Bic Hybrid Advance Bic Soleil Gillette Fusion Gillette Fusion Power Gillette Fusion ProGlide Gillette Mach Gillette Mach3 Turbo Gillette M3Power Gillette Sensor Gillette Sensor Excel Gillette Venus Gillette Venus Breeze Gillette Venus Embrace Gillette Venus & Olay Schick Hydro Schick Intuition Schick Quattro Other Schick HAIR TONIC OR DRESSING (Men) 057 Alberto VO Brylcreem Groom & Clean Ultra Sheen HEALTH & BEAUTY AIDS EXPENDITURES In the past 12 months, amount spent on the purchase of Health & Beauty Aids: 058 for for Men Women Less than $ $ $ $500 or more SHAVING CREAMS OR GELS 056 TOTAL: Aerosol Tube Mug Other Cream Foam Gel Lotion Soap Aveeno Shave Gel Barbasol Edge Extra Moisturizing Edge Extra Protection Edge Sensitive Skin Other Edge eos Shave Cream Gillette Foamy Cream Gillette Foamy Sensitive Gillette Fusion Hydra Gel. 19 Gillette Satin Care Gillette Series Other Gillette Neutrogena Men Nivea Men Noxzema Pure Silk Schick Hydro Skintimate Shave Cream. 28 Skintimate Shave Gel PERSONAL CARE Had service, Times/ SERVICES last 6 last 3 months months 15M SERVICES: Hair cut Hair color/highlights Perm/body wave Facial Massage Body treatments Manicure Pedicure Waxing Laser Hair Removal Other hair removal Tanning Make-up application/ makeover Other services In the last 6 months have you: 15P-0 Yes Visited a dayspa Purchased products at a salon or dayspa. 2 DENTURES Do you wear dentures? 14T-0 Yes 1 ELECTRIC SHAVERS 059 TOTAL: Braun Panasonic Philips Norelco Remington PERSONAL FOOT CARE PRODUCTS 14J TOTAL: Cream/Gel Powder Spray Insole Band-Aid Burt s Bees Foot Care Curél Foot Therapy Dr. Scholl s Gold Bond Foot Heel-Tastic.. M 10 Johnson s Foot Soap.. M 11 Odor-Eaters.. M 12 O Keeffe s for Healthy Feet. M 13 DENTURE ADHESIVES & FIXATIVES 060 TOTAL: Liners/Cushions/Wafers Paste/Cream Powder Strips Fixodent Complete Fixodent Food Seal Fixodent Fresh Fixodent (Regular) Other Fixodent Super PoliGrip Original Super PoliGrip Free Super PoliGrip Ultra Fresh. 12 Other PoliGrip Sea-Bond DENTURE CLEANERS 061 TOTAL: Paste Powder Tablet Dentu-Creme Efferdent Fixodent Polident Store s Own Brand.. 08

13 Page 11 HEALTH AIDS SORE THROAT REMEDIES & COUGH DROPS 064 TOTAL: Drops/Lozenges Liquid Spray Strips Cepacol Sore Throat Lozenges Cepastat Lozenges Chloraseptic Lozenges Chloraseptic Spray Delsym Lozenges Equate Flanax Fisherman s Friend Halls Breezers Halls Defense Vitamin C Halls Naturals Halls Plus Halls Refresh Halls (Regular) Other Halls Luden s N ice Lozenges Pine Bros Ricola Smith Brothers Sucrets Lozenges Store s Own Brand Used for: Coughs Sore Throat Other Throat Irritation.. 3 COUGH SYRUP/ SUPPRESSANT (Nonprescription) 066 TOTAL: DayQuil Cough Delsym Mucinex DM NyQuil Cough Robitussin CF Robitussin DM Other Robitussin Tukol Tylenol Cough Store s Own Brand WART REMOVERS 074 TOTAL: Compound W Dr. Scholl s Clear Away Dr. Scholl s Freeze Away. 03 Wartner NASAL SPRAYS 068 TOTAL: Long lasting Regular Afrin Ayr Mucinex NeilMed Neo-Synephrine Nozin Ocean Simply Saline Vicks Sinex Zicam Store s Own Brand EYE WASH AND DROPS 069 TOTAL: Drops Wash Antihistamine Dry Eye Protection Regular Bausch + Lomb Alaway Bausch + Lomb Dry Eye. 07 Bausch + Lomb Eye Wash. 08 Bausch + Lomb Opcon-A. 09 Bausch + Lomb Soothe Clear Eyes GenTeal Murine Opti-Free Optical 20/ Refresh Plus Refresh Tears Rohto Similasan Systane Tears Naturale TheraTears Visine-A Visine A.C Visine Advanced Relief Visine Original Visine Tears Visine Tired Eye Other Visine Store s Own Brand Used for: Redness Removal.. 1 Lubrication.. 2 Allergy LASIK EYE SURGERY 14M-0 Have you had LASIK eye surgery to correct vision in the last 12 months (not cataract surgery)? Yes 1 ADHESIVE BANDAGES 090 Band-Aid Advanced Healing 01 Band-Aid Antibiotic Band-Aid Clear Band-Aid Extra Large Band-Aid Flexible Fabric. 05 Band-Aid Plastic Band-Aid Sheer Band-Aid Tough-Strips Other Band-Aid Bandages. 09 Curad Flex-Fabric Curad Plastic Curad Sheer Other Curad Nexcare Active Other Nexcare Bandages. 15 Store s Own Brand EYEGLASSES, CONTACT LENSES & SUNGLASSES Wear Prescription Eyeglasses (sun, tinted, regular) Eyeglasses (Nonprescription).. 2 Bi-focals.. 3 Contact Lenses (RGP/hard).. 4 Contact Lenses (soft).. 5 Contact Lenses (tinted/colored).. 6 Disposable Contact Lenses.. 7 Sunglasses (Nonprescription).. 8 Transition Lenses Where did you purchase prescription eyewear? Discount Store Optical Center.. 1 Private Ophthalmologist, Optician or Optometrist Retail Optical Chain.. 3 Internet/online.. 4 Other.. 5 Contact Lens Brands, used last 12 months: 15X-0 Acuvue Air Optix.. 2 Bausch + Lomb.. 3 Biofinity Dailies Other.. 6 Amount Spent 092 Last 12 Months Eyeglasses.. $ 01 Sunglasses (nonprescription) $ 02 Contact Lenses.. $ 03 CONTACT LENS CLEANING/WETTING SOLUTIONS 093 Disinfecting Solution Lens Cleaning Solution Lubricating/Rewetting Solutions Multipurpose Solutions Saline Solution Bausch + Lomb Biotrue Bausch + Lomb Renu Other Bausch + Lomb Clear Care Complete Opti-Free Express Opti-Free RepleniSH Store s Own Brand.. 13

14 HEALTH AIDS Page 12 HEADACHE REMEDIES AND PAIN RELIEVERS (Nonprescription) 075 Aspirin Formula Non-Aspirin Formula Caplets Capsules Gelcaps Liquid Liquid-Gels Powder Chewable Tablets Other Tablets Advil Advil Film-Coated Advil Migraine Advil PM Aleve Alka-Seltzer Anacin Bayer (Aspirin Regimen). 18 Bayer (Extra Strength) Bayer Aspirin (Genuine) Bayer Back & Body Pain. 21 BC Powders Bufferin Ecotrin Equate Excedrin Extra Strength Excedrin Migraine Excedrin PM Excedrin Sinus Headache. 29 Excedrin Tension Headache 30 Goody s Motrin IB Motrin PM St. Joseph Tylenol Arthritis Tylenol 8 Hour Tylenol Extra Strength Tylenol PM Tylenol Regular Strength. 39 Generic (No Label) Store s Own Brand Used for: Arthritis/Rheumatism.. 1 Backaches.. 2 Colds.. 3 Flu/Fever.. 4 Headaches.. 5 Heart Attack Prevention.. 6 Joint Pain.. 7 Menstrual Cramps.. 8 Muscle Aches & Pains.. 9 Oral Discomfort.. 0 Sleeplessness.. X Sports Related Injuries.. Y 14S-0 Other.. 1 COLD, SINUS AND ALLERGY REMEDIES (Nonprescription) 078 Aspirin Formula Non-Aspirin Formula Caplets Capsules Effervescent Liquid LiquiGels/LiquiCaps Nasal Sprays Nasal Strips Tablets Advil Allergy Sinus Advil Cold & Sinus Advil Congestion Relief Airborne Alavert Aleve-D Sinus & Cold Alka-Seltzer Plus Cold Alka-Seltzer Plus Cold & Cough Alka-Seltzer Plus Night Allegra Allergy Allegra-D Benadryl Allergy Other Benadryl Breathe Right Chlor-Trimeton Claritin Claritin-D Cold-Eeze Coricidin HBP Dimetapp Emergen-C Equate Flonase OTC Mentholatum Ointment Mucinex Nasacort Allergy 24HR Robitussin Sudafed Congestion Sudafed PE Pressure + Pain 39 Sudafed PE Severe Cold. 40 Other Sudafed Theraflu Theraflu Max-D Theraflu Nighttime Severe Cold & Cough Tylenol Cold Tylenol Sinus Vicks DayQuil Vicks Nature Fusion Vicks NyQuil Vicks NyQuil LiquiCaps Vicks VapoRub Zicam Zyrtec Generic (No Label) Store s Own Brand Used for: Allergy/Hay Fever.. 1 Body Aches.. 2 Colds.. 3 Cough Flu/Fever.. 5 Headaches.. 6 Sinus Headache.. 7 Sinus Congestion.. 8 Other.. 9 PAIN RELIEVING RUBS, LIQUIDS & PATCHES (Nonprescription) 071 TOTAL: Cold Compress Heat Wrap Lotion Liquid Ointment Patch Roll-on Other Absorbine Jr Aspercreme Bengay Blue-Emu Capzasin Flexall HeadOn Icy Hot Icy Hot Smart Relief JointFlex Mentholatum Deep Heating Rub Mineral Ice Salonpas Sportscreme Stopain Cold Thera-Gesic ThermaCare Tiger Balm WellPatch Pads Store s Own Brand Used for: Arthritis pain.. 1 Backache.. 2 Injury.. 3 Sore muscle pain.. 4 Other.. 5 MEDICATED SKIN OINTMENTS, CREAMS, LOTIONS & SPRAYS 073 TOTAL: Aveeno Bacitracin Bactine Benadryl Caladryl Cortaid Cortizone Gold Bond Cream Lanacane Mederma Neosporin Neosporin + Pain Relief Neo to Go! Polysporin Tricalm Store s Own Brand Used for: 14G-0 Antibiotic Anti-itch.. 2 Pain Relief.. 3 Rash Relief Scar Treatment.. 5 Other.. 6

15 Page 13 HEALTH AIDS HEARTBURN, INDIGESTION, GAS & DIARRHEA REMEDIES 082 TOTAL: Caplet Liquid Seltzer Chewable tablet Other tablet Alka Seltzer Extra Strength. 06 Alka Seltzer Heartburn Alka Seltzer Original Beano Gas-X Gaviscon Imodium AD Imodium Multi-Symptom Kaopectate Maalox Mylanta Nexium 24HR (OTC) Pepcid AC Pepcid AC Max Strength Pepcid Complete Pepto-Bismol Max Strength. 21 Pepto-Bismol Original Other Pepto-Bismol Prevacid 24HR (OTC) Prilosec OTC Rolaids Rolaids Extra Strength Other Rolaids Tums Regular Tums Extra Tums Smoothies Tums Ultra Other Tums Zantac Zantac Store s Own Brand Used for: 14H-0 Upset Stomach Heartburn.. 2 Indigestion.. 3 Diarrhea.. 4 Gas Bloating.. 6 LAXATIVES/ FIBER SUPPLEMENTS 083 TOTAL: Benefiber Citrucel Colace Dulcolax Ex-Lax Fiber Choice Fleet Metamucil Miralax Phillips Milk of Magnesia Senokot Vitafusion Fiber Gummies Store s Own Brand Used for: 15U-0 Dietary Supplement.. 1 Regularity.. 2 Laxative.. 3 Other.. 4 HEMORRHOID REMEDIES 085 Creams Suppositories Pads Wipes Preparation H Tucks Store s Own Brand ATHLETE S FOOT/ MEDICATED FOOT CARE PRODUCTS 086 Aerosol Liquid Aerosol Powder Other Powder Cream Gel Liquid Desenex Dr. Paul s Piggy Paste Fungi Cure Fungi-Nail Kerasal Nail Lamisil Lotrimin Tinactin Store s Own Brand PRE-MENSTRUAL OR PERIOD PAIN REMEDIES (Women) 088 Midol Pamprin FEMININE MEDICATED PRODUCTS (Women) 089 Monistat Monistat Monistat Vagisil Anti-Itch Creme Vagisil Anti-Itch Wipes Store s Own Brand PERSONAL LUBRICANTS Used in last 6 months Yes.. 1 Astroglide K-Y.. 3 Trojan Lubricants.. 4 Store s Own Brand VITAMIN AND DIETARY SUPPLEMENTS 080 A Antioxidant Vitamins B Complex B B Beta Carotene C Calcium Supplement D E Echinacea Folic Acid Garlic Supplements Gingko Biloba Ginseng Glucosamine Iron Multiple Formula Multiple Formula with Iron. 19 Multiple Formula with Minerals Omega 3/Fish Oil Prenatal Probiotic St. John s Wort Stress Formula Zinc Other Bausch + Lomb PreserVision Caltrate Centrum Centrum Energy Centrum Flavor Burst Chews 32 Centrum Heart Centrum Silver Other Centrum Citracal Emergen-C Ester-C Nature Made Nature s Bounty Nature s Way Alive! Ocuvite One-A-Day 50+ Advantage. 43 One-A-Day Men s Health. 44 One-A-Day Women s Active Metabolism One-A-Day Women s One-A-Day VitaCraves Other One-A-Day Os-Cal Osteo Bi-Flex Rolaids Schiff Sundown Naturals Viactiv Vitafusion Store s Own Brand Used for: 14A-0 General Health.. 1 Vitamin/Mineral Deficiency. 2 Prenatal Care Other.. 4

16 PERSONAL CARE, DIET AND BODY CARE PRODUCTS Page 14 BODY POWDER 009 Avon Burt s Bees Gold Bond Powder Gold Bond Powder Spray. 04 Gold Bond Baby Powder. 05 Johnson s Baby Powder Johnson s Baby Powder Pure Corn Starch Shower to Shower DIET CONTROL/ EATING HABITS Are you presently controlling your diet? Yes.. 1 If yes, reason for diet control: Blood sugar level.. 2 Cholesterol level.. 3 Food Allergy.. 4 Lactose intolerance.. 5 Maintain weight.. 6 Physical fitness Regularity.. 8 Salt restriction Weight loss Other.. X Do you buy foods specifically labeled as: Fat-free Gluten-free.. 2 High fiber.. 3 High protein.. 4 Lactose-free.. 5 Low-calorie Low-carb Low-cholesterol.. 8 Low-fat.. 9 Low-sodium R-0 Natural or Organic.. 1 Probiotic Sugar-free Do you consider yourself to be: Semi-vegetarian.. 4 Vegetarian.. 5 Vegan.. 6 If you are dieting, which methods are you using: Jenny Craig.. 1 MyFitnessPal.com.. 2 Nutrisystem.. 3 South Beach Diet.. 4 Weight Watchers.. 5 Other diet organization or club.. 6 Atkins diet Doctor s care/diet Diet control book.. 9 Exercise program.. 0 Surgery.. X 14W-0 Other.. 1 LACTOSE INTOLERANCE PRODUCTS 098 Dairy Ease Lactaid MEAL/DIETARY/ WEIGHT LOSS SUPPLEMENTS 099 Liquid Powder Tablet Alli Atkins Advantage Body Fortress Boost Carnation Breakfast Essentials Ensure Fastin Hydroxycut Isopure Kellogg s Special K Protein. 13 Muscle Milk Myoplex Slim-Fast SlimQuick Used For: 15Q-0 Weight Loss.. 1 Gain/Maintain Weight.. 2 Nutritional Supplement Meal Replacement.. 4 INCONTINENCE PRODUCTS Used in Bought in last 6 last 6 months months Yes Depend Poise Tena Serenity Other Bought in CONDOMS last 6 months Yes.. 1 Durex.. 2 LifeStyles.. 3 Naturalamb Trojan.. 5 Trojan Ecstasy.. 6 Trojan Her Pleasure.. 7 Trojan Magnum Other.. 9 BLEACH AND DEPILATORIES (Hair Removal) 104 Bleach Cream Gel Hair Removal Device Lotion Spray Wax Strips Other Wax Jolen Nair Olay Sally Hansen Veet SUNTAN & last SUNSCREEN last days PRODUCTS months (in season) 105 SPF 0 (no SPF) SPF SPF SPF SPF Suntan Lotion/Sunscreen. 06 Sunless Tanner FORMS: Gel Lotion Oil Spray Stick Tube (cream) Australian Gold Aveeno Avon Bain de Soleil Banana Boat Banana Boat Sport Bull Frog CeraVé Clinique Coppertone Sport Other Coppertone Hawaiian Tropic L Oréal Sublime Bronze L Oréal Advanced Suncare. 27 Mary Kay Neutrogena Sunblock Neutrogena Sunless Tan. 30 Other Neutrogena No-Ad Ocean Potion Panama Jack Sally Hansen Airbrush Legs. 35 Store s Own Brand SUNBURN REMEDIES 106 last last days months (in season) Cream Gel Spray Bactine Banana Boat Lanacane Spray Noxzema Solarcaine Natural/Home Remedy

17 Page 15 IN HOME SHOPPING/HEALTH AIDS/SMOKING/TOBACCO IN HOME SHOPPING In the last 6 months, did you personally buy items from an in-home sales representative? 14N-0 Yes 1 Amount spent in last 6 months: 14P-0 Under $ $50-$ $75-$ $150 or more.. 4 Items purchased: Cosmetics Housewares.. 6 Clothing.. 7 Jewelry.. 8 Vitamins.. 9 Other.. 0 From which company did you purchase in the last 6 months? 14Q-0 Amway.. 1 Avon.. 2 Mary Kay Cosmetics.. 3 Tupperware Other.. 5 TOOTHACHE, GUM & CANKER SORE Used Times/ REMEDIES in 062 Anbesol Colgate Orabase Kank-A Orajel Mouth Sore Orajel Toothache Used for: 15K-0 Toothache Gum/Canker Sore.. 2 COLD SORES/ Used Times/ FEVER BLISTERS in 14D Abreva Anbesol Cold Sore Therapy. 02 Blistex Medicated Lip Ointment Campho-Phenique Cold Sore Treatment Carmex Herpecin-L Orajel for Cold Sores Number of cold sores/fever blisters you had, last 6 months 14E-0 Write in number SLEEPING AIDS & SNORE RELIEF 081 Alteril Breathe Right Melatonex MidNite Nature Made Sleep Simply Sleep Sleep MD Sominex Unisom ZzzQuil Used for: 14F-0 Snore Relief.. 1 Sleeplessness.. 2 PIPE TOBACCO Used Pipesful/ in 117 TOTAL: CIGARETTE Used Packets/ ROLLING PAPERS in 118 EZ Wider Zig Zag CHEWING AND SMOKELESS TOBACCO 119 Cans/ Used Packages in Loose Leaf Moist Smokeless/Snuff Pouch Snus Camel Snus Copenhagen Grizzly Kodiak Skoal ELECTRONIC/ Smoked Cartridges/ E-CIGARETTES in last last C blu ecigs Fin Green Smoke LOGIC MarkTen Mistic NJoy V2 Cigs VUSE CIGARS 113 Smoked Number/ in Black & Mild Dutch Masters Garcia y Vega Macanudo Montecristo Phillies Punch Swisher Sweets White Owl CIGARETTES Smoked Packs/ in last 12 last TOTAL: Menthol Non-Menthol Basic Camel Blue/Silver Camel Crush Camel Regular Other Camel Doral Kool L&M Marlboro Gold Marlboro Red Marlboro Silver Marlboro Special Blend Other Marlboro Maverick Misty Natural American Spirit Newport Pall Mall Parliament Pyramid Salem s USA Gold Virginia Slims Winston SMOKING CESSATION Which, if any, of the following aids have you used to stop smoking in the last 12 months? Method(s) used to stop smoking, last 12 months: 14V-0 Cold Turkey.. 1 Electronic/E-cigarette.. 2 Gum.. 3 Lozenge Patch.. 5 Pill.. 6 Other Chantix.. 1 Nicorette gum.. 2 Nicorette Lozenge.. 3 NicoDerm CQ Nicotrol.. 5 Store s Own Brand.. 6 Other.. 7

18 AILMENTS/DOCTOR VISITS Page 16 AILMENTS/ REMEDIES How treated in the last 12 months? Have/ Used a prescription Used a Used a Had in remedy non- home/ last 12 prescription herbal months Branded Generic remedy remedy Have not treated AILMENTS Acne ADD/ADHD Allergy/Hay Fever Anxiety/Panic Arthritis/Rheumatoid arthritis (RA). 05 Arthritis/Osteoarthritis Asthma Athlete s Foot Backache/Back Pain Bipolar Disorder Cancer Chronic Bronchitis Chronic/Severe Pain Cold Sores Constipation Dandruff/Dry Scalp Depression Diabetes (Insulin Dependent) Diabetes (Non-Insulin Dependent). 19 Dry Eyes Eczema/Skin Itch/Rash Emphysema Epilepsy/Seizures Erectile Dysfunction (ED) Fibromyalgia Flu Gout Hair Loss Hearing Loss Heart Attack/Heart Disease Heartburn/Acid Reflux Hepatitis High Cholesterol Hypertension/High Blood Pressure Insomnia Irritable Bowel Syndrome (IBS) Kidney Ailments Macular Degeneration Menopause/Hormone Replacement 39 Migraine Headaches Multiple Sclerosis (MS) Muscle Strain/Sprain Nail Fungus Obesity/Overweight Osteoporosis Overactive Bladder Prostate Psoriasis Restless Legs Syndrome Rosacea or Skin Disease Sinus Congestion/Headache Sleep Apnea Snoring Ulcer Urinary Tract Infection (UTI) Wrinkles Yeast Infection In the last 12 months, how did you obtain information about an ailment or prescription drug? 15A-0 14X-0 Television Advertisement.. 1 Patient support group.. 1 Magazine Advertisement.. 2 Pharmacist.. 2 Other Advertisement Pharmaceutical company.. 3 Doctor or Healthcare professional. 4 Medical journals.. 4 Friends/Family.. 5 Social Media site.. 5 Pamphlets/Brochures Other Online/Internet site.. 6 Other DOCTOR VISITS 094 Visited Times/ in last 12 last 12 months months Acupuncturist Allergist Cardiologist Chiropractor Dentist Dermatologist Ear, Nose & Throat Eye Doctor Gastroenterologist General/Family Practitioner. 10 Internist Nurse Practitioner OB/Gyn Osteopath Pediatrician (with child) Physical Therapist Plastic Surgeon Podiatrist Psychiatrist Urologist CAREGIVER/ CARETAKER Are you, personally, the primary caregiver for someone with a medical condition? Yes 1 15L-0 If yes, what services/support do you provide? 15N-0 Assist with chores Assist with personal care.. 2 Give medication.. 3 Make doctor s appointments Provide transportation.. 5 Research medical information. 6 Other.. 7 Age of patient(s): 15W-0 Less than 18 years old years old years or older.. 3 Patient s relationship to you: 15Y-0 Relative.. 1 Friend.. 2 Other.. 3 HEALTHCARE ADVERTISING ACTIONS TAKEN 14B-0 Actions you took as a result of seeing or hearing healthcare advertising, in the last 12 months: Bought a non-prescription product.. 1 Refilled a prescription Made an appointment to see a doctor. 3 Discussed an ad with your doctor.. 4 Discussed an ad with a friend or relative.. 5 Asked your doctor to prescribe a specific drug.. 6 Consulted a pharmacist Visited a product or drug website.. 8 Visited another website.. 9 Requested a free sample.. 0 Called a toll-free number for information. X Other.. Y

19 Page 17 PRESCRIPTION DRUGS/HEALTH ATTITUDES PRESCRIPTION DRUGS Used in last 12 months Abilify AcipHex Actonel.. 3 Actos.. 4 Adderall.. 5 Advair.. 6 Altace.. 7 Ambien/Ambien CR Androgel.. 9 Astelin Avodart.. 1 Axiron.. 2 Boniva.. 3 Botox Celebrex.. 5 Cialis.. 6 Clarinex Coreg.. 8 Crestor.. 9 Cymbalta Diflucan.. X Diovan/Diovan HCT.. 1 Dulera.. 2 Effexor/Effexor XR.. 3 Eliquis.. 4 Enbrel.. 5 Evista.. 6 Flomax.. 7 Flovent.. 8 Fosamax.. 9 Glucophage/Glucophage XR.. 0 Humira.. X Imitrex.. 1 Januvia.. 2 Juvederm.. 3 PRESCRIPTION DRUGS (Continued) Used in last 12 months 15S-0 Lamisil Lexapro.. 2 Lipitor.. 3 Lovaza.. 4 Lunesta.. 5 Lyrica.. 6 Nasonex.. 7 Nexium.. 8 Norvasc Onglyza Ortho Tri-cyclen Paxil/Paxil CR.. 3 Plavix.. 4 Pradaxa Pravachol.. 6 Prevacid.. 7 Pristiq.. 8 Prolia Protonix.. 1 Prozac.. 2 Reclast.. 3 Restasis.. 4 Seroquel.. 5 Singulair.. 6 Spiriva Stelara Symbicort.. 9 Tamiflu Topamax.. X 15T-0 Trilipix.. 1 Uloric Valtrex.. 3 Vesicare.. 4 Viagra.. 5 Vytorin Wellbutrin.. 7 Xeljanz.. 8 Zetia.. 9 Zocor Zoloft.. X Zostavax.. Y PRESCRIPTION DRUGS (Continued) Number of prescriptions filled for yourself in the last 30 days 15E-0 Write in number On the average, how much do you spend out of pocket per month on your prescription medication(s)? $ 15F-0 Write in amount In the last 12 months, where did you fill a prescription? 15H-0 Drug Store/Pharmacy.. 1 Supermarket.. 2 Discount/Department Store Mail order.. 4 Internet/Online.. 5 Other CONTRACEPTION Used in last (Women) 12 months 15J-0 Beyaz.. 1 Depo-Provera.. 2 Loestrin.. 3 Mirena.. 4 Nexplanon.. 5 NuvaRing.. 6 Ortho Tri-cyclen.. 7 Ortho Tri-cyclen Lo.. 8 Plan B One-Step.. 9 Yaz R-0 IUD.. 1 Diaphragm or Cervical Cap HEALTH ATTITUDES Please indicate how much you AGREE or DISAGREE with each of the following statements by checking the box that comes closest to how you feel. Agree Somewhat Somewhat Disagree 15C Strongly Agree Disagree Strongly I go to the doctor regularly for check-ups I prefer alternative medicine to traditional medical practices Generic medications are as effective as brand-name prescription drugs In general, I feel I eat right In general, I think herbal supplements are effective I take my prescription medicines exactly as prescribed I m often first to try the most advanced medicines I prefer popular brand-name drugs, even if they cost more I rely on my physician to recommend drug brands In general, newer drug brands work better than older brands If a drug brand works, I stick with it To save money, I would buy prescription drugs from countries other than the United States Before I begin taking any drug, I look for as much information about it as possible I am willing to take prescription drugs even if my insurance company doesn t cover them Over the counter medications are safer than prescription drugs I only go to the doctor when I m very ill Sometimes I skip a dose of my prescription drugs because I worry about the side effects I take medicine as soon as I don t feel well Medication has improved the quality of my life I follow a regular exercise routine My medical conditions limit my lifestyle somewhat I am always looking for new ways to live a healthier life I am happy with my weight I consult my pharmacist for health advice Vitamin supplements improve one s health

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20 CANDY Page 18 CANDY (Regular or King Size) 129 Individual bars, boxes, Bought bags bought Regular Size King Size AirHeads AirHeads Xtremes Almond Joy Baby Ruth Bit-O-Honey Brach s Peanut Clusters Butterfinger Cadbury Caramello Cadbury Creme Egg Cadbury Fruit and Nut Cadbury Milk Chocolate Cadbury Roast Almond Other Cadbury Charleston Chew Chunky Dove Chocolate th Avenue Ghirardelli Goobers Good & Plenty Green & Black s Haribo Gold-Bears Heath Hershey s Air Delight Hershey s-almond Hershey s Bliss Hershey s Cookies n Creme Hershey s Drops Hershey s Golden Almond. 31 Hershey s Kisses (Single serving pack) Hershey s Kisses with Almonds (Single serving pack) Hershey s Milk Chocolate. 34 Hershey s Special Dark Hershey s Symphony Junior Mints Kit Kat Lancaster Life Savers Gummies Lindt M & M s Almond M & M s Dark Chocolate M & M s Dark Chocolate Peanut M & M s Milk Chocolate M & M s Mini s M & M s Peanut M & M s Peanut Butter M & M s Pretzel Mike and Ike Milk Duds Milky Way Milky Way Midnight Milky Way Simply Caramel. 54 Mounds Mr. Goodbar Nerds Nestlé Crunch Nestlé Milk Chocolate Now and Later Grand PayDay Peanut Chews CANDY (Regular or King Size) (Continued) Individual bars, boxes, Bought bags bought Raisinets Red Vines Reese s Peanut Butter Cup. 66 Reese s Pieces ReeseSticks Reese s Dark PB Cup Reese s White Choc. PB Cup 70 Rolo Russell Stover Skinny Cow Skittles Skor Snickers Snickers Dark Snickers Peanut Butter Squared Sno-Caps Starburst Fruit Chews Sugar Babies Sugar Daddy Sweetarts Take Musketeers Toblerone Tootsie Rolls Trolli Twix Twizzlers Twizzlers Pull & Peel Twizzlers Sweet & Sour Whatchamacallit Whoppers York Peppermint Pattie Zero HARD ROLL CANDY Bought/ Rolls/ 124 Creme Savers Jolly Rancher Life Savers Mentos Mixed Fruit Werther s Original BOXED CHOCOLATES Bought Boxes/ in 127 Fannie May Ferrero Rocher Ghirardelli Godiva Hershey s Pot of Gold Lindt Russell Stover See s Whitman s How purchased: Bought as gift.. 1 Bought for self.. 2 PACKAGES OF Bought Packages MINIATURE/LOOSE CANDY 130 After Eight Almond Joy Andes Baby Ruth Brach s Candy Corn Brach s Jelly Beans Brookside Butterfinger Cadbury Mini Eggs Dove Promises Chocolate. 10 Haribo Gold-Bears Hershey s-almond Hershey s Bliss Hershey s Drops Hershey s Hugs Hershey s Kisses Hershey s Kisses with Almonds Hershey s Krackel Hershey s Milk Chocolate. 19 Hershey s Miniatures Hershey s Nuggets Hershey s Pieces Jelly Belly beans Jolly Rancher Chews Jolly Rancher Gummies Jolly Rancher Hard Candy. 26 Kraft Caramels Life Savers Life Savers Gummies M & M s Almond M & M s Milk Chocolate M & M s Peanut M & M s Peanut Butter Milk Duds Milky Way Mounds Mr. Goodbar Nestlé Crunch Raisinets Reese s Peanut Butter Cup. 40 Reese s Pieces Riesen Rolo Skittles Snickers Sour Patch Kids Starburst Fruit Chews Starburst Jellybeans Swedish Fish Musketeers Tootsie Rolls Twix Twizzlers Werther s Original Whoppers York Peppermint Pattie.. 56

21 Page 19 ARTIFICIAL SWEETENERS, GUM/SNACKS & BEVERAGES MINTS Bought/ Packages/ 121 Sugarless Regular Altoids Breath Savers Certs Eclipse Mints Ice Breakers Life Savers Mentos Mint Tic Tac Mint CHEWING GUM Chewed Sticks/ in last 6 pieces last months 7 days 123 Bazooka Bubble Yum Bubblicious Chiclets Dentyne Ice Dentyne Pure Dubble Bubble Gum Hubba Bubba Ice Breakers Mentos Gum Mentos UP2U Stride Stride id Trident Bubble Gum Trident Layers Trident Splash Trident Sugarless Trident White Trident Xtra Care Wrigley s Big Red Wrigley s Doublemint Wrigley s Eclipse Wrigley s Extra Wrigley s Extra Dessert Delights Wrigley s Juicy Fruit Wrigley s Orbit Wrigley s Orbit White Wrigley s Spearmint Wrigley s Winterfresh SNACK MIXES 126 Bought Boxes/ in Cheerios Snack Mix Cheez-It Snack Mix Chex Mix Gardetto s Planters NUT-rition Mix Planters Trail Mix Ritz Snack Mix ARTIFICIAL SWEETENERS 122 Tablets Packets Loose Powder Domino Light Equal Nectresse NutraSweet PureVia Splenda Stevia in the Raw Sweet n Low Truvia NUTS Bought Containers/ in 125 Dry-roasted Honey Roasted Regular FORMS: Salted Unsalted Almonds (Smoked) Almonds (Other Types) Cashews Hazelnuts Macadamia Mixed Nuts Peanuts Pecans Pistachios Sunflower Seeds Walnuts Blue Diamond David Diamond Emerald Fisher Frito-Lay Mauna Loa Planters Wonderful READY TO DRINK ICED TEA Drank in Drinks or last 6 glasses/ months last 7 days 136 Flavored Unflavored Arizona Brisk Gold Peak Honest Tea Lipton s Iced Tea Nestea Pure Leaf Snapple Turkey Hill NUTRITION/ ENERGY BARS Used in Bars/ 15V Atkins Advantage Balance Bar Clif Bar Glucerna Bar KIND Lärabar Luna Bar Met Rx Bar Planters Sustaining Energy. 09 PowerBar Pure Protein Slim-Fast Bar South Beach Diet Supreme Protein ThinkThin ZonePerfect Bar BOTTLED WATER & SELTZER Drank Drinks or in last 6 glasses/ months last 7 days 138 Flavored Non-Flavored Non-Sparkling Sparkling FORMS: Sweetened Unsweetened Aquafina Aquafina Flavorsplash Arrowhead Canada Dry Seltzer Capri Sun Roarin Waters. 11 Crystal Geyser Crystal Springs Dasani Deer Park Deja Blue Evian Fiji Fruit 2 O Ice Mountain Icelandic Glacial La Croix Mountain Valley Nestlé Pure Life Niagara Ozarka Perrier Poland Spring Propel S.Pellegrino Schweppes Seltzer Seagram s Seltzer Smartwater (Glacéau) SoBe Lifewater Sparkletts Vintage Seltzer Vitamin Water (Glacéau). 37 Zephyrhills Store s Own Brand Do you receive home delivery of bottled water? Yes

22 BEVERAGES Page 20 DIET COLA DRINKS Drank in Drinks or last 6 glasses/ months last 7 days 133 Plastic Bottles Glass Bottles Cans Caffeine Free Diet Coke Coca-Cola Zero Coca-Cola Cherry Zero Diet Cherry Coke Diet Coke Diet Coke w/lime Diet Rite Cola Caffeine Free Diet Pepsi Diet Pepsi Pepsi Max Pepsi Next Pepsi One Diet Wild Cherry Pepsi Store s Own Brand REGULAR COLA DRINKS, NOT DIET Drank in Drinks or last 6 glasses/ months last 7 days 134 Plastic Bottles Glass Bottles Cans Caffeine Free Coca-Cola. 04 Cherry Coke Coca-Cola Classic Pepsi-Cola Pepsi Real Sugar Caffeine Free Pepsi Wild Cherry Pepsi RC Cola Store s Own Brand ENERGY DRINKS 143 Drank in Drinks/ SIZE: Shot Regular AMP hour Energy Full Throttle Monster NOS Red Bull Rockstar SK Energy OTHER DIET SOFT DRINKS, NOT COLAS Drank Drinks or in last 6 glasses/ months last 7 days 137 Plastic Bottles Glass Bottles Cans Diet A & W Root Beer Diet Barq s Root Beer Canada Dry Diet Ginger Ale 06 Diet Dr Pepper Diet Dr Pepper Cherry Dr Pepper TEN Fanta Zero Fresca Diet Mountain Dew Diet Mug Root Beer Diet 7 Up Diet Cherry 7 Up Up TEN Diet Sierra Mist Sprite Zero Diet Squirt Diet Sunkist Orange OTHER REGULAR CARBONATED SOFT Drank in Drinks or DRINKS last 6 glasses/ (Not seltzer, colas or diet) months last 7 days 140 Plastic Bottles Glass Bottles Cans A & W Root Beer Barq s Root Beer Canada Dry Club Soda Canada Dry Ginger Ale Other Canada Dry Crush-Orange Dad s Root Beer Dr Pepper Dr Pepper Cherry Fanta Faygo Hires Root Beer IBC Root Beer Mello Yello Mountain Dew Mountain Dew Baja Blast. 19 Mountain Dew Code Red. 20 Mountain Dew Kickstart Mug Root Beer Pibb Xtra Seagram s Ginger Ale Up Cherry 7 Up Schweppes Club Soda Schweppes Ginger Ale Schweppes Tonic Shasta Sierra Mist Sprite Squirt Sun Drop Sunkist Vernors Welch s Grape Soda SPORTS DRINKS/ THIRST QUENCHERS Drank in Drinks/ 135 All Sport Gatorade G Series Gatorade Endurance Gatorade G Powerade Powerade Zero PREPARED MIXED DRINKS WITH LIQUOR 156 Drank in Drinks or last 6 glasses/ months last 30 days Bacardi Party Drinks Chi Chi s Margaritas Daily s Cocktails José Cuervo Authentic Margaritas José Cuervo Golden Margarita Kahlúa White Russian Other Kahlúa Parrot Bay Skinnygirl Smirnoff Cocktails TGI Friday s PREPARED MIXED DRINKS Drank in Drinks or last 6 glasses/ WITHOUT LIQUOR months last 30 days 157 Frozen Concentrate Liquid Bacardi Mixers José Cuervo Margarita Mix. 04 Mr. & Mrs. T FLAVORED ALCOHOLIC Drank in Drinks or last 6 glasses/ BEVERAGES/COOLERS months last 30 days 148 Bacardi Silver Bartles & Jaymes Bud Light Lime-A-Rita Bud Light Straw-Ber-Rita Four Loko Mike s Hard Lemonade Seagram s Escapes Smirnoff Ice Smirnoff Ice Triple Black Twisted Tea ULTRA 19th Hole.. 11

23 Page 21 BEVERAGES REGULAR DOMESTIC BEER/ALE 142 Drank in Glasses/ Bottles Cans Draft Anchor Steam Blue Moon Budweiser Budweiser Black Crown Bud Ice Busch Coors Genesee Beer George Killian s Irish Red. 12 Goose Island Icehouse Keystone Landshark Lager Leinenkugel s Michelob Michelob AmberBock Miller Fortune Miller Genuine Draft Miller High Life Milwaukee s Best Natural Ice New Belgium Pabst Blue Ribbon Redd s Apple Ale Redhook Rolling Rock Samuel Adams Shiner Bock Shock Top Sierra Nevada Yuengling Other Small/Regional Brand 35 LOW CALORIE DOMESTIC BEER 141 Drank in Glasses/ Bottles Cans Draft Bud Light Bud Light Lime Bud Light Platinum Busch Light Coors Light Keystone Light Michelob Light Michelob ULTRA Miller Miller High Life Light Miller Lite Milwaukee s Best Light Natural Light Sam Adams Light Select Select Yuengling Light IMPORTED BEER/ALE Drank in Glasses/ 144 Bottles Cans Draft Lager (light color) Dark Amstel Light Bass Becks Becks Dark Becks Sapphire Corona Extra Corona Light Dos Equis Foster s Grolsch Guinness Draught Guinness Stout Harp Heineken Heineken Light Hoegaarden Kirin Labatt Blue Leffe Modelo Especial Molson Canadian Montejo Moosehead Negra Modelo Newcastle Brown Pacifico Peroni Pilsner Urquell Presidente Red Stripe Smithwick s St. Pauli Girl Stella Artois Tecate Tsingtao HARD CIDER Drank in Drinks or last 6 glasses/ months last 30 days 146 Angry Orchard Crispin Johnny Appleseed Michelob ULTRA Light Cider 04 Smith & Forge Stella Artois Cidre Strongbow Woodchuck MALT LIQUOR Drank in Glasses/ 149 Colt King Cobra Mickey s Olde English DOMESTIC DINNER/ TABLE WINES Drank in Drinks or last 6 glasses/ months last 7 days 147 Cabernet Sauvignon Chardonnay Merlot Pinot Grigio Pinot Noir Sauvignon Blanc Other Red Other White Other Almaden Arbor Mist Barefoot Beaulieu Vineyard (BV) Beringer Black Box Blackstone Bogle Carlo Rossi Chateau Ste. Michelle Charles Shaw Clos Du Bois Columbia Crest Concannon Corbett Canyon Crane Lake Cupcake Vineyards Fetzer Francis Coppola Franzia Gallo Gallo of Sonoma Gnarly Head Inglenook Kendall-Jackson Kenwood Vineyards Layer Cake Livingston Cellars Manischewitz Ménage à Trois Mirassou Mogen David Oak Leaf Ravenswood Redwood Creek Rex-Goliath Robert Mondavi Rodney Strong Seven Daughters Skinnygirl Smoking Loon Sterling Vineyards Sutter Home Toasted Head Turning Leaf Vendange Wild Vines Woodbridge.. 57

24 BEVERAGES Page 22 IMPORTED DINNER/ TABLE WINES Drank in Drinks or last 6 glasses/ months last 7 days 150 Australian Red Australian White French Red French White German White Italian Red Italian White South American Red South American White Spanish Red Spanish White Other Bella Sera Black Swan Bolla Cavit Concha y Toro Ecco Domani FishEye George DuBoeuf Jacob s Creek Kim Crawford Lindemans The Little Penguin Luna di Luna Mouton Cadet Real Sangria Riunite Rosemount Estate Ruffino Santa Margherita Santa Rita Yellow Tail CHAMPAGNE & SPARKLING WINES Drank in Drinks or last 6 glasses/ months last 30 days 151 Asti Spumanti Cava Champagne Prosecco Other Sparkling Wines Andre Ballatore Barefoot Bubbly Chandon Cook s Dom Perignon Freixenet Korbel Martini & Rossi Mionetto Moët & Chandon Perrier-Jouët Verdi Spumante Veuve Clicquot Yellow Tail PORT, SHERRY & DESSERT WINES 153 Drank in Drinks or last 6 glasses/ months last 30 days Dry Sweet Christian Brothers Gallo Harvey s Bristol Cream Taylor s CORDIALS & LIQUEURS Drank in Drinks or last 6 glasses/ months last 30 days 154 Amaretto Anisette Blackberry Coffee Creme de Cacao Creme de Menthe Hazelnut Irish Cream Melon Sambuca Peach Schnapps Peppermint Schnapps Other Schnapps Triple Sec/Orange Other Alizé Amaretto Di Amore Bailey s Orig. Irish Cream. 18 Carolans Irish Cream Chambord Cointreau DeKuyper DiSaronno Originale Drambuie Frangelico Godiva Goldschläger Grand Marnier Jack Daniel s Tennessee Honey Jägermeister Kahlúa Original Kahlúa Flavors Midori Patrón XO Cafe Romana Sambuca Southern Comfort Tequila Rose Wild Turkey American Honey 38 VERMOUTH Drank in Drinks or last 6 glasses/ months last 30 days 152 Martini & Rossi Stock TYPES OF DRINKS 155 Drank in Drinks or last 6 glasses/ months last 30 days FORMS: Shot or Neat (no ice) On the rocks (over ice) Mixed drink MIXED DRINK Apple Martini Bloody Mary Cosmopolitan Daiquiri Gin & Tonic Gin Martini Jack & Coke Lemon Drop Long Island Iced Tea Manhattan Margarita Mimosa Mojito Piña Colada Rum & Coke Scotch & Water Screwdriver & Vodka Martini Vodka & Cranberry Vodka & Tonic Whiskey Sour White Russian RUM 160 Drank in Drinks or last 6 glasses/ months last 30 days Light Dark Gold Flavored Non-Flavored Admiral Nelson s Appleton Estate Bacardi Big Apple Bacardi Gold Bacardi Light/Regular/ Superior Bacardi Limón Other Bacardi Calico Jack Capt. Morgan Parrot Bay. 14 Capt. Morgan Spiced Other Capt. Morgan Cruzan DonQ Gosling s Kraken Malibu Coconut Other Malibu Mount Gay Myers s Unspecified brand at bar/ restaurant.. 25

25 Page 23 BEVERAGES COGNAC Drank in Drinks or last 6 glasses/ months last 30 days IRISH WHISKEY Drank in Drinks or last 6 glasses/ months last 30 days VODKA Drank in Drinks or last 6 glasses/ months last 30 days Courvoisier Hennessy Rémy Martin BRANDY 159 Drank in Drinks or last 6 glasses/ months last 30 days Christian Brothers E&J Korbel Paul Masson/Grand Amber. 04 Unspecified brand at bar/ restaurant BOURBON 161 Drank in Drinks or last 6 glasses/ months last 30 days Flavored Non-Flavored Basil Hayden s Early Times Evan Williams Gentleman Jack Jack Daniel s Jim Beam Jim Beam Devil s Cut Knob Creek Maker s Mark Red Stag Wild Turkey Woodford Reserve Unspecified brand at bar/ restaurant CANADIAN WHISKY 165 Drank in Drinks or last 6 glasses/ months last 30 days Black Velvet Canadian Club Canadian Mist Crown Royal Fireball Seagram s VO Other Seagram s Windsor Canadian Unspecified brand at bar/ restaurant Bushmills Jameson Tullamore Dew Unspecified brand at bar/ restaurant RYE OR BLENDED WHISKEY 163 Drank in Drinks or last 6 glasses/ months last 30 days Seagram s 7 Crown Unspecified brand at bar/ restaurant SCOTCH WHISKY 164 Drank in Drinks or last 6 glasses/ months last 30 days Chivas Regal Cutty Sark Dewar s Dewar s White Label Glenfiddich The Glenlivet Glenmorangie J & B Johnnie Walker Black Label 09 Johnnie Walker Red Label. 10 Other Johnnie Walker The Macallan Other Blended Scotches Other Single Malt Scotches. 14 Unspecified brand at bar/ restaurant TEQUILA 168 Drank in Drinks or last 6 glasses/ months last 30 days Silver/White Gold Añejo/Reposado Avión Camarena Cazadores Don Julio Tequila Herradura Hornitos Jose Cuervo Margaritaville Patrón Sauza Unspecified brand at bar/ restaurant Flavored Non-Flavored Absolut Absolut Citron Absolut Mandrin Other Absolut Belvedere Burnett s Cîroc Finlandia Gordon s Grey Goose Grey Goose Flavored Ketel One New Amsterdam Pearl Pinnacle Popov Pucker Russian Standard Seagram s Skinnygirl Skyy Smirnoff No. 21 (80 proof). 24 Smirnoff Twist (Flavors) Stolichnaya Stoli Flavored Vodka Svedka Three Olives Tito s UV Unspecified brand at bar/ restaurant GIN 167 Drank in Drinks or last 6 glasses/ months last 30 days Beefeater Bombay Bombay Sapphire Gilbey s Gordon s Hendrick s New Amsterdam Seagram s Tanqueray Unspecified brand at bar/ restaurant ALCOHOLIC BEVERAGES: WHERE CONSUMED In the last 30 days, where have you consumed alcoholic beverages? 14U Beer Wine Liquor Restaurant Bar/Club Your Home Someone Else s Home. 04 Other

26 CARS, TRUCKS, VANS, MINIVANS & SPORT UTILITY VEHICLES Page 24 AUTOMOBILES AND OTHER VEHICLES How many vehicles do you or other members of your household currently own or personally lease? (Please include cars, trucks, vans, minivans or sport utility vehicles and do not include company cars.) Include both domestic and imported vehicles. The first column is for the vehicle you purchased or leased most recently, the next three columns are for the second, third, and fourth most recent purchase or lease. One.. 1 Three.. 3 Five or more Two.. 2 Four.. 4 None.. 0 Please fill in the following information for each vehicle currently owned or leased by you or other members of your household. 2nd Most 3rd Most 4th Most Most Recent Recent Recent Recent Purchase/ Purchase/ Purchase/ Purchase/ Lease Lease Lease Lease Make (e.g., Ford, Buick, Honda, Dodge, Chevrolet) Model (e.g., Mustang, LaCrosse, Accord, Caravan, TrailBlazer) Model Year Was vehicle purchased or leased? Purchased Leased Was vehicle bought new or used? 2 New Used (Certified Pre-Owned) Used (Other) What type of vehicle is it? Convertible Coupe/Sports Coupe/2 door Sedan/Hard Top/4 door Sedan/Hard Top/2 door Station Wagon door Hatchback/Runabout Van/Minivan Sport Utility Vehicle (SUV) Truck (2 door) Truck (4 door) What type of fuel does the vehicle use? Gasoline (non-diesel) only Diesel Gasoline only Combination Gas and Electricity (Hybrid vehicle) Other (e.g. Electricity only, Ethanol (E85), Hydrogen, etc.) Who decided which make to buy or lease? Yourself Yourself and someone else Someone else When was vehicle purchased or leased? In past 12 months years ago years ago or more years ago.. X X X X (If purchased) How was vehicle purchased? (Check as many as apply.) With cash With trade-in With financing from a dealer With a bank loan With a credit union loan With financing from the auto manufacturer What was the total amount spent on purchase of vehicle? $50,000 or more $40,000-49, $30,000-39, $20,000-29, $15,000-19, $10,000-14, Under $10, (If leased) Which company (or companies) is the vehicle leased from? Bank An auto manufacturer Other

27 Page 25 CARS, TRUCKS, VANS, MINIVANS & SPORT UTILITY VEHICLES AUTOMOBILES AND OTHER VEHICLES (Continued) 2nd Most 3rd Most 4th Most Most Recent Recent Recent Recent Purchase/ Purchase/ Purchase/ Purchase/ Lease Lease Lease Lease. (If leased) What is the length of the lease? months or less months months months or longer Was vehicle bought or leased to replace another vehicle? Yes No Who is the principal driver? Yourself (alone or with someone else) Someone else Who is primarily responsible for maintenance? Yourself (alone or with someone else) Someone else What kind of transmission does the vehicle have? Automatic Manual What type of engine does the vehicle have? 4 cylinder cylinder cylinder V V Other Does the vehicle have these audio/entertainment features? App/Internet connectivity CD player Custom speakers DVD player MP3 player connection Satellite Radio Was the vehicle s audio/entertainment system: Standard with vehicle Upgraded with vehicle An aftermarket purchase Does the vehicle have: Air bags driver side Air bags passenger side Air bags side impact Anti-Lock braking system (ABS) Bluetooth/Hands-free phone capability Custom (aluminum) wheels Electronic fuel injection Four wheel drive/all wheel drive Front, Dual Automatic Climate Control Front wheel drive GPS/Navigation system (Built-in, not portable).. X X X X Hands-Free Trunk Opener.. Y Y Y Y Heated/Cooled Seats OnStar, Tele Aid or other Vehicle Monitoring System (currently subscribing) Radar Detector Security/burglar alarm Sunroof/moonroof Turbo charger In the past 12 months has your vehicle been serviced by: Car dealer Gas station/garage Auto repair chain store Discount dept. store Yourself.. X X X X Yourself/someone else.. Y Y Y Y In the past 12 months has vehicle had: Alignment service/repair Brake lining or pad replacement Major engine repair Minor engine repair Paint job Tune-up For Trucks only: For what purpose(s) is this vehicle used? Hauling Personal Hauling Business Local Transportation Recreation

28 ATV S/MOTORCYCLES/TRUCK RENTAL/AUTO CLUBS Page 26 MOTORCYCLES ATVs/UTVs Do you or does anyone else in your household own any motorcycles? Yes 1 No 2 If so, how many motorcycles does your whole household own? One 1 Two 2 Three or more 3 Most 2nd Most Recent Recent Other Purchase Purchase Purchase What year model is it? or earlier Was it bought new or used? New Used Who decided which make to buy? Yourself (alone or with someone else) Someone else When was motorcycle acquired? In past 12 months years ago years ago or more years ago What type is it? Off-road/dirt bike (Competition) Other off-road/dirt/trail bike Dual purpose (off-road/street) Street Bike: Cruiser Custom Standard Touring Sport/Performance Other Which engine size is it? Under 100cc cc cc cc cc or larger Which make is it? BMW Harley Davidson Honda Kawasaki KTM Suzuki Triumph Yamaha Other Who is the primary rider? Yourself Someone else How do you transport your off-road bike? Truck 1 Trailer 2 AUTO CLUBS/ ROADSIDE ASSISTANCE Which, if any, of these auto clubs or roadside assistance programs do you belong to? AAA.. 1 AARP Roadside Assistance.. 2 Allstate Motor Club.. 3 Other Insurance Company Roadside Assistance Program Car Dealer/Manufacturer/ Dealer Warranty Other.. 6 Do you or does anyone else in your household own any ATVs or utility vehicles (UTVs)? Yes 1 No 2 If so, how many does your whole household own? One 1 Two 2 Three or more 3 Most Recent Purchase Other Purchase(s) What kind is it? Utility ATV Sport ATV Utility Vehicle (UTV) Which make is it? Arctic Cat Honda Kawasaki Polaris Suzuki Yamaha Other When was it acquired? In past 12 months years ago years ago or more years ago What is it used for? Recreation Work Both Recreation and Work How is it transported? Truck Trailer Who is the primary rider? Yourself Someone else.. X X TRUCK/TRAILER RENTAL Have you personally rented a truck/trailer in the last twelve months? Yes.. 1 Which company (or companies) did you rent from: Budget.. 2 Enterprise Penske U-Haul Reason for rental of truck or trailer: Moving personal/household goods Commercial/business purposes.. 8 Other.. 9 PROFESSIONAL MOVING VAN 61X-0 Have you used a professional moving van line in the last 12 months? Yes 1

29 Page 27 AUTOMOTIVE/TRAFFIC REPORTS AUTOS/OTHER VEHICLE INSURANCE Number of vehicles in your household covered by insurance: : Cars/ Trucks/ Vans/ SUVs Other Vehicles (e.g. Motorcycles, ATVs, RVs, Marine) 64V 1 2 None One Two Three or more With which company(s)? 64W 1 2 AAA AARP from The Hartford. 02 Allstate American Family Amica Encompass Esurance Farm Bureau Farmers Insurance Group. 09 GEICO The General The Hartford Infinity Liberty Mutual Mercury MetLife Nationwide Progressive SafeAuto State Farm Travelers st Century USAA Other How was it acquired? From an agent Direct from insurance company via phone.. 2 Direct from insurance company via website At place of work or union. 4 At dealership where car/ vehicle was purchased or leased.. 5 Other.. 6 How did you hear about the company? Insurance agent.. 1 Newspaper or magazine ad. 2 Television or radio ad Internet ad.. 4 Search engine.. 5 Direct mail at home.. 6 Internet quote comparison service Family or Friends.. 8 Other.. 9 What type carried? Collision.. 1 Liability- Bodily Injury Liability- Property Damage. 3 Medical Payments.. 4 Uninsured Motorist Comprehensive.. 6 Towing.. 7 How many times, if any, have you changed your auto insurance carrier in the last 5 years? 64X-0 Did not change One time.. 2 Two times Three or more times Did you acquire a new or different policy in the last 12 months? Yes CAR RENTAL BUSINESS USE 269 For business use you: Rented/ Times/ last 12 last 12 months months FROM WHAT COMPANIES: Alamo Avis Budget Dollar Enterprise Hertz Hertz On Demand National Thrifty Zipcar WHERE RENTED: Airport.. 1 Adjacent to airport.. 2 At home (local rental).. 3 Somewhere else Your organization s guidelines on rentals for business use: I can rent from any firm I like I must always rent from specified firm(s).. 2 Most recent rental (choose one): Alamo.. 1 Hertz.. 6 Avis.. 2 Hertz On Demand 7 Budget National.. 8 Dollar Thrifty.. 9 Enterprise.. 5 Zipcar.. 0 Other.. X CAR RENTAL Rented/ Times/ PERSONAL USE last 12 last 12 months months 272 FROM WHAT COMPANIES: Alamo Avis Budget Dollar Enterprise Hertz Hertz On Demand National Thrifty Zipcar WHERE RENTED: Airport Adjacent to airport.. 2 At home (local rental) Somewhere else WHY RENTED: Leisure.. 5 Own car in accident/repair. 6 Other HOW RENTED: Direct from company/walk-in (no reservation) Direct from company by phone.. 9 Direct from company via company's website.. 0 Through general travel or price comparison website.. X Other.. Y Most recent rental (choose one): Alamo.. 1 Hertz.. 6 Avis.. 2 Hertz On Demand 7 Budget National.. 8 Dollar Thrifty.. 9 Enterprise.. 5 Zipcar.. 0 Other.. X YOUR TRANSPORTATION Transportation method(s), if any, you use on an average weekday and average weekend: Average Weekday Average Weekend 64E Walking Bicycle Driving (not in a carpool). 03 Driving in a carpool Motorcycle Taxi Mobile app-based Car service/rideshare Bus Subway/Metro Train Other DRIVING Do you personally have a current driver s license? Yes.. 1 Which vehicle(s) do you drive? Automobile.. 2 Motorcycle.. 3 Van.. 4 Minivan.. 5 Compact Pick-up.. 6 Regular Pick-up.. 7 Heavy Duty Truck Recreational Vehicle.. 9 Sport/Utility Vehicle.. 0 Other Truck.. X Other Vehicle.. Y Number of miles you personally drove in the past 12 months: None ,001-49, ,000-42, ,000-44, ,000-47, ,000-49, ,000-14, ,000-19, ,000-29, ,000-39, ,000-49, X 50,000 or more.. Y Primary reason(s) you personally drive: Commute to work.. 1 Other driving for work Leisure.. 3 Errands Transport others Other.. 6 TRAFFIC REPORTS If you have listened to traffic reports on the radio in the past 12 months, how often did you do so? 64Y-0 Regularly Occasionally.. 2

30 AUTOMOTIVE PRODUCTS Page 28 GASOLINE 280 Bought in Gallons/ GRADES: Premium/Super Mid-Grade Regular Unleaded Diesel Gasohol Full-service Self-service Arco BP/Amoco Chevron Citgo Clark Conoco Exxon Getty Gulf Hess Marathon Mobil Phillips Quik Trip Racetrac Eleven Shell Sinclair Speedway Sunoco SuperAmerica Texaco Valero Walmart Warehouse/Club Store On average, how many times a week do you purchase gas? More than 3 times per week. 1 3 times per week times per week time per week Less than 1 time per week. 5 Amount spent on gasoline in the last 30 days? $ 1 - $ $ 50 - $ $175 - $ $100 - $ $150 - $ $200 or more.. 6 How did you pay for your gasoline in the last 30 days? Cash Credit Card: Oil Company/Gasoline Card.. 2 General Purpose Card.. 3 Debit Card.. 4 Bought in Bottles/ last 12 last 12 months months 284 Chevron Techron Gumout Heet Lucas Octane Boost Prestone Sea Foam STA-BIL Fuel Stabilizer STP Fuel Injector and Carburetor Treatment STP Gas Treatment STP Super Concentrated Fuel Injector Cleaner Other STP Valvoline GASOLINE ADDITIVES Who adds it? Yourself.. 1 Another household member 2 Service centers or dealers, etc Other.. 4 OIL FILTERS 286 Bought in Number/ last 12 last 12 months months ACDelco Bosch Champion Fram K&N Mobil Mopar Motorcraft NAPA Pennzoil Purolator Quaker State WIX Who installed? Yourself.. 1 Another household member 2 Service centers or dealers. 3 Other.. 4 Where bought? Advance Auto Parts Store. 1 AutoZone.. 2 NAPA O Reilly Auto Parts Pep Boys.. 5 Quick Lube Center Walmart Other auto parts store.. 1 Car dealer.. 2 Discount auto store.. 3 Gas station/garage.. 4 Other Discount/Dept. Store 5 Who decides which brand you buy? Yourself (alone or with someone else).. 1 Someone else.. 2 MOTOR OIL ADDITIVES 291 Bought in Bottles/ last 12 last 12 months months Bar s Leaks Dura Lube Lucas Marvel Mystery Oil NO-LEAK Sealer Prolong Restore Slick 50 Engine Treatment. 08 STP Who decides which brand you buy? Yourself (alone or with Yourself (alone or with someone else).. 1 Someone else.. 2 Who adds it? Yourself.. 1 Another household member 2 Service centers or dealers, etc Other.. 4 ANTI-FREEZE/ Bought in Gallons/ COOLANT last 12 last 12 months months 294 Havoline Mobil NAPA Peak Prestone Quaker State Zerex Who decides which brand you buy? Yourself (alone or with someone else). 1 Someone else When do you change it? Winter only.. 1 Summer only Year round Who adds it for you? Yourself.. 4 Another household member.. 5 Service centers or dealers, etc Other When you change anti-freeze, do you: Drain radiator completely.. 8 Drain radiator partially Top off radiator.. 0 Where bought? Advance Auto Parts Store.. 1 AutoZone.. 2 Kmart.. 3 Pep Boys Sears.. 5 Walmart.. 6 Other auto parts store Gas Station Grocery/Supermarket.. 9 Other Discount/Dept. Store.. 0

31 Page 29 AUTOMOTIVE PRODUCTS MOTOR OIL 298 Bought/ changed Quarts/ in last 12 last 12 months months Conventional High Mileage Synthetic Blend Full Synthetic Amsoil Castrol Edge Castrol GTX Castrol GTX High Mileage. 08 Castrol GTX Syn Blend Chevron CITGO Havoline Mobil Mobil Super Motorcraft NAPA Peak Pennzoil Pennzoil Platinum Pennzoil Ultra Quaker State Royal Purple Shell Valvoline Valvoline MaxLife Who adds or changes it for you? Yourself Other household member.. 2 Gas station/garage Car dealer.. 4 Tire dealer.. 5 Auto repair chain store Jiffy Lube.. 7 Valvoline Instant Oil Change.. 8 Other Quick Lube Center.. 9 Walmart TLE.. 0 Other Discount Store Service Center.. X Other.. Y If you personally change your oil, where did you purchase it? Advance Auto Parts Store AutoZone.. 2 O Reilly Auto Parts.. 3 Pep Boys.. 4 Walmart.. 5 Other auto parts store.. 6 Gas Station/garage.. 7 Other Discount/Dept. Store.. 8 Who decides which brand you use? Yourself (alone or with someone else).. 1 Someone else.. 2 BRAKES Had serviced in last 12 months Yes 1 COMPANIES: Firestone.. 2 Meineke.. 3 Midas.. 4 Monro Muffler/Brake.. 5 Sears.. 6 Other.. 7 TRANSMISSION SERVICE Had serviced in last 12 months Yes 1 COMPANIES: Aamco.. 2 Cottman.. 3 Other.. 4 AIR FILTERS 304 Bought in Number/ last 12 last 12 months months ACDelco Champion Fram K & N Motorcraft NAPA Pennzoil Purolator WIX Who installed it? Yourself.. 1 Another household member 2 Service centers or dealers. 3 Other.. 4 Where bought? Advance Auto Parts Store. 1 AutoZone.. 2 NAPA Pep Boys.. 4 Quick Lube Center Walmart.. 6 Other auto parts store.. 7 Car dealer.. 8 Discount auto store.. 9 Gas station/garage.. 0 Other Discount/Dept. Store X Who decides which brand you buy? Yourself (alone or with someone else).. 1 Someone else.. 2 LEATHER AND VINYL PROTECTANTS 309 Bought in Times last 12 used/last months 12 months Armor All Leather Wipes Armor All Original Protectant Armor All Protectant Wipes. 03 Armor All Ultra Shine Other Armor All Black Magic Lexol Meguiar s Mothers Turtle Wax CAR CLEANER WASH/WIPES Bought in Times last 12 used/last months 12 months 310 Spray detailer Wash Wipes Armor All Blue Coral Invisible Glass Meguiar s Mothers Nu Finish Rain-X Turtle Wax MUFFLERS Bought in last 12 months Yes 1 Flowmaster MagnaFlow Meineke.. 4 Midas.. 5 NAPA.. 6 Other.. 7 Who installed it? Yourself Another household member.. 2 Service center or dealer.. 3 Auto repair chain store.. 4 Other.. 5 Where bought? Meineke.. 1 Midas.. 2 Pep Boys.. 3 Auto parts store.. 4 Car dealer Gas station/garage.. 6 Specialty muffler shop.. 7 Other.. 8 Who decides which brand you buy? Yourself (alone or with someone else).. 1 Someone else.. 2 CAR WAX & POLISH 315 Bought in Times last 12 used/last months 12 months Liquid Paste Spray Armor All Extreme Shield. 04 Black Magic Blue Coral Eagle One Liquid Glass Meguiar s Gold Class Meguiar s NXT Generation. 10 Other Meguiar s Mothers Nu Finish Rain Dance Rain-X Simoniz M Wax Turtle Wax Ice Turtle Wax Super Hard Shell 19 Other Turtle Wax Used for: Boats.. 1 Cars.. 2 Motorcycles.. 3 Trucks.. 4

32 AUTOMOTIVE PRODUCTS Page 30 CAR/OTHER VEHICLE BATTERIES Bought in last 12 months Yes 1 AAA.. 2 ACDelco.. 3 AutoCraft (Advance Auto Parts).. 4 DieHard (Sears).. 5 Duralast.. 6 EverStart (Walmart).. 7 Exide.. 8 Interstate Motorcraft.. 1 NAPA.. 2 Optima.. 3 Other.. 4 Who installed it? Yourself Another household member.. 2 Service centers or dealers, etc Mobile Battery Service/Tow Truck. 4 Other.. 5 Where bought? Advance Auto Parts Store AutoZone.. 2 NAPA.. 3 O Reilly Auto Parts.. 4 Pep Boys.. 5 Sears.. 6 Walmart Other auto parts store.. 1 Car dealer Gas station/garage.. 3 Tire Dealer/Store.. 4 Mobile Battery Service/Tow Truck. 5 Other Discount/Dept. Store.. 6 Warehouse/Club Store.. 7 Who decides which brand you buy? Yourself (alone or with someone else).. 1 Someone else.. 2 WINDSHIELD WIPERS Bought Number/ in last 12 last 12 months months 324 Anco Bosch Michelin Pylon Rain-X Smart Blade Trico Tridon Valeo Who installed them? Yourself Another household member. 2 Other.. 3 SHOCK ABSORBERS/ STRUTS 326 Bought Number/ in last 12 last 12 months months ACDelco Gabriel GM Parts/Goodwrench Monroe NAPA Who installed it? Yourself Another household member 2 Service centers or dealers. 3 Other.. 4 Where bought? Advance Auto Parts Store. 1 AutoZone.. 2 Midas.. 3 Pep Boys.. 4 Sears.. 5 Other auto parts store.. 6 Car dealer Gas station/garage.. 8 Specialty shop.. 9 Tire Dealer L-0 Other Discount/Dept. Store. 1 Who decides which brand you buy? Yourself (alone or with someone else).. 1 Someone else.. 2 SPARK PLUGS 330 Bought Number/ in last 12 last 12 months months ACDelco Autolite Bosch Champion Motorcraft NGK SplitFire Who installed them for you? Yourself Another household member. 2 Other (including all dealers, service centers, etc.) Where bought? Advance Auto Parts Store. 1 AutoZone.. 2 NAPA.. 3 O Reilly Auto Parts.. 4 Pep Boys.. 5 Walmart.. 6 Other auto parts store.. 7 Car dealer Gas station/garage.. 9 Other Discount/Dept. Store. 0 Who decides which brand you buy? Yourself (alone or with someone else).. 1 Someone else.. 2 TIRES Number Bought in purchased/ last 12 last 12 months months 334 All terrain All season High performance Mud/Snow Mud/Terrain Regular passenger Touring BFGoodrich Big O Bridgestone Continental Cooper Dunlop Falken Firestone General Goodyear Hankook Kelly Kumho Michelin Nexen Pirelli Toyo Uniroyal Yokohama Where bought? America s Tire Big O Tires.. 2 Discount Tire Co Firestone Complete Auto Care.. 4 Goodyear NTB National Tire & Battery 6 Pep Boys.. 7 Sears.. 8 Tire Kingdom.. 9 Walmart.. 0 Auto parts store.. X Gas station.. Y Other tire dealer/store.. 1 Who decides which brand you buy? Yourself (alone or with someone else).. 1 Someone else.. 2 How much did you spend for tires in the last 12 months? Under $ $100 - $ $250 - $ $500 or more.. 4 TIRE CARE Bought in Times used/ last 12 last 12 months months 283 Shine Wet/Gel Cleaner Foam Spray/Aerosol Armor All Black Magic Eagle One Meguiar s Mothers Turtle Wax

33 Page 31 RESTAURANTS FAST FOOD & DRIVE- IN RESTAURANTS Ate/Bought Number of at last times/last 6 months 30 days 351 RESTAURANTS: A & W Arby s Au Bon Pain Baja Fresh Mexican Grill. 04 Baskin-Robbins Ben & Jerry s Blimpie Subs & Salads Bojangles Boston Market Burger King Captain D s Carl s Jr Checkers Chick-Fil-A Chipotle Mexican Grill Chuck E. Cheese Church s Fried Chicken Cold Stone Creamery Culver s Dairy Queen Del Taco Domino s Dunkin Donuts Einstein Bros. Bagel Shop. 24 El Pollo Loco Fazoli s Five Guys Fuddruckers Godfather s Pizza Hardee s Jack in the Box Jamba Juice Jimmy John s KFC Krispy Kreme Doughnuts. 35 Krystal Little Caesars Long John Silver s McDonald s Moe s Southwest Grill Noodles & Company Orange Julius Panda Express Panera Bread Papa John s Papa Murphy s Pizza Hut Popeyes Chicken Qdoba Mexican Grill Quiznos Rally s Round Table Pizza Sbarro Schlotzsky s Deli Smashburger Sonic Drive-In Starbucks Steak n Shake Subway Taco Bell Taco John s Tim Hortons Wendy s Whataburger White Castle Wienerschnitzel Wing Stop Zaxby s FAMILY Ate/Bought Number of RESTAURANTS & at last times/last STEAK HOUSES 6 months 30 days 353 RESTAURANTS: Applebee s Baker s Square Benihana Bertucci s Big Boy BJ s Restaurant & Brewhouse Black Angus Steakhouse. 07 Bob Evans Farms Bonefish Grill Buffalo Wild Wings California Pizza Kitchen Carino s Italian Carrabba s Italian Grill The Cheesecake Factory. 14 Chevy s Chili s Grill & Bar CiCi s Pizza Cracker Barrel Dave & Buster s Denny s Don Pablo s El Torito Famous Dave s Friendly s Golden Corral Hard Rock Cafe HomeTown Buffet Hooters Houlihan s International House of Pancakes (IHOP) Joe s Crab Shack Logan s Roadhouse Lone Star Steakhouse LongHorn Steakhouse Marie Callenders O Charley s Old Country Buffet Olive Garden On The Border Outback Steakhouse P.F. Chang s Perkins Ponderosa Red Lobster Red Robin Romano s Macaroni Grill. 46 Ruby Tuesday Ruth s Chris Steak House. 48 Ryan s Shoney s Sizzler Smokey Bones Texas Roadhouse T.G.I. Friday s Tony Roma s Uno Chicago Grill Village Inn Restaurant Waffle House Who made the decision of where to go? Yourself Other Adult.. 2 Child MORE ABOUT RESTAURANTS Ate/Bought Number of at last times/last 6 months 30 days 351 FAST FOOD & DRIVE-IN RESTAURANTS What Meals: Breakfast Lunch Snacks Supper/Dinner What Days: Weekdays Weekends How Ordered: Eat-in Home Delivery Take-Out: Drive-Thru Take-Out: Walk-In FAMILY RESTAURANTS & STEAK HOUSES What Meals: 353 Breakfast Lunch Snacks Supper/Dinner What Days: Weekdays Weekends How Ordered: Eat-in Home Delivery Take-Out FINE DINING RESTAURANTS 61Y Any Visit OTHER RESTAURANTS Any Visit RESTAURANT EXPENDITURES 61Z How much did you spend at the following types of restaurants in the last 30 days? (Write in amount) Fast Food & Drive-In Restaurants. $ 01 Family Restaurants & Steak Houses $ 02 Fine Dining Restaurants.. $ 03 Other Restaurants.. $ 04 Who made the decision of where to go? Yourself Other Adult.. 2 Child.. 3

34 CAMPING, RECREATION ITEMS, THEME PARKS, LUGGAGE AND VACATIONS Page 32 CAMPING How many overnight camping trips did you take in the last 12 months? Total number of trips: Number of Nights Where did you camp? Camped in Past Year PUBLIC CAMPGROUNDS: 340 National Parks/Forests. 01 State Parks/Forests Other Publicly Owned Campgrounds PRIVATE CAMPGROUNDS: (Open to the public) KOA Campgrounds Independently Owned Campgrounds CAMPING EQUIPMENT Bought last 12 Owns months Air Mattress (Inflatable) Backpack Beverage Containers Compass Daypack Sleeping Bag Hunting Knife Tent Cooler or Ice Chest (under 24 quarts) Cooler or Ice Chest (24 quarts & over) Camp Cookware Lantern (gas) Lantern (electric) Camp Stove Insulated Picnic Jug Waterproof/Breathable Apparel. 16 Amount your household spent on camping equipment, last 12 months: $1-$49 $50-$99 $100-$199 $200 or more RECREATION ITEMS/ VEHICLES/BOATS Acquired in last 12 Owns months Outboard motor (under 25 HP) Outboard motor (25-75 HP) Outboard motor (over 75 HP) Inboard/outboard power boat (sterndrive) Power boat (under 16 ft.) Power boat (16 ft. +) Bass/Fishing Boat (under 16 ft.). 07 Bass/Fishing Boat (16 ft. +) Sailboat (under 16 ft.) Sailboat (16 ft. +) Inflatable boat Personal watercraft Rowboat Canoe Kayak Boat Trailer Motorhome Towable trailer camper Towable folding tent camper (pop-up) Other camper/trailer Snowmobile THEME PARKS Have you visited a theme park in the last 12 months? Yes If yes, which did you visit? Adventure Island (Florida).. 1 Aquatica (California, Florida, Texas) Busch Gardens (Florida).. 3 Busch Gardens (Virginia).. 4 Carowinds (North Carolina).. 5 Cedar Point (Ohio).. 6 Discovery Cove (Florida).. 7 Disney s California Adventure Disneyland (California).. 9 Dollywood (Tennessee) Dorney Park & Wild Water Kingdom (Pennsylvania).. 1 Great America (California).. 2 Hershey Park (Pennsylvania).. 3 Kings Dominion (Virginia) King s Island (Ohio).. 5 Knott s Berry Farm (California).. 6 Legoland (California).. 7 Legoland (Florida) Sea World (California).. 1 Sea World (Florida).. 2 Sea World (Texas).. 3 Sesame Place (Pennsylvania).. 4 Six Flags America (Maryland).. 5 Six Flags Discovery Kingdom (California). 6 Six Flags Fiesta (Texas).. 7 Six Flags Great Adventure (New Jersey). 8 Six Flags Great America (Illinois) Six Flags Magic Mountain (California).. 1 Six Flags New England (Massachusetts). 2 Six Flags Over Georgia.. 3 Six Flags Over Texas.. 4 Six Flags St. Louis.. 5 Other Six Flags Universal Studios (California) Universal Studios (Florida) Universal Studios Islands of Adventure (Florida).. 3 Walt Disney World (Florida): Blizzard Beach.. 4 Disney s Animal Kingdom.. 5 Disney s Hollywood Studios.. 6 Epcot Center Magic Kingdom Typhoon Lagoon.. 9 Water Country USA (Virginia) Wet n Wild (Florida).. X Wisconsin Dells.. Y Other.. 1 Who made the decision to visit? Yourself (Alone or with someone else).. 2 Child.. 3 Someone Else.. 4 In total, on how many different days did you visit all theme parks in the last 12 months? Have you visited an indoor water park in the last 12 months? 64S-0 Yes 1 LUGGAGE 355 Number bought last 12 Own months Attache Duffel Garment Bag Pullman/Suitcase Shoulder Briefcase/Bag Other Hard side Soft side American Tourister Atlantic Coach Delsey Hartmann High Sierra Jansport Lands End Louis Vuitton Pierre Cardin Rimowa Samsonite Skyway Travelpro Tumi Vera Bradley Victorinox Swiss Army Total amount spent for all pieces, last 12 months: $1 - $ $50 - $ $100 - $ $200 - $ $ PASSPORT Do you personally own a valid passport? Yes.. 1 No FOREIGN VACATIONS How much did you spend on foreign vacations in the past 12 months: Less than $1, $1,000 - $2, $3,000 - $5, $6,000 - $7, $8,000 or more DOMESTIC VACATIONS How much did you spend on domestic vacations in the past 12 months: Less than $1, $1,000 - $1, $1,500 - $1, $2,000 - $2, $3,000 - $4, $5,000 - $6, $7,000 or more

35 Page 33 FOREIGN TRAVEL (INCLUDING ALASKA & HAWAII) FOREIGN TRAVEL (including Alaska & Hawaii) Did you personally take a trip outside the United States or to Alaska or Hawaii in the last 3 years? Yes 1 No If yes, how many trips did you take? ANSWER FOR EACH TRIP: Last Second Other Trip Last Trip Trips Year trip was taken: Which countries or destinations did you visit on each trip? Aruba Barbados Bermuda Bahamas Cayman Islands Dominican Republic Jamaica Puerto Rico Virgin Islands Other Caribbean Islands Alaska Hawaii Canada Mexico Central America South America England Ireland Scotland France Germany Austria Switzerland Netherlands (Holland) Scandinavia Italy Spain/Portugal Greece Other Western European countries Russia.. X X X Eastern Europe Turkey Israel Other Middle East Japan China Hong Kong India South-East Asia Other Asian countries Australia/New Zealand/South Pacific. X X X Africa.. Y Y Y Reason for trip: 60G-0 60H-0 60J-0 Business (paid by firm) Honeymoon Vacation Personal (not vacation) Business/vacation combined Who did you travel with? Yourself (alone) Spouse or mate Child(ren) less than 18 years old Friend(s) Other Did you use the service of a Travel Agent or Internet travel site for each trip? Yes, used travel agent Yes, used airline-specific Internet site Yes, used general Internet travel site No If yes, for what purpose: Flight Reservations Hotel Reservations Local Sightseeing Entire Trip FOREIGN TRAVEL (including Alaska & Hawaii) (Continued) Last Second Other Trip Last Trip Trips Number of nights away on trip: When was each trip taken? January-March April-June July-September October-December Means of travel for each trip: Bus Personal Vehicle Cruise Ship Plane (charter/private) Plane (scheduled flight) Railroad/Train Rental Vehicle.. X X X If by airplane, which airlines did you use during each trip? Aer Lingus AeroMexico Air Canada Air France Alaska Airlines Alitalia American/American Eagle British Airways Caribbean Airlines Delta JetBlue KLM Lufthansa United US Airways Virgin Atlantic Other Asia/Pacific based airline Other European based airline Other Latin American based airline Other For each airplane trip what did you fly? First Class Business Coach For each airplane trip, did you use any in-flight entertainment on the plane? Listened to radio Watched movie/ Used in-flight video equipment Read in-flight publication Used Wi-Fi For each airplane trip, did you view CNN Airport Network television in the airport? Yes Was this trip taken on an all inclusive travel package? Yes For vacation or honeymoon trips only: What activities did you do on each vacation trip? Attend a specific event Fine dining General sightseeing Go to beach Play golf Running/Jogging Sailing Scuba diving Shopping Skiing (cross country/downhill) Other outdoor sports or recreation.. X X X Visit relatives or friends.. Y Y Y

36 DOMESTIC TRAVEL Page 34 Have you personally made any trips of more DOMESTIC TRAVEL than one day s duration in the past 12 months, within the continental U.S., including business, vacation and weekend travel? Yes 1 No If yes, how many such trips have you made in the last 12 months ANSWER FOR EACH TRIP: Last Second Other Trip Last Trip Trips Number of nights away on each trip: Number of household members, including yourself, on each trip: Which states did you visit on each trip? Write in # Write in # Write in # Maine, New Hampshire, Vermont Massachusetts, Connecticut, Rhode Island New York Pennsylvania, New Jersey Delaware, Maryland, District of Columbia Michigan, Wisconsin Ohio, Indiana, Illinois Nebraska, Kansas N. Dakota, S. Dakota, Minnesota Iowa, Missouri N. Carolina, S. Carolina.. X X X Alabama, Georgia.. Y Y Y Florida Kentucky, Tennessee Mississippi, Louisiana Texas Arkansas, Oklahoma Virginia, West Virginia Montana, Idaho, Wyoming Washington, Oregon California Utah, Colorado Arizona, New Mexico.. X X X Nevada.. Y Y Y Reason for each trip: Business (paid for by company) Business (paid for by self) Honeymoon Vacation Personal (not vacation) Part business/part vacation Who did you travel with? Yourself (alone) Spouse or mate Child(ren) less than 18 years old Friend(s) Other.. X X X Number of miles traveled from home (round trip) for each trip: Under Who decided upon the destination of each trip? Yourself (alone or with someone else) Travel Agent Spouse or Mate DOMESTIC TRAVEL (Continued) Last Second Other Trip Last Trip Trips Did you use the service of a Travel Agent or Internet travel site for each trip? Yes, used travel agent Yes, used airline-specific Internet site Yes, used general Internet travel site No If yes, for what purpose: Flight Reservations Hotel Reservations Entire Trip When was each trip taken? January March April June July September October December Means of Travel for each trip: Plane (charter/private) Plane (scheduled) Rental Vehicle Personal Vehicle Bus (charter or tour) Bus (scheduled) Railroad/Train Motor Home/RV If by plane, which airlines did you use during each trip? AirTran Airways Alaska Airlines American/American Eagle Delta Frontier JetBlue Southwest United US Airways Virgin America Other (Write In) For each airplane trip, what did you fly? First Class Business Coach For each trip, did you use any in-flight entertainment on the plane? Listened to radio Watched movie/used in-flight video equipment Read in-flight publication.. X X X Used Wi-Fi.. Y Y Y For each airplane trip, did you view CNN Airport Network television in the airport? Yes For vacation or honeymoon trips only: What activities did you do on each vacation trip? Go to beach General sightseeing Attend a specific event Shopping Fine dining Play tennis Visit National Park Play golf Backpacking/Hiking Bicycle riding Fishing Hunting Running/Jogging Skiing (cross country/downhill) Other outdoor sports or recreation Visit relatives or friends Visit a health spa/retreat

37 Page 35 HOTELS & MOTELS, PLANE TRIPS, FREQUENT FLYER, CRUISE SHIPS & TRAVEL PLANNING HOTELS, MOTELS Stayed & OTHER LODGING Stayed in for in for Personal/ Business Vacation Number of nights spent in a hotel, motel or other paid lodging last 12 months: Hotel or Motel stayed at, last 12 months: America s Best Value Inn Baymont Inns & Suites Best Western Clarion Comfort Inn Comfort Suites Country Inns & Suites Courtyard (by Marriott) Crowne Plaza Days Inn DoubleTree.. X X Econo Lodge.. Y Y Embassy Suites Fairfield Inn (by Marriott) Four Seasons Great Wolf Lodge Hampton Inn Hilton Hilton Garden Inn Holiday Inn Holiday Inn Express Homewood Suites (by Hilton) 0 0 Howard Johnson.. X X Hyatt InterContinental Hotels La Quinta Inns & Suites Marriott Hotels, Resorts and Suites Microtel Motel Quality Inn Radisson Ramada Red Roof Inn Renaissance.. X X Residence Inn (by Marriott). Y Y Ritz-Carlton Sandals/Beaches Sheraton Sleep Inn SpringHill Suites (by Marriott) 5 5 Super Travelodge W Hotel Westin Wingate Wyndham.. X X 60K-0 60L-0 Other hotel/motel (chain) Other hotel/motel (non-chain) 2 2 Bed and Breakfast Other By owner rental service used, last 12 months: 60Y-0 60Z-0 Airbnb HomeAway VRBO Other Who generally makes your reservations? Self Other Family Member Administrative Assistant Travel Agent Other ROUND TRIPS BY PLANE How many round trips BY PLANE, if any, have you made in the last 12 months? How many of these were: Number of trips made for: Business 60M Vacation/ Personal/ Honeymoon 60V Within the 01 continental U.S. (Write in Number) (Write in Number) Outside the 02 continental U.S. (Write in Number) (Write in Number) FREQUENT FLYER Are you a member of a frequent flyer program? Yes 1 No 2 If yes, which program(s) are you a member of?5 60T- Regular Elite member member 1 2 American AAdvantage Delta SkyMiles JetBlue TrueBlue Southwest Rapid Rewards United MileagePlus US Airways Dividend Miles Other Have you redeemed any frequent flyer miles in the last 12 months? Yes 1 60U-0 HOTEL REWARDS PROGRAMS Are you currently enrolled in any hotel 65L-0 rewards programs? Yes 1 No 2 If yes, which program(s) are you a member of? Hilton HHonors.. 3 Hyatt Gold Passport.. 4 IHG Priority Club.. 5 Marriott Rewards.. 6 Starwood Preferred Guest.. 7 Wyndham Rewards.. 8 Other.. 9 taken CRUISE a cruise SHIPS of Have you personally taken a cruise of more than one day s duration in the past three years? Yes 1 No 2 Which of the following cruise lines did you use in the past 3 years? Carnival.. 1 Celebrity.. 2 Disney Cruise Line.. 3 Holland America Line.. 4 Norwegian.. 5 Princess Royal Caribbean.. 7 Other.. 8 How many cruises have you taken in the past three years? (Write in Number) TRAVEL PLANNING Whether or not you made a purchase, in the last 12 months, which, if any, of these did you use for ADVICE regarding fares & travel arrangements or sightseeing & activities for an overnight trip? You personally obtained advice about: Fares/Travel Sightseeing/ arrangements, Activities, last 12 months last 12 months Advised by: 60N-0 60Q-0 Travel Agent Travel guidebook Travel magazine Other magazine Newspaper TV Radio Friends/Family Recommendations P-0 60R-0 Airbnb.com Booking.com Expedia.com HomeAway.com Hotels.com Hotwire.com Kayak.com Orbitz.com Priceline.com Travelocity.com Travelzoo.com.. X X TripAdvisor.com.. Y Y 60W-0 60X-0 VRBO.com Yahoo! Travel Other general Internet travel site Other Internet site Other How long before traveling do you typically book your trips? 60S-0 More than 6 months before traveling months before traveling Less than 3 months, but more than 1 week before traveling week or less before traveling.. 4

38 INTERNET AND CATALOG SHOPPING Page 36 INTERNET AND CATALOG SHOPPING By phone/ By mail Internet last 12 last 12 months months INTERNET AND CATALOG SHOPPING (Continued) You Personally Ordered: By Catalog By Internet (phone/mail) (Website) last 12 last 12 months months Items personally ordered, last 12 months: Catalogs or Websites ordered from: 65N-0 65Q-0 Airline tickets PetMeds Automotive Products Avon Baby Accessories Coldwater Creek Banking Services Crate & Barrel Bedding/Linens Eddie Bauer Books Fingerhut Cameras and equipment Car/Vehicle Rental Reservations Gevalia CDs Hammacher Schlemmer Cell phones/accessories P-0 65R-0 Clothing/Apparel.. X X Home Shopping Network Coffee & Tea.. Y Y J. Crew JCPenney Collector s items (coins, stamps, L.L. Bean etc.) Lands End Computers Macy s Computer Software/Accessories Neiman Marcus Cooking/Kitchen accessories Cosmetics/toiletries Nordstrom Office Depot Credit Cards Pottery Barn DVDs/Blu-ray Discs ProFlowers.. X X Educational Programs Fitness Apparel/Equipment S-0 65T-0 Flowers Publishers Clearing House Food/Groceries.. X X QVC Garden supplies.. Y Y Red Envelope REI Gift Baskets Staples Handbags/Other Accessories Teleflora Hobby or craft supplies Victoria's Secret Home furnishings Home improvement items/tools.. Other Department/Specialty 5 5 Store Hotel reservations Other Catalog or Mail Order Household/small appliances Service Housewares Hunting, fishing, camping equipment Jewelry/watches MP3 Players.. X X Office Supplies.. Y Y HOW YOU SHOP Pet products/supplies Prescription Drugs In the past 30 days, when purchasing a product Religious Products or service, which, if any, of these have you done? Shoes/Footwear Sports apparel/memorabilia Obtained information from a catalog, then: Sports equipment Stereo/Audio Equipment Purchased in-store.. 1 Tickets Concerts, shows, Purchased by Internet (computer/laptop). 2 other entertainment Purchased by Internet (mobile device).. 3 Tickets Movies Purchased by mail/phone call Tickets Sports Events Toys/Games.. X X Obtained information from a website on a TVs Y Y computer/laptop, then: Purchased in-store.. 5 Video Games/Systems Purchased by Internet (computer/laptop). 6 Vitamins Purchased by Internet (mobile device).. 7 Wedding/Occasion Gifts Wines/Champagnes Purchased by mail/phone call Other Electronics Other Financial/Insurance Products. Obtained information from a mobile 6 6 Other Health/Medical Supplies.. website/app, then: 7 7 Other Travel Services Purchased in-store.. 1 Other Purchased by Internet (computer/laptop). 2 Purchased by Internet (mobile device).. 3 Amount spent, last 12 months: Mail/Phone Internet Purchased by mail/phone call $1 - $ $50 - $ $100 - $ $200 - $ $500 - $ $ Obtained information in store, then: Purchased in-store.. 5 Purchased by Internet (computer/laptop). 6 Purchased by Internet (mobile device).. 7 Purchased by mail/phone call INTERNET AND CATALOG SHOPPING (Continued) Websites personally ordered from, last 12 months: 65U flowers.com Amazon.com American Eagle Outfitters (ae.com).. 3 Apple.com BananaRepublic.com Barnes&Noble.com BathandBodyWorks.com BedBathandBeyond.com Belk.com.. 9 BestBuy.com Costco.com X 65V-0 CVS.com Dell.com Dillards.com Drugstore.com ebay.com.. 5 EdibleArrangements.com Etsy.com Expedia.com Fandango.com FTD.com Gap.com X HomeDepot.com Y 65W-0 Hotels.com Hotwire.com HP.com itunes.com (Apple Store) Joann.com.. 5 Kmart.com.. 6 Kohls.com LiveNation.com Lowes.com Michaels.com Nike.com X OldNavy.com Y 65Z-0 Orbitz.com.. 1 Overstock.com PacSun.com Payless.com PetSmart.com Priceline.com SamsClub.com Sears.com Sephora.com StubHub.com Target.com.. X Ticketmaster.com Y 65Y-0 ToysRUs.com Travelocity.com Walgreens.com Walmart.com Wayfair.com Zappos.com Zulily.com.. 7 Other Internet site

39 Page 37 FINANCIAL & REAL ESTATE CREDIT/DEBIT CARDS Have (in your own name) 487 Used in the last 12 months Major Credit/Debit Cards 1 2 American Express Green American Express Gold American Express Platinum American Express Blue American Express OPEN: Small Business Other American Express Diners Club Discover MasterCard Standard MasterCard Gold MasterCard Platinum MasterCard World/World Elite MasterCard Debit Card MasterCard BusinessCard (Small Business) Visa Regular/Classic Visa Gold Visa Platinum Visa Signature Visa Check Card (Debit) Visa Business (Small Business) Other Which bank(s) issued your credit/debit card(s)? Bank of America Capital One Chase Citibank Citizens Bank HSBC PNC TD Bank USAA U.S. Bank Wells Fargo Other Rewards associated with your major credit/debit card(s) Cash back Airline miles Hotel or Car Rental awards Gifts Charitable contribution Gasoline discounts Other retail discounts Other Store Credit Cards (Affiliated/Together with a major credit card) Department Store Discount Store Other Store Store Credit Cards (Not Affiliated/Together with a major credit card) Dillard s JCPenney Lord & Taylor Macy s Nordstrom Sears Target Walmart Other How many credit/debit cards do you own? Credit Cards: Debit Cards: 62N-0 (Write in Number) (Write in Number) What is your average monthly expenditure for all credit/debit card purchases? Credit Cards: $ Debit Cards: $ 62P-0 (Write in Amount) (Write in Amount) Do you typically carry a balance on your credit card(s)? Never or rarely Sometimes.. 2 Usually or always In the last 12 months, have you accepted a pre-approved credit offer? Yes.. 4 CREDIT/DEBIT CARDS (Continued) For what purpose(s) do you use your credit card(s)? Business.. 1 Personal.. 2 On average, how often do you use a credit card for personal and for business purchases each month? 62R-0 62S-0 Personal Business More than 20 times per month times per month times per month times per month Less than once a month On average, how often do you use a debit card for personal and for business purchases each month? Personal Business More than 20 times per month times per month times per month times per month Less than once a month LOANS AND MORTGAGES You Personally or Jointly: Acquired Last 64H Have 12 months 1 2 Home Mortgage (1st) nd Mortgage (Home Equity Loan) Mortgage Refinance/Consolidation Loan Auto Loan Personal Loan for Education (Student Loan) Personal Loan, not for Education Personal Line of Credit Home Equity Line of Credit Loan from 401(k) or 403(b) Small Business Loan Title Loan Have you personally taken a short-term loan from a payday loan/ cash-advance company in the last 12 months? Yes REAL ESTATE Which of the following types of property does your household own and which were acquired in the last 12 months? Acquired Number last 12 of properties 496 Owns months owned (Write in number) A Vacation/Weekend Home Farm Retirement Real Estate Investment Real Estate Do you or does anyone in your household own a time share? Yes.. 1 Have you personally used a real estate agent in the last 12 months to: Sell a property.. 1 Buy a property Other.. 3 If yes, which real estate agent(s) did you use? Century Coldwell Banker Keller Williams.. 3 Prudential Real Estate Re/Max.. 5 Other.. 6 Was the home you currently occupy: Custom built Already built when you purchased it.. 2 Was it constructed within the last 12 months? Yes 3 No 4 Have you personally bought and then sold ( flipped ) a property, for investment purposes only, in the last 12 months? Yes 1 No 2 61C-0

40 FINANCIAL Page 38 BANKING & FINANCIAL SERVICES You Personally or Jointly: Acquired last 12 Have months Bank Accounts/Services: 481 Savings Account Certificate of Deposit (CD) Interest Checking Account Non-Interest Checking Account Money Market Account Overdraft Protection Other Banking Services Business Checking Account Other Small Business Banking Services Banks or Financial Institutions you personally used, last 12 months: Ally Bank.. 1 Bank of America.. 2 BB&T (Branch Banking & Trust).. 3 Capital One.. 4 Chase.. 5 Citibank.. 6 Citizens.. 7 Fifth Third Bank.. 8 HSBC.. 9 KeyBank.. 0 PNC.. X Regions Bank.. Y 64J-0 Sun Trust.. 1 TD Bank.. 2 U.S. Bank Wells Fargo Other National Bank.. 5 Local/Community Bank.. 6 Credit Union.. 7 Mutual Funds Co Internet Bank Banking methods you personally used, last 12 months: Bank in person.. 1 ATM/Cash Machine.. 2 Bank by Mail.. 3 Direct Deposit (payroll check).. 4 Bank by Phone.. 5 Banking Online/Internet Banking on Mobile Device Paperless Statements.. 8 In the last 6 months have you done any of the following? Wired or sent money with: 61B-0 MoneyGram.. 1 Western Union.. 2 Bank Wire Transfer.. 3 U.S. Postal Service.. 4 Overnight Courier.. 5 Another Way.. 6 Purchased a money order.. 7 Used a check cashing service Which, if any, of the following do you consider very important when choosing a bank or financial institution? 63R-0 Customer Service.. 1 Financial Stability of Company.. 2 Friend s/relative s Recommendation Interest Rates.. 4 Location of Branch.. 5 Reputation of Company Reward Programs.. 7 Size of Company.. 8 Years in Business.. 9 Other.. 0 Did you choose to change from one bank to another in the last 12 months? Yes X INVESTMENT ACTIVITY Have you used any of the following for financial services or advice in the last 12 months? Stock Rating Service.. 1 Financial Planner/Certified Financial Planner (CFP).. 2 Personal Money Manager.. 3 Financial Advisor/Broker.. 4 Newspaper/Magazine.. 5 TV or Radio show.. 6 Internet site Friends/Family.. 8 Other Source.. 9 If you contacted a brokerage firm in the last 12 months, what was the reason for the contact? Discount Full Service Online Brokerage Brokerage Brokerage 493 Firm Firm Firm Advice or Price Quotes Purchased or Sold Bonds Purchased or Sold Stocks Purchased or Sold Mutual Funds Brokerage Firms or other financial institutions, used in last 12 months: BNY Mellon.. 1 Capital One ShareBuilder.. 2 Charles Schwab.. 3 Chase Investment Services Edward Jones.. 5 E*Trade.. 6 Fidelity Merrill Lynch.. 8 Morgan Stanley Smith Barney Raymond James.. 1 Scottrade.. 2 T. Rowe Price TD Ameritrade.. 4 TIAA-CREF TradeKing.. 6 UBS USAA Vanguard Group.. 9 Wells Fargo Advisors T-0 Other full service firm.. 1 Other discount brokerage firm Other online brokerage firm Other bank Other.. 5 Investment transactions (stocks, bonds, mutual funds) executed in the past 12 months: (Please count each buy and sell separately.) None MUTUAL FUNDS Do you invest in a mutual fund managed by any of these mutual fund families/companies? Own Acquired or added to in last 12 months American Century American Funds Charles Schwab/Schwab Dreyfus DWS Investments Fidelity Investments Franklin Templeton The Hartford Invesco Janus Lord Abbett Merrill Lynch Morgan Stanley Smith Barney Oppenheimer Prudential Investments Putnam TIAA-CREF T. Rowe Price UBS USAA Vanguard Group Voya Other.. 23

41 Page 39 FINANCIAL & INSURANCE LIFE INSURANCE Do you currently carry any life insurance? Yes Which kind(s) do you carry? Separate term policy.. 1 Separate whole life policy.. 2 Combination term/whole life policy.. 3 Universal life.. 4 Variable life.. 5 How many different life insurance policies do you carry? Number of policies How acquired: From a union.. 1 From a place of work From a fraternal or other membership group Veterans life insurance.. 4 From a bank.. 5 With loan, mortgage or installment payments.. 6 Through an agent representing one company.. 7 Through an agent (broker) representing more than one company.. 8 In response to mail advertising (no agent).. 9 Direct from insurance company via phone (no agent).. 0 Direct from insurance company via website (no agent).. X Total face value of all the life insurance you currently carry: Less than $20, $ 20,000 - $ 49, $ 50,000 - $ 99, $100,000 - $149, $150,000 - $249, $250,000 - $499, $500,000 or more.. 7 LIFE INSURANCE (Continued) Acquired Have Last 12 Policy Months With which company: AAA AARP from New York Life. 02 Aetna AFLAC AIG American General Allstate American Family AXA Equitable Bankers Life & Casualty Cigna Colonial Penn Farm Bureau Farmers Insurance Group. 13 Genworth Gerber Life Guardian The Hartford John Hancock Lincoln Financial Group MassMutual MetLife Mutual of Omaha Nationwide New York Life Northwestern Mutual Pacific Life Principal Financial Group. 27 Prudential SBLI State Farm TIAA-CREF Unum Group USAA Veterans Group Life (VGLI) Voya Other PAYING BILLS Bill-paying methods you personally used, last 12 months: 64M-0 Pay in person Pay by mail Pay by Internet/Online Pay by phone using credit card.. 4 Pay by mobile device Bills automatically charged to credit card. 6 Bills automatically deducted from bank account Other.. 8 DIGITAL PAYMENT SERVICES Digital payment services you personally used to make a purchase or payment, last 30 days: Apple Passbook/Apple Pay.. 1 Google Wallet MasterPass by MasterCard PayPal.. 4 Visa Checkout Other digital payment service TRAVELERS CHEQUES Have you personally bought travelers cheques in the last 12 months? Yes 1 No SECURITIES Please mark the securities and/or retirement/college savings plans you personally own. For each type owned, what is the approximate current market value and was any part acquired in the last 12 months? TOTAL VALUE OF HOLDINGS Acquired or added to Under $10,000- $50,000- $150,000- $250,000 in last Own $10,000 $49,999 $149,999 $249,999 or more months Securities you personally own: U.S. Savings Bonds U.S. Treasury Notes Other U.S. Government Bonds Common or Preferred Stock in Company you work for Common Stock in any other Company Preferred Stock in any other Company Privately held shares of Companies or Partnerships City/Municipal or State Bonds Corporate Bonds or Debentures Money Market Funds Mutual Funds (Bonds) Mutual Funds (Stocks) Tax Exempt Funds Exchange Traded Funds (ETFs) Annuities Savings Certificates Insured Money Market Accounts (Bank) CD (Certificate(s) of Deposit) 6 months or less CD (Certificate(s) of Deposit) more than 6 months Investments in Gold or other Precious Metals or Gems Investment Collections of Antiques, Books, Stamps, etc Other investments (Commodities/Puts/Calls, etc.) Retirement or college savings plans you personally have: Traditional IRA Roth IRA Keogh (k) (b) (b) Plan (College Savings Plan)

42 FINANCIAL & INSURANCE Page 40 HOMEOWNERS OR PERSONAL PROPERTY INSURANCE own name) and check which cards you MEDICAL INSURANCE in the last 12 months: OTHER INSURANCE Do you currently carry fire, theft or other type of loss insurance on either your home or your personal belongings? Your Household Acquired Currently Last Carries Months 1 2 Homeowner Renter Condominium/Co-op With what company? AAA.. 1 AIG Allstate American Family Country Encompass Farmers Insurance Group.. 7 Foremost.. 8 Geico The Hartford Liberty Mutual MetLife Nationwide Progressive Safeco.. 6 State Farm Travelers USAA Other.. 0 How was it acquired? From an agent.. 1 In response to direct mail advertising Direct from insurance company via phone Direct from insurance company via website Who decided which company to use? Yourself (alone or with someone else).. 1 Someone else.. 2 Total value for loss covered by policies: Less than $10, $110,000 - $224, $125,000 - $249, $150,000 - $274, $175,000 - $299, $100,000 - $199, $200,000 - $299, $300,000 - $499, $500,000 or more Floater policy(s) or additional coverage carried: Floater for jewelry or furs Floater for collections (antiques, coins, etc.) Floater for other personal items.. 3 Coverage for earthquakes or floods.. 4 Other additional coverage. 5 Do you have a combined home and auto policy? Yes.. 6 Are you personally covered by any medical, hospital or accident insurance? Yes.. 1 Who is covered by this insurance? You and other household/family members.. You alone What type of polic(ies) do you have? Non-Government (e.g. Group, Individual, etc.) Medicaid.. Medicare With which company? AARP.. Aetna AFLAC.. Bankers Life & Casualty BlueCross/BlueShield Cigna.. Health Net Humana Kaiser Permanente MetLife.. Mutual of Omaha Oxford State Farm United Healthcare Other.. 8 How was policy obtained? From a union.. 1 From a place of work From a fraternal or other membership group.. State or national healthcare exchange Other government source Through an agent representing one company.. Through an agent (broker) representing 6 more than one company.. In response to mail advertising or phone 7 contact (no agent) Through the Internet What kind of policy is it? 64K-0 EPO (Exclusive Provider Organization). 1 HMO (Health Maintenance 3 PPO (Preferred Provider Organization). 4 Organization).. POS (Point-of-Service) Traditional Indemnity/Fee-for-Service Catastrophic/High Deductible Other.. 7 Did you choose to change insurance companies in the last 12 months? Yes.. 1 MORE ABOUT INSURANCE Which of the following types of insurance do you personally carry? Delta Dental Other dental Disability/Loss of income through medical causes Prescription drugs Vision care Accidental death and dismemberment.. 6 Boat owners Identity theft Long term care Mortgage.. 0 Personal liability (not Automotive or Homeowners).. X Small business.. Y Travel.. 1 TAX PREPARATION How were your personal federal income taxes prepared in the last 12 months? Prepared by: 64A-0 You, personally, manually You, personally, using a computer software program: H&R Block TaxCut TaxACT TurboTax Other software.. 5 You, personally, using an Internet/online tax preparation program or service: H&R Block TaxCut Jackson Hewitt Online Liberty Tax.. 8 TaxACT TurboTax Other online program/service.. X 64N-0 H&R Block (on-site) Jackson Hewitt (on-site) Liberty Tax (on-site) Other tax preparation service, on-site CPA or other tax professional Friend or family member Other.. 7 When filed, last 12 months: Before IRS deadline.. 8 Same day of the IRS deadline.. 9 After the IRS deadline Which of the following, if any, are very important to you when choosing an Insurance provider? (Check all that apply) VERY IMPORTANT WHEN CHOOSING Homeowners/ Auto Personal Property Life Medical 64Z Insurance Insurance Insurance Insurance Agent Recommendation Customer Service Financial Stability of Company Location Rates Reputation of Company Simplicity of Application Size of Company Years in Business Other

43 Page 41 AMOUNT SPENT ATHLETIC SHOES Pairs IN TOTAL IN THE purchased LAST 12 MONTHS: in last 12 Under $50- $ months $50 $74 $149 $150 + Aerobic/Fitness shoes Baseball/Softball shoes Basketball shoes Boat/Deck shoes Cross Training shoes Golf shoes Hiking/Backpacking boots Hunting Boots Running/Jogging shoes Soccer shoes Sports Sandals Tennis shoes Walking shoes Weight Lifting/Training shoes BRANDS PURCHASED LAST 12 MONTHS: Adidas.. 1 Merrell.. 1 Airwalk.. 2 New Balance.. 2 Asics Nike.. 3 Avia.. 4 Puma.. 4 Brooks.. 5 Reebok Converse.. 6 Rockport Easy Spirit.. 7 Saucony.. 7 Ecko.. 8 Skechers.. 8 Fila.. 9 Timberland Jordan.. 0 Under Armour.. 0 Keds.. X K-Swiss.. Y Vans.. X Wolverine.. Y 60A-0 Other.. 1 APPAREL AMOUNT SPENT SHOES Pairs IN TOTAL IN THE purchased LAST 12 MONTHS: in last 12 Under $50- $ months $50 $99 $249 $250 + Canvas Casual/Leisure Dress Boots Dress Shoes Sandals Slippers Western Boots Work Boots Other Work Shoes Other BRANDS PURCHASED LAST 12 MONTHS: 62A-0 Aerosoles.. 1 ALDO.. 2 Allen-Edmonds Anne Klein.. 4 Børn.. 5 Clarks.. 6 Coach Cole Haan.. 8 Crocs.. 9 Ecco.. 0 Florsheim X Havaianas.. Y 62B-0 Johnston & Murphy Keen.. 2 Kenneth Cole.. 3 Naturalizer.. 4 Nina.. 5 Nine West.. 6 Rockport.. 7 Skechers Sperry Stacy Adams Steve Madden.. X UGG.. Y 62T-0 Other Please indicate how much you AGREE or DISAGREE with each of DISAGREE AGREE FASHION & the following statements by checking the box that comes closest STYLE ATTITUDES 62C Completely Somewhat Somewhat Completely to how you feel Being able to customize an item makes me more willing to purchase it Comfort is one of the most important factors when selecting fashion products to purchase I prefer fashion that is classic and timeless as opposed to trendy I rely on magazines to keep me up to date on fashion I am loyal to only a few fashion brands and stick with them I only buy shoes and clothing when I have to replace something I often spend more money than I expected to on my fashion purchases When buying fashion products, the overall look is more important than the brand When I find a haircut that suits me, I stick with it I follow a strict skin-care routine I am content with my appearance I must admit I wear designer brands partially to impress other people When a celebrity designs a product, I am more likely to buy it I consider my fashion style to be trendy I often use natural or organic beauty products I buy new clothes at the beginning of each season I only spend what I budget on fashion items I often try different ways to style my hair I love to mix and match high and low end designers when putting together an outfit I ll buy trendy clothes even if they re not the highest quality I am more likely to buy a brand that I know supports a charity You can tell a lot about a person by the clothes they wear Clothes made by fashion designers are more appealing I m willing to use the Internet to shop for fashion products I generally wear sunscreen I prefer to shop for fashion products on my own, rather than with friends I dress more to please myself than to please others I would consider having a cosmetic surgery or procedure to improve my appearance When I smell a perfume or cologne sample that I like in a magazine, I will purchase it Maintaining a youthful appearance is important to me I judge others by how put together they look It is important to me to be well-groomed

44 APPAREL Page 42 AMOUNT SPENT MEN S CLOTHING How many IN TOTAL IN THE did you buy LAST 12 MONTHS: in the last Under $ months $100 $249 $250 + All-Weather Coats Leather Coat, Jacket Fur Coat, Jacket Overcoat Parka Ski Jacket Formalwear (tuxedo) Business Suit Casual/Non-Business Suit Sports Jacket Under $50- $ $50 $99 $249 $250 + Lightweight Jacket Casual Slacks Dress Slacks Designer Jeans Jeans Sweater Dress Shirt Sports Shirt Nightwear Underwear (Number of pairs) Cloth Handkerchiefs Gloves Hat Necktie Belt Wallet T-shirt (not undershirt) Socks Sweatpants Sweatshirt Swimsuit BRANDS PURCHASED LAST 12 MONTHS: 62D-0 Adidas.. 1 Armani.. 2 Banana Republic.. 3 Brooks Brothers.. 4 Calvin Klein.. 5 Carhartt.. 6 Champion Claiborne.. 8 Dickies.. 9 DKNY.. 0 Dockers.. X Eddie Bauer.. 1 Express.. 2 Fruit of the Loom.. 3 The Gap.. 4 H&M.. 5 Haggar Hanes IZOD Jockey.. 9 Jones New York.. 0 Kenneth Cole.. X SPORTS CLOTHING 62E-0 Lacoste Lands End.. 2 Lee.. 3 Levi s.. 4 Nautica.. 5 Nike.. 6 The North Face C-0 Old Navy Polo.. 2 Ralph Lauren.. 3 Reebok Russell Athletic Tommy Hilfiger.. 6 Under Armour Wrangler Other.. 9 Total Amount You Spent in the Last 12 Months: Under $100- $ $100 $149 $299 $300 + Athletic/Workout wear Bicycle clothing Golf clothing Hiking/Backpacking clothing Hunting clothing Marine/Boating attire Running clothing Ski clothing Team Sports clothing Tennis clothing AMOUNT SPENT WOMEN S CLOTHING How many IN TOTAL IN THE did you buy LAST 12 MONTHS: in the last Under $ months $100 $249 $250 + Fur Coat, Jacket, Stole Leather Coat, Jacket Cloth Coat Raincoat Parka Ski Jacket Suit (with skirt) Evening Dress Pants Suit Blazer Under $50- $ $50 $99 $249 $250 + Dress Maternity Clothes Skirt Casual Slacks Dress Slacks Designer Jeans Jeans Sweater Blouse/Shirt Nightwear Purse (handbag) Gloves Hat Belt T-shirt Socks Sweatpants Sweatshirt Swimsuit BRANDS PURCHASED LAST 12 MONTHS: 62F-0 Adidas.. 1 Alfred Dunner.. 2 Ann Taylor Anne Klein.. 4 Armani.. 5 Banana Republic.. 6 Calvin Klein.. 7 Champion Danskin DKNY.. 1 Dockers.. 2 Eddie Bauer.. 3 Express.. 4 The Gap.. 5 Guess H&M G-0 Hanes.. 1 Inc IZOD Jones New York.. 4 Juicy Couture.. 5 Kenneth Cole.. 6 Lacoste Lee.. 8 CLOTHING EXPENDITURES 64D-0 Levi s.. 1 Liz Claiborne.. 2 LOFT.. 3 Lucky Brand.. 4 New York & Company Nike.. 6 The North Face.. 7 Not Your Daughter s Jeans. 8 Old Navy M-0 Polo.. 1 Ralph Lauren.. 2 Reebok Riders Sag Harbor Talbots.. 6 Tommy Hilfiger.. 7 True Religion.. 8 Under Armour Wrangler Other.. X In the past 12 months, how much did you spend on the purchase of clothing: Under $ $1,100 - $ $1,300 - $ $1,500 - $ $1,000 - $1, $2,000 - $2, $3,

45 Page 43 ACCESSORIES, LINGERIE, WRITING INSTRUMENTS, TOOLS FINE JEWELRY Number Bought/ Bought last 12 last months months Bracelet 01 Brooch/Pin 02 Earrings 03 Necklace 04 Engagement Ring 05 Other Ring 06 Diamond 07 Gold 08 Platinum 09 Sterling 10 Other 11 Total amount spent on fine jewelry in the last 12 months: Under $100 1 $100-$399 2 $400-$749 3 $750-$999 4 $1,000-$1,499 5 $1, Where Purchased: 64B-0 Independent Jeweler 1 Department Store 2 Jared 3 Kay Jewelers 4 Zales 5 Other Retail Chain 6 Warehouse/Club Store 7 Other 8 Purchased for: Yourself 9 Someone else (gift) 0 WATCHES 541 Bought/ last 12 Own months 1 2 Sport 01 Dress 02 Casual 03 Anne Klein 04 Breitling 05 Bulova 06 Cartier 07 Casio 08 Citizen 09 Fossil 10 Gucci 11 Guess 12 Movado 13 Omega Rolex 15 Seiko 16 Swatch 17 Tag Heuer 18 Tiffany 19 Timex 20 Victorinox Swiss Army 21 Other 22 Total amount spent on watches in the last 12 months: $1-$49 1 $100-$299 3 $ $50-$99 2 $300-$499 4 If purchased in last 12 months, purchased for: Yourself 6 Gift for a man 7 Gift for a woman 8 WOMEN S LINGERIE/ UNDERGARMENTS 545 Number Bought Bought last last months months TOTAL: 00 Bras 01 Sports Bras 02 Panties 03 Pantyhose 04 Tights 05 Leggings 06 Shapewear 07 Bali 08 Barely There 09 Fashion Forms 10 Fruit of the Loom 11 Hanes 12 Jockey 13 Just My Size 14 Lane Bryant 15 L eggs 16 Maidenform 17 No Nonsense 18 Playtex 19 Spanx 20 Vanity Fair 21 Vassarette 22 Victoria s Secret 23 Warner s 24 COSTUME JEWELRY Number Bought/ Bought last 12 last months months Bracelet 01 Pin 02 Earrings 03 Necklace 04 Ring 05 Total amount spent on costume jewelry in the last 12 months: $1-$24 1 $50-$99 3 $ $25-$49 2 $100-$199 4 WRITING Bought in Bought INSTRUMENTS last 12 as months gift Matched Set 01 Ball Point 02 Mechanical Lead Pencil 03 Rollerball 04 Marker 05 Bic 06 Classic 07 Crayola 08 Cross 09 Expo 10 Montblanc 11 Paper Mate 12 Parker 13 Pentel 14 Pilot 15 Scripto 16 Sharpie 17 Uni-ball 18 Waterman 19 Other 20 NEEDLECRAFT AND SEWING 543 Number Stitched of times/ in last last 6 6 months months Sewing General Mending 01 Sewing Garments from Patterns 02 Knitting 03 Crocheting 04 Cross-stitch 05 Needlepoint 06 Quilting 07 TOOLS Acquired/ last 12 Owns months Air compressor (not 12 volt inflator) 01 Automotive tools 02 Car vacuum 03 Chain saw (gas) 04 Chain saw (electric) 05 Chipper/Shredder 06 Circular saw (portable) 07 Decorative paint tools/kits 08 Drive bits 09 Electric car polisher 10 Electric drill cordless 11 Electric drill corded 12 Electric router 13 Electric sander 14 Electric screwdriver (cordless) 15 Glue gun 16 Hand tools 17 Jig/sabre saw (portable) 18 Lawn mower riding 19 Lawn mower (non-power) 20 Lawn mower, walk behind (electric) 21 Lawn mower, walk behind (gas) Lawn or garden tractor 23 Lawn sprinkler 24 Leaf shredder 25 Outdoor blower (gas) 26 Outdoor blower (electric) 27 Paint sprayer 28 Pliers 29 Pneumatic tools 30 Power ratchet; cordless 31 Saw blades 32 Shears (non-electric) 33 Shovel 34 Snowblower 35 Staple gun 36 Stationary band saw 37 Stationary drill press 38 Stationary table saw 39 Stationary radial arm saw 40 Tiller (garden) 41 Trimmer/edger (electric) 42 Trimmer/edger (gas) 43 Wallpaper stripper 44 Welder 45 Wet-dry shop vacuum 46 Workbench (portable) 47 Other 48 Who decided to make these purchases? Yourself (alone or with someone else) 1 Someone else 2

46 FURNITURE STORES, HOUSEHOLD FURNISHINGS, PAINT Page 44 HOUSEHOLD FURNISHINGS AMOUNT SPENT IN LAST 12 MONTHS Bought $1000 last 12 $1- $250- $700- or Owns months $249 $699 $999 more Wall unit/wall system Sofa/sectional Recliner Sofa-bed convertible Other living room furniture Bed frame/headboard Box spring Mattress Cedar chests Other bedroom furniture Kitchen furniture Dining room furniture Family room furniture Home office furniture Piano Picture frames custom made Window coverings custom made Wall-to-wall carpet Horizontal blinds custom made Vertical blinds custom made Bought $500 last 12 $1- $100- $300- or Owns months $99 $299 $499 more Awning Draperies Curtains Horizontal blinds ready made Vertical blinds ready made Pleated shades Lawn/porch furniture Patio/deck cover Air mattress (Inflatable) Upholstery fabric Area rug Room size rug Indoor/outdoor carpet Table/floor lamps Who decided to make these purchases? Yourself (alone or with someone else) 2 Someone else Did your household rent any of the above furnishings in the last 12 months? Yes 3 APPLIANCES FOR CLIMATE CONTROL AMOUNT SPENT IN LAST 12 MONTHS Bought $1000 last 12 $1- $100- $400- or Owns months $99 $399 $999 more Air cleaner electric Central air conditioner Air conditioner separate room Attic/whole house fan Ceiling fan (not bathroom vent) Coal/wood stove Central heating gas Central heating oil Electric heating (central) Space heater (electric) Automatic setback thermostat Dehumidifier Humidifier Fireplace Heat pump Kerosene heater Who decided to make these purchases? Yourself (alone or with someone else) 2 Someone else PAINT/STAIN 555 Bought/ Gallons/ last 12 last 12 months months Interior paint Exterior paint Interior stain Exterior stain Brush/roller Spray FORMS: Latex/water-based Oil-based Ace Behr Benjamin Moore Cabot Dutch Boy Glidden KILZ Krylon Martha Stewart Minwax Olympic Ralph Lauren Rust-Oleum Sherwin Williams Thompson s WaterSeal True Value Valspar Walmart (Color Place) WHERE PURCHASED: Hardware Store.. 1 Home Center Store.. 2 Department Store Discount Store.. 4 Lumber/Building Supply.. 5 Paint Store.. 6 Other.. 7 AMOUNT SPENT: Less than $ $50-$ $101-$ Over $ X FURNITURE Shopped Times STORES last 12 in last 12 months months 67J Aaron s Art Van Furniture Ashley Furniture HomeStore Cost Plus World Market. 04 Ethan Allen Havertys IKEA Jennifer Leather/ Convertibles Jordan s Furniture LA-Z-Boy Furniture Galleries Raymour & Flanigan RAC Rent-A-Center Restoration Hardware Rooms To Go Thomasville Value City Furniture Walter E. Smithe

47 Page 45 KITCHEN & HOUSEHOLD APPLIANCES & DURABLES KITCHEN COOKING AND SERVING Bought last 12 PRODUCTS Owns months Aluminum cookware Other metal cookware Barbecue equipment Canning jars & lids Ceramic coated cookware Cutlery (kitchen knives) Insulated coffee carafe/server Wok (non-electric) Glass storage containers Plastic storage containers Glass ovenware/bakeware Non-stick metal bakeware/ovenware Glass rangetop cookware Microwave cookware: glass/ceramic plastic paper/disposable Who decided to make these purchases? Yourself (alone or with someone else) 2 Someone else Have you purchased any of the above as a gift? Yes 1 No 2 SMALL KITCHEN APPLIANCES Bought last 12 Owns months Bread making machine Coffee maker automatic drip Coffee maker electric perk Coffee maker single cup/pod brewing system Coffee maker other electric Coffee maker French press Espresso/Cappuccino Maker Deep fryer Electric blender Electric can opener Electric coffee grinder Electric food processor Electric fry pan Electric grill indoor Electric juicer Electric knife Electric mixer hand held Electric mixer stationary Electric popcorn maker Electric slow cooker Electric steam cooker Electric wok Ice cream machine Pasta machine Pressure cooker Toaster Toaster oven Vacuum sealer Who decided to make these purchases? Yourself (alone or with someone else) 2 Someone else PERSONAL APPLIANCES Amount spent last 12 months Bought last 12 $1- $25- Own months $24 $49 $ Blood glucose monitor Clock battery Clock radio electric Electronic ear thermometer. 04 Hand-held massagers Hearing aids Home blood pressure monitor Lighted make-up mirror Massaging shower head Oral irrigation device Scale (bathroom) LARGE KITCHEN & COOKING APPLIANCES Bought last 12 Owns months Dishwasher built-in Dishwasher portable Built-in range oven electric Built-in range oven gas Electric stove/range Gas stove/range Induction range/oven Continuous cleaning oven Convection oven Cook top Microwave oven Combination range/microwave Rangehood Refrigerator Separate freezer Charcoal grill Electric grill outdoor Gas grill Smoker Trash compactor Garbage disposal Did your household rent any of the above items in the last 12 months? Yes 1 No 2 Who decided to make these purchases? Yourself (alone or with someone else) 2 Someone else HOUSEHOLD APPLIANCES & DURABLES Bought last 12 Owns months Air purifier Broom Burglar alarm/home Security System Carpet steam cleaner Clothes dryer electric Clothes dryer gas Garage door opener Generator (portable) Home fire extinguisher Hot tub/whirlpool spa Hot water heater Iron Locks or lock sets Mop Rechargeable flashlight Other battery flashlight Sewing machine Smoke/fire detector Vacuum cleaner cannister Vacuum cleaner hand held Vacuum cleaner upright Washing machine high efficiency Washing machine standard Washer/dryer stacked Water softener Who decided to make these purchases? Yourself (alone or with someone else) 2 Someone else TABLE SETTINGS Bought last 12 Bought Own months as gift Cloth tablecloth/napkins Fine china dinnerware Glassware Fine china serving pieces Fine crystal barware Lead crystal hollowware Lead crystal stemware Silverplated flatware Stainless flatware Sterling silver flatware Stoneware Placemats Other dinnerware Amount personally spent on table settings, last 12 months: $ (Write in Amount)

48 HOME IMPROVEMENTS & REMODELING, BEDDING, SHOPPING Your Household: Who did the work: Amount Spent HOME REMODELING Had done Yourself or $3000 last 12 Other Household Outside Under $1000- or 573 months Member Contractor $1000 $2999 more Conversion of garage/attic/ basement into living space Remodel bathroom Remodel kitchen Remodel bedroom Convert room to home office Convert room to home theater Remodel other rooms Add bathroom Add/extend garage Add other rooms exterior addition 10 Add deck/porch/patio Roofing Siding vinyl/metal Aluminum windows Clad-wood/Wood windows Vinyl windows Ceramic tile floors Hardwood floors Laminate flooring Vinyl flooring Carpeting Kitchen cabinets Kitchen counter tops Skylights Exterior doors Interior doors Garage doors Concrete or masonry work Swimming pool in ground Ceramic wall tile Did you use any environmentally friendly/ green products in any of the above remodeling jobs? 63C-0 Yes 1 How many of the above remodeling jobs did you personally do? (Write in number) HOME IMPROVEMENTS Your Household: Who did the work: Amount Spent Purchased Yourself or $500 last 12 Other Household Outside Under $100- or months Member Contractor $100 $499 more Bathroom or kitchen faucets Other bathroom or kitchen plumbing fixtures Insulation for ceiling, floor, and/or walls Exterior light fixtures Interior light fixtures Clean-air filter Down spouts/gutters Yard fence Wallpaper/covering Exterior painting Interior painting Has your household used a home decorating service in the last 12 months? Yes 1 Did you use any environmentally friendly/ green products in any of the above home improvements? 63D-0 Yes 1 How many of the above improvements did you personally do? (Write in number) In the past 12 months how often did you have your home cleaned by: HOUSEKEEPING SERVICES Maid or Professional Housekeeper Cleaning Service More than once a week Once a week times a month Once a month Less than once a month In the last 12 months, have you used the following: Professional carpet cleaning service.. 1 Professional furniture cleaning service BEDDING AND BATH GOODS Page 46 Bought last 12 months Bathmat (in tub).. 1 Shower Curtain.. 2 Towels.. 3 Pillowcases Sheets.. 5 Electric blankets.. 6 Other blankets.. 7 Bedspreads.. 8 Pillows.. 9 Pillow shams.. 0 Comforters/quilts.. X Dust ruffles.. Y Total amount spent in last 12 months: Less than $ $50-$ $ Who decided to make these purchases? Yourself (alone or with someone else) 2 Someone else Someone else CONVENIENCE Shopped Times/ STORES in 584 STORES: AM/PM BP Food Mart Casey s General Store Circle K Citgo Cumberland Farms Exxon/Mobil On the Run. 07 QuikTrip Eleven Sheetz Shell Speedway Wawa Other What time of day do you usually shop at convenience stores? Morning (5 am-10 am).. 1 Mid Day (10 am-2 pm).. 2 Afternoon (2 pm-7 pm) Evening (7 pm-midnight).. 4 Which of the following items have you bought/ used in a convenience store in the last 30 days? Breakfast sandwich.. 1 Lunch sandwich.. 2 Hot dogs.. 3 Pizza.. 4 Other grill food.. 5 Ice cream.. 6 Candy.. 7 Snack foods.. 8 Dairy products.. 9 Bread.. 0 Other bakery items.. X Coffee-Brewed.. Y Milk.. 1 Soft drinks bottle/can.. 2 Soft drinks fountain.. 3 Juice drinks.. 4 Beer.. 5 Frozen beverage.. 6 Cigarettes Lottery tickets Non-prescription drug/otc. 9 ATM/Financial services.. 0 Gas.. X Other (non-food).. Y How much money did you personally spend in convenience stores in the last 30 days? Amount Spent $ 587-0

49 Page 47 CAMERAS, FILM, SHOPPING, GIFT & PREPAID CARDS SHOPPING In the last 6 months, where did you purchase the following items? 502 Department Discount Drug Grocery Store Store Store Store Online Cosmetics Perfume/Cologne Toiletries Non-prescription drugs/otc Prescription drugs Clothing Shoes In the last 6 months, where did you purchase the following alcoholic beverages? 589 Convenience Super- Liquor Drug Wholesale Store market Store Store Club Online Other Beer Wine Liquor CAMERAS/ CAMCORDERS Bought last Own months 1 2 Action/P.O.V Compact System Camera Digital Camcorder Digital Point & Shoot Digital SLR (Single Lens Reflex). 05 Instant Developing Camera mm Other Canon Fujifilm GoPro JVC Kodak Nikon Olympus Panasonic Pentax Polaroid Samsung Sony Other FEATURES: Wi-Fi Enabled Touch Screen LCD Waterproof What level of photographer do you consider yourself to be? 63T-0 Amateur.. 1 Advanced Amateur.. 2 Professional.. 3 Amount spent on cameras/camcorders, last 12 months: $ 63U-0 (Write in Amount) CAMERA & DEVELOPING ACCESSORIES Bought last 12 Own months 591 Albums Batteries Camera case Flash unit Gadget bags Lens filter(s) Memory cards Photo paper Photo printer Picture Frames (Digital) Picture Frames (Traditional). 11 Selfie Stick Smartphone adaptive lens. 13 Smartphone mini tripods. 14 Telephoto/zoom lens Tripod Wideangle lens Other accessory lens(es) GIFT CARDS & Number PREPAID CARDS Bought of cards ofof last 6 bought/last months 6 months 61N TOTAL: American Express Discover MasterCard VISA Book Store Coffee Shop/Store Department Store Discount Store Electronics Store Mall Restaurant Other Bought for/gave to: 61R-0 Family Adult.. 1 Family Child under 18 years Friend.. 3 Yourself Other Where purchased: 63S-0 Bank.. 1 Department Store Discount Store.. 3 Mall.. 4 Supermarket Drugstore/Pharmacy.. 6 Other Store Internet/Online.. 8 Other.. 9 Amount spent in total, last 6 months: $ 61S-0 (Write in Amount) Have you received a gift or prepaid card (from someone other than yourself) in the last 6 months? 61T-0 Yes M 1 Received from: 63V-0 Family Adult.. 1 Family Child under 18 years Friend.. 3 Other After receiving, how long do you usually wait before redeeming gift or prepaid cards? 61W-0 Less than one month month to less than 6 months months to less than 12 months months or more Do not usually redeem When redeeming a gift or prepaid card do you typically spend: Less than the total amount on the card About the same amount on the card.. 7 More than the amount on the card.. 8 EXPENDITURES Used in Amount last 6 spent last months 6 months 593 Barber Shop.. $ 01 Beauty Parlor/Salon.. $ 02 Dry Cleaning.. $ 03 Flowers by Phone/Internet. $ 04 Flower Shop.. $ 05 Laundry/Laundromats.. $ 06 Quick Service Copy/Printing $ 07 FILM & FILM PROCESSING 594 Purchased Rolls or last 12 packs last months 12 months 35mm Instant developing film Other.. Where was film processed? Camera store.. 1 Discount store.. 2 Drug store Internet/Online.. 4 Warehouse/Club Store.. 5 Develop film yourself.. 6 Other.. 7 DIGITAL PHOTOS Digital photo activities you did, last 12 months: Edited photos using software.. 1 Edited photos online or with app.. 2 Edited photos another way Ordered photobook/calendar.. 4 Ordered photo cards/stationery.. 5 Ordered other customized photo product 6 Have you printed digital photos in the last 12 months? Yes M 1 If yes, where printed? Digital photo kiosk In-store photo center Internet/Online service Home/personal photo printer.. 5 Other Types of digital photos taken, last 12 months: Using Using 599 digital smartphone/ camera tablet 1 2 Animals/Pets Family Portrait Food Nature/Landscape Self-Portrait Special Occasions/Events. 06 Sports Vacation/Travel.. 08

50 TELEVISIONS, AUDIO & VIDEO EQUIPMENT, PAY PER VIEW/VIDEO ON DEMAND TELEVISION SETS None 1 One 2 Two 3 Three 4 Four or more 5 How many television sets does your household own? For each set Most 2nd Most currently owned: Recent Recent Other Purchase Purchase Purchase SCREEN SIZE: Under 27 (Small) (Medium) (Large) (XLarge) and over (XXLarge) Regular (tube) LCD LED OLED Plasma Projection X X X DLP.. Y Y Y Emerson Hitachi Insignia JVC LG Magnavox Panasonic Philips RCA Samsung Sanyo.. X X X Sharp Sony Toshiba Vizio Westinghouse Other Was TV purchased in the past 12 months? Yes How much did set cost? Less than $ $100-$ $300-$ $700-$ $1,000-$1, $1,500-$2, $3, Does your television set have the following: D TV K Ultra HDTV HDTV HDTV Ready Curved Screen Picture in Picture Combination TV/DVD Closed captioning Smart TV/Internet Connectable Who decided which brand to buy? Yourself/alone or with someone else Someone else.. X X X DVD & BLU-RAY PLAYERS Bought last 12 Owns months DVD or Blu-ray Player Portable Standard VCR combination D Internet Connectable Recordable Non-recordable FORMATS: DVD Blu-ray LG Magnavox Panasonic Philips Pioneer RCA Samsung Sony Toshiba Vizio Other 21 (Write In) Total amount spent in last 12 months: 65H-0 Less than $ $200-$ $400 or more INTERNET VIDEO DEVICES FOR TV The following devices attach to your TV and let you view video through the Internet. Which of these, if any, does your household own? Amazon Fire TV Apple TV.. 2 Google Chromecast.. 3 Google Nexus Player (Android TV).. 4 Netgear NeoTV.. 5 Roku.. 6 Slingbox.. 7 Sony Internet Player w/google TV.. 8 WD TV.. 9 Other.. 0 PORTABLE GPS NAVIGATION DEVICES (Not Factory-installed/ Bought last 12 Not Built-In) Owns months 64P Portable GPS Navigation 1 2 Device Garmin Magellan TomTom Other 05 (Write In) Used for: 64Q-0 Navigation in Vehicle.. 1 Navigation on Foot (Hiking/Walking).. 2 Other.. 3 AUDIO EQUIPMENT & ACCESSORIES Page 48 Bought last 12 Owns months Headphones (ear buds) Noise Reduction Headphones Bluetooth/Wireless Headphones Other Headphones Home Theater/Entertainment System MP3 Player Docking Station. 06 Compact Disc Player Multi-Component System Receiver - amplifier Surround Sound Speakers. 10 Outdoor Speakers Wireless Speakers Soundbar Other Speakers Turntable Total amount spent, last 12 months on: 605 Headphones.. $ 01 (Write in amount) Other Audio Equipment. $ 02 (Write in amount) MP3 PLAYERS (PORTABLE) Bought last 12 Own months 65J 1 2 MP3 Player Apple ipod classic Apple ipod nano Apple ipod Shuffle Apple ipod touch Sansa/SanDisk Sony Other 08 (Write In) 64R-0 Used for: Listening to music.. 1 Listening to podcasts Watch video/movie Play video game.. 4 Other.. 5 Total amount spent in last 12 months: $ 65K-0 (Write in amount) PAY PER VIEW/ VIDEO ON DEMAND In the past 12 months did you watch..? Pay Per View (pre-set start time).. 1 Video on Demand (start at any time).. 2 Number of times you watched Pay Per View, past 12 months: 611 Movies.. (Write in #) 01 Sports Events (Write in #) Other.. (Write in #) 03 Number of times you watched Video-On-Demand, past 30 days: 612 Movies.. (Write in #) 01 TV Shows (Write in #) Music Programs/Videos. (Write in #) 03 Other (Write in #)

51 Page 49 VIDEO GAMES (HOUSEHOLD Bought last 12 OWNS) Owns months 616 SYSTEMS: 1 2 Nintendo DS/DS Lite Nintendo DSi Nintendo DSi XL Nintendo 3DS Nintendo 3DS XL Nintendo 2DS Nintendo Wii Nintendo Wii U Nintendo Wii Mini PlayStation 2 (PS2) PlayStation 3 (PS3) PlayStation 4 (PS4) Sony PSP/PSPgo Sony PS Vita Xbox One Xbox Other Video Game Systems. 17 Who is/are the principal user(s)? Yourself.. 1 Other Adult.. 2 Teen (12-17).. 3 Child (under 12) E Video Video Game Where purchased, Games Systems last 12 months: 1 2 Video Store Electronics Store GameFly GameStop Other Gaming Store Discount Dept. Store Toy Store Internet/Online Through game console Other Total amount spent, last 12 months: 618 Video Games $ 01 (Write in amount) Video Game Systems $ 02 (hardware) (Write in amount) Number of video games: 63W Purchased in the last 12 months 01 (Write in number) Rented in the last 30 days 02 (Write in number) BLANK RECORDABLE Bought Number CDs/DVDs/ last 6 bought last BLU-RAY DISCS months 6 months 65F Blu-ray disc CD DVD Fuji Maxell Memorex Panasonic Sony TDK Store s Own Brand Used for: 64G-0 Recording music.. 1 Recording video Recording photos Backing up data/software.. 4 Other.. 5 VIDEO GAMES, BLANK RECORDABLE CDs/ DVDs/BLU-RAY DISCS, MUSIC & OTHER AUDIO VIDEO GAMES (PERSONALLY PLAYED) Played Hours last 30 played/last days 7 days 63F TOTAL: SYSTEMS: Nintendo DS/DS Lite Nintendo DSi Nintendo DSi XL Nintendo 3DS Nintendo 3DS XL Nintendo 2DS Nintendo Wii Nintendo Wii U Nintendo Wii Mini PlayStation 2 (PS2) PlayStation 3 (PS3) PlayStation 4 (PS4) Sony PSP/PSPgo Sony PS Vita Xbox One Xbox Other Video Game Systems. 17 GAME Action/Adventure Arcade/Puzzle Card/Board Games Educational Exercise/Fitness Extreme Sports Fantasy Fighting Music/Dance Racing Role-Playing Shooter Simulation Sports Strategy War Other ACCESSORIES: PlayStation Move Wii Balance Board Xbox Kinect Other FORMS: 63G-0 Disc/Card/Cartridge.. 1 Online Download.. 2 Online (non-download).. 3 Other # of times 63A Used last logged in 30 days last 7 days Services used, last 30 days: Nintendo Network PlayStation Network Xbox LIVE Did you download or stream content through any of the above online Gaming Services in the last 30 days? Streamed/ # Streamed/ 614 Downloaded Downloaded last 30 days last 30 days Movie TV Show/TV Content Game Demo/Movie Trailer Game Other Other activities, if any, done through above online Gaming Services, last 30 days: 63J-0 Listened to Music.. 1 Accessed Social Networking site.. 2 Used IM.. 3 Audio or Video Chat.. 4 VIDEO GAMES (PERSONALLY PLAYED) (Continued) In the last 30 days, have you played a multi-player game online? 63J-0 Using a video game system.. 5 Using a computer.. 6 Another way.. 7 In the last 30 days, have you played a MMO (Massive Multi-player Online) game? Yes 8 How do you find out about new video games? 63K-0 Friends.. 1 Magazines.. 5 Family.. 2 Newspapers Radio.. 3 Internet TV.. 4 Other.. 8 Which, if any, of the following things do you do after you play a new video game? 63L-0 Tell friends Tell family.. 2 Write about it on the Internet. 3 Other Acquired Number last 6 acquired/last months 6 months 632 FORMS: Downloaded individual song(s) Downloaded album(s) Other audio download Compact Disc (CD) Other (e.g. Vinyl, Cassette etc.) 05 MUSIC & OTHER AUDIO (Downloads, CDs, etc.) Listened to/ Purchased/ 64F last 6 last 6 months months 1 2 Alternative Audiobooks Blues Classic Rock Classical Contemporary Christian Country Dance Music (Electronic). 08 Dance Music (Other) Easy Listening s Pop Faith & Inspiration Folk Foreign Language Instructional Gospel Hard Rock Hip Hop Indie Jazz Light Classical New Age Oldies (50 s & 60 s) Pop/Top R&B Rap Reggae Self-improvement Soft Rock Soundtracks Spanish/Latin Where purchased: 65X-0 Book Store.. 1 Electronics Store.. 2 Discount Dept. Store.. 3 Music Store.. 4 Amazon Prime Music.. 5 Google Play.. 6 itunes Other Internet/Online Site.. 8 Other.. 9

52 PERSONAL COMPUTERS, MOVIES & OTHER VIDEO Page 50 PERSONAL COMPUTERS AT HOME OR AT WORK Do you or does anyone else in your household own a personal computer? Yes 1 No 2 Do you personally use a personal computer at work? Yes 3 No 4 For each computer owned at home or used at work, is the computer a: Own at Home Use at Work Desktop Laptop/Notebook Which brands does your household own and which brands do you personally use at work? Own Use Computer at Home at Work 1 2 Acer Asus Dell Gateway HP (Hewlett-Packard) Lenovo/IBM Panasonic Samsung Sony Toshiba Vizio Other Apple/Mac imac MacBook Air MacBook Pro Other Apple/Mac Own Use Computer Peripherals at Home at Work Blu-ray ROM Drive Blu-ray RE (Blu-ray Burner). 02 CD ROM Drive CD-RW Drive (CD Burner). 04 DVD Drive DVD-RW Drive (DVD Burner) 06 External Hard Drive Flash Drive Modem/Fax Modem LAN/Network Interface Cards 10 Microphone Scanner Speakers Tape/Cartridge Drive Webcam Wireless Keyboard Wireless Mouse Wireless Router Other Computer Own Use Operating Systems at Home at Work Apple/Mac OS 9.x Apple/Mac OS X (10.x) Google Chrome OS (Chromebook) Linux MS Windows MS Windows MS Windows XP MS Windows Vista MS Windows MS Windows MS Windows Unix Other PERSONAL COMPUTERS AT HOME OR AT WORK (Continued) Own at Home Use at Work 625 Computer Software 1 2 Accounting CAD/CAM Communications/Fax Database/filing Desktop Publishing Education/training Entertainment/Games Personal finance/tax prep. 08 Presentation graphics Multimedia Networking Online Meeting/Conference 12 Online/remote data backup. 13 Photo editing Security/Anti-virus Spreadsheet Utility Web Authoring Word Processing Other Amount spent for software in the past 12 months for home: $001 - $ $100 - $ $200 - $ $300 - $ $ Have you bought any computer books in the last 12 months? Yes Who decided what system to buy for your home? Yourself (alone or with someone else).. 1 Someone else.. 2 Who uses the computer at home? Yourself Other adult.. 4 Child (under 18).. 5 Have you had your home computer professionally serviced or upgraded in the last 12 months? Yes 6 No 7 Total cost of home Most Recent computer system: Purchase Other(s) $0,001 - $0, $0,500 - $0, $1,000 - $1, $1,500 - $1, $2,000 - $2, $3,000 - $4, $5, How Purchased: 1 2 In-store Mail Order Online/Internet Phone Purchased from: Computer Superstore Department/Discount Store Direct from Manufacturer. 07 Electronics Store Warehouse/Club Store Online-only retailer Other When acquired: Within the last 12 months years ago years ago years ago or more MOVIES & OTHER VIDEO Rented/ Purchased/ (Rented or Purchased) last 30 last 30 days days 615 FORMAT VIEWED: 1 2 DVD Blu-ray Disc Downloaded/Streamed from Internet On-Demand/Pay-Per-View (e.g. from cable or satellite provider) Action/Adventure Classics Comedy Drama Exercise/Fitness Family/Children-Oriented Foreign Horror Musical News/Information/ Documentary Romance Science Fiction TV Shows Westerns Other WHERE RENTED/PURCHASED: DVDs or Blu-ray Discs Redbox Other video kiosk Video Store Discount Department Store. 23 Electronics Store Grocery Store Mail order Warehouse/Club Store Other Store Amazon Netflix Other Website Internet Download or Stream Amazon Blockbuster on Demand Cinema Now Google Play Hulu itunes Netflix VUDU YouTube Other Website Other Z Number Number Rented Purchased Last 30 days Last 30 days DVDs: Write in # Write in # Blu-ray discs: Write in # Write in # Downloaded or Streamed Video: Write in # Write in # Do you or does anyone in your household subscribe to any of these video services? 63Y-0 Amazon Prime.. M 1 Google Play.. M 2 Hulu plus.. M 3 Netflix.. M 4 Other TV network (online-only subscription). M 5

53 Page 51 COMPUTER PRINTERS/FAX/SPORTS EQUIPMENT/ CLUBS/POLITICAL OUTLOOK/LOTTERY COMPUTER PRINTERS AND FAX MACHINES Bought last 12 Owns months All-in-one Printer (Printer, Copier, Scanner) All-in-one Printer with Fax (Printer, Copier, Scanner, Fax) Computer Printer Only Fax Machine Only Other Laser Ink Jet Other Color Black and White Brother Canon Epson HP Other SPORT & RECREATION EQUIPMENT 667 Bought last Own 12 months Baseball gloves Basketball Bicycle helmet Bow Bowling balls Cross country ski boots Cross country skis Elbow/knee pads (In-line skating protective gear) 08 Factory loaded ammunition. 09 Fishing reel Fishing rod Fishing lures or hooks Other fishing equipment Football Golf balls Outdoor or pocket knife Racquetball balls Racquetball racquet Soccer ball Softball/baseball bats Sportswatch/Chronograph. 21 Tennis balls Tennis racquet Binoculars Mountain bicycle Road bicycle Stationary bicycle Downhill ski boots Downhill skis Roller blades/in-line skates. 30 Elliptical Treadmill Other exercise equipment. 33 Golf clubs Hand gun Rifle Shotgun Hockey equipment Weight lifting equipment Other Amount spent on sport & recreation equipment, last 12 months: $ (Write in amount) 60B-0 PHYSICAL FITNESS In the last 12 months, have you exercised regularly (at least twice a week)? At At At other home club facility Yes Which of these fitness clubs/gyms, if any, are you a member of? 60C-0 Anytime Fitness Curves.. 2 Gold s Gym.. 3 LA Fitness.. 4 Life Time Fitness.. 5 Planet Fitness Hour Fitness The Y (YMCA).. 8 Other Gym/Fitness Club.. 9 LOTTERY Bought Times in last last Any lottery tickets: Instant game (Scratch-off). 01 Daily drawing Mega Millions Powerball Other Lotto or drawing game VOTING POLOTICAL OUTLOOK 65G How often you vote: Always Sometimes Never National Elections Statewide Elections Local Elections CONTRIBUTIONS Contributed to, last 12 months Types of Organizations: Public Broadcasting Service (PBS). 1 National Public Radio (NPR).. 2 Religious Arts/Cultural.. 4 Educational.. 5 Environmental.. 6 Health Political.. 8 Social Services Other Non-Religious Organization. 0 63M-0 Amount How much did you $1-$ contribute in total? $50-$ $100-$ $250-$ $500 or more In the past 12 months, have you volunteered for a charitable organization? Yes 6 GREETING CARDS 657 Bought Number of in last cards last 6 months 30 days Anniversary Birthday Friendship/Love Get Well Sympathy Thinking of You Wedding Baby Christmas/Hanukkah/ Kwanzaa Mother s Day Father s Day Valentine s Day Other Holiday Other Occasion Where Purchased: 63N-0 Card Store Discount Department Store.. 2 Dollar Store.. 3 Drug Store.. 4 Grocery Store.. 5 Internet/Online Other.. 7 CASINO GAMBLING Participated Times in last last months months 659 PLACES: Atlantic City Caribbean Connecticut Las Vegas Mississippi Gulf Coast Reno Other ORGANIZATIONS/ CLUBS Organizations or clubs you are a member of: AARP.. 1 Fraternal Orders Religious Clubs.. 3 Civic Clubs Veterans Clubs A body of local government Country Clubs.. 1 Business Club.. 2 Collector s Clubs.. 3 Union.. 4 School or College Board.. 5 Church Board Charitable Organizations.. 7 Other.. 8 Do you engage in any of the following HOBBIES activities? Collecting - antiques Collecting - art.. 2 Collecting - coins.. 3 Collecting - comic books.. 4 Collecting - dolls/action figures Collecting - figurines Collecting - stamps Collecting - sports trading cards Electric trains.. 9 Indoor gardening & plants.. 0 Listen to music.. X Raising pets.. Y 65E-0 Tropical fish.. 1

54 LEISURE ACTIVITIES/SOCIAL NETWORKING Page 52 HOW OFTEN DO YOU ENGAGE IN THESE: LEISURE ACTIVITIES Participated 2 or more 2-3 Less than in last times a Once a times a Once a once a 12 months week week month month month Adult education courses Aquarium attendance Attend auto shows Attend art galleries or shows Attend horse races Attend country music performances Attend rock music performances Attend classical music/opera performances Attend other music performances Attend dance performances Attend a circus Attend a state or county fair Baking Barbecuing Go to bars/night clubs Go to beach Billiards/pool Birdwatching Board games Book clubs Chess Cooking for fun Concerts on radio Crossword puzzles Dance/go dancing Dining out Entertain friends or relatives at home Fantasy sports league Furniture refinishing Home decoration and furnishing Karaoke Go to live theater Go to museums Painting, drawing Photography Photo Album/Scrapbooking Picnic Play bingo Play cards Play musical instrument Reading books Reading comic books Sudoku Puzzles Tailgating Word games Trivia games PC/computer games (play online) PC/computer games (play offline with software) Video/electronic games (console) Video/electronic games (portable) Woodworking Zoo attendance SOCIAL NETWORKING In the last 30 days, have you visited or used a social-networking website? 60E-0 Yes 1 On a scale of 1 to 4 where 1 is Not at all Important and 4 is Very Important, how important to you, personally, are the following reasons for visiting or using a social-networking website? Not at all Not Very Somewhat Very 60F Important Important Important Important Reasons for using a Social Networking site: Keep in touch with family/friends Reconnect with people from my past Meet new friends Follow the activities of my friends and family Find out about products and services Rate or review a product or service Meet or network with professional contacts Find people who have interests similar to me Find information about news or other current events Find information about a movie, TV station or show Find local information Play games To show support for my favorite companies or brands To receive exclusive offers, coupons or other discounts To gain access to VIP or Members-Only events.. 15

55 Page 53 SPORTS HOW OFTEN DO YOU ENGAGE IN THESE: SPORTS Participated 2 or more 2-3 Less than in last times a Once a times a Once a once a 12 months week week month month month Aerobics Archery Auto racing Backpacking Baseball Basketball Bicycling Mountain Bicycling Road Boating (power) Bowling Canoeing/kayaking Fishing fresh water Fishing salt water Football Frisbee Golf Hiking Hockey Horseback riding Hunting with bow & arrow Hunting with handgun Hunting with rifle Hunting with shotgun Ice skating Jet skiing Jogging/running Karate Kick Boxing Marathon/Triathlon (training and events) Martial Arts Motocross Motorcycling Paddle Tennis Pilates Ping Pong/Table Tennis Racquetball Rock climbing Roller blading/in-line skating Roller skating Rowing: stationary/outdoor Sailing Scuba diving Skateboarding Skiing Cross country Skiing Downhill Snorkeling/skin diving Snowboarding Snowmobiling Soccer Softball Spinning Surfing/windsurfing Swimming Target shooting Tennis Volleyball Wakeboarding Walking for exercise Water skiing Weight lifting Whitewater rafting Yoga Zumba Other.. 64

56 TELEPHONES/PHONE CALLS/CELL PHONE APPS & OPINIONS/ WEARABLE TECH Page 54 HOME PHONE & ACCESSORIES (Landline phone) Your Household Owns Bought last 12 months In-Home Telephone:.. M M 01 AT&T.. M M 02 General Electric.. M M 03 Motorola.. M M 04 Panasonic.. M M 05 Uniden.. M M 06 Vtech.. M M 07 Other.. M M 08 Telephone Accessories: Answering Machine.. M M 09 Telephone Headset.. M M 10 Wireless Headphones.. M M 11 Which of the following services is your household using? Call forwarding.. M 1 Call return.. M 2 Call waiting.. M 3 Caller ID.. M 4 Repeat dialing.. M 5 Three-way calling.. M 6 Voice messaging/voice mail.. M 7 TELEPHONE CALLING CARDS/ PRE-PAID CARDS 674 Acquired last 12 Have months CALLING/PRE-PAID CARDS: 1 2 AT&T.. M M 01 Other.. M M 02 Using your calling card, what is the average number of calls you personally make each month for: 675 Business 01 (Write in Number) Personal 02 (Write in Number) Have you purchased or refilled a pre-paid calling card in the last 12 months? Yes M 1 CELLULAR/ MOBILE OPINIONS COLLECT CALLS Did you personally make a collect call in the last 6 months? Yes M 1 65A-0 Number of collect calls made, last 6 months: 65C-0 (Write in number) LOCAL & LONG DISTANCE CALLS (Personal calls only) Average monthly landline phone bill: 65B-0 $11-$15.. M 1 $16-$25.. M 2 $26-$59.. M 3 $60-$99.. M 4 $100 or more.. M 5 Phone services used (landline): 65D Local Long Distance 1 2 AT&T.. M M 01 CenturyLink.. M M 02 Comcast/Xfinity.. M M 03 Cox.. M M 04 magicjack.. M M 05 Sprint.. M M 06 Time Warner.. M M 07 Verizon M M 08 Vonage.. M M 09 Other M M 10 (Write In) Number of calls you made, last 30 days: 65M Local (Write in Number) Long Distance within the US. 02 (Write in Number) International Long Distance. 03 (Write in Number) Please indicate how much you AGREE or DISAGREE with each of the following statements by checking the box that comes closest to how you feel. DISAGREE AGREE 61K Completely Somewhat Somewhat Completely I carry my cell phone everywhere I go I will always keep a household (landline) telephone, no matter how much cell phone service improves I am frequently annoyed at people talking too loudly on their cell phones in public places I only answer my cell phone when I know who is calling I often use my cell phone to make phone calls from my home The primary reason I have my cell phone is for safety Sometimes my cell phone makes me feel like I m too available Cell phones are too complicated these days How important to you are the following features when choosing a mobile phone service provider? 61M Not Somewhat Very Important Important Important Customer Service Phone Models Available Service Coverage Area Service Plans Available WEARABLE TECH (Smartwatches, Fitness Trackers, etc.) Wearable Tech are devices that are worn, may connect to the Internet and can synchronize with other devices, such as a smartphone or computer You Personally Own Fitness tracker - wristband.. M 1 Other wearable fitness tracker.. M 2 Apple Watch.. M 3 Samsung Galaxy Gear.. M 4 Other Smartwatch.. M 5 Smart Eyeglasses.. M 6 Other Wearable Tech.. M 7 CELL/MOBILE PHONE APPS Which, if any, of these types of Apps have you downloaded or used on your cell phone in the last 30 days? 680 Downloaded Used last 30 days last 30 days APPS: 1 2 Banking/Finance.. M M 01 Books.. M M 02 Daily Deal.. M M 03 Education.. M M 04 Fitness.. M M 05 Food/Cooking.. M M 06 Games.. M M 07 Healthcare.. M M 08 Local Information.. M M 09 Magazine.. M M 10 Movies.. M M 11 Music.. M M 12 Navigation/Maps.. M M 13 News.. M M 14 Newspaper.. M M 15 Photography.. M M 16 Reference.. M M 17 Rideshare/Taxi.. M M 18 Shopping/Retail M M 19 Sports.. M M 20 Social Networking.. M M 21 TV/Cable.. M M 22 Travel.. M M 23 Weather.. M M 24 Other Entertainment.. M M 25 Other M M 26 (Write In) Number of Apps 681 downloaded for free, last 30 days: 01 (Write in Number) Number of Apps purchased, last 30 days: 02 (Write in Number) Amount spent on Apps, last 30 days: $ 03 (Write in Amount)

57 Page 55 CELLULAR/MOBILE PHONES CELLULAR/ MOBILE PHONES/ SMARTPHONES Have a working cellular/mobile phone.. M 1 Purchased/obtained last 12 months.. M 2 Working cell phones you personally: Use most Other working often cell phone(s) 709 (choose one brand) Handset Brands: 1 2 Amazon Fire Phone.. M M 01 Apple iphone.. M M 02 BlackBerry.. M M 03 Casio.. M M 04 HTC.. M M 05 Kyocera.. M M 06 LG.. M M 07 Motorola.. M M 08 Nexus.. M M 09 Nokia.. M M 10 Samsung.. M M 11 Sony.. M M 12 T-Mobile.. M M 13 Other.. M M 14 Used For: Business.. M M 15 Personal.. M M 16 Please answer the following questions about the one cell phone you personally use most often: Plan Types: 61G-0 Individual Plan.. M 1 Family or Shared Plan.. M 2 Corporate Plan.. M 3 Mobile Service Agreement Types: Monthly Plan with Contract.. M 4 Monthly Plan with No Contract.. M 5 Prepaid.. M 6 Average Monthly Bill: $ 1-$24.. M 7 $25-$49.. M 8 $50-$74.. M 9 $75-$99.. M 0 $100-$ M X $ M Y CELLULAR/ MOBILE PHONES/ SMARTPHONES (Continued) Amount spent on cellular phone purchase, last 12 months: $ 61F-0 (Write in Amount) Where Purchased: Online/Internet.. M 1 Electronics Store.. M 2 Department Store.. M 3 Discount Store.. M 4 Wholesale/Club Store.. M 5 Carrier-owned Store.. M 6 Other.. M 7 Personally Cell Phone Used last Has 30 days Communication Features: Phone.. M M 01 Voic .. M M M M 03 Text Messaging.. M M 04 Picture Messaging M M 05 Google Android OS.. M M 06 Windows Mobile/Phone OS. M M 07 Media Features: Camera.. M M 08 Games.. M M 09 MP3 Player.. M M 10 Video Player.. M M 11 Video Recorder.. M M 12 Web/Internet Access.. M M 13 Other Features: Alarm Clock.. M M 14 Bluetooth.. M M 15 Calendar/Organizer.. M M 16 GPS/Navigation.. M M 17 View Spreadsheets/ Text Documents M M 18 Create/Edit Spreadsheets/ Text Documents M M 19 Speakerphone.. M M 20 Voice Activated Dialing.. M M 21 WiFi.. M M 22 CELLULAR/ MOBILE PHONES/ SMARTPHONES (Continued) Which, if any, of the following things did you do using your cell phone in the last 30 days? 62Z-0 Visited a search engine.. M 1 Visited a website for News.. M 2 Visited a website for Sports M 3 Visited a website for Weather.. M 4 Visited a website for Entertainment Information.. M 5 Visited a website for Financial Information M 6 Visited a website for Maps/Directions.. M 7 Visited a website for other Local Information. M 8 Visited or used a Social Networking site.. M 9 Searched for information about a product. M 0 Visited any other website.. M X Used Text Messaging to communicate with friends or family.. M Y Used Text Messaging to vote in a contest, 61H-0 make a choice, or give an opinion.. M 1 Looked at an advertisement sent with Text Message.. M 2 Used Text Messaging to respond to an advertisement.. M 3 Purchased a product.. M 4 Signed up for a Text Message alert service M 5 Received a Text Message alert.. M 6 Redeemed a mobile coupon.. M 7 Scanned a QR code or other Tag.. M 8 Used a mobile wallet.. M 9 Watched a video clip.. M 0 Watched a downloaded or streamed TV program.. M X Watched live television.. M Y 61J-0 Watched a full length movie.. M 1 Watched other video.. M 2 Listened to a podcast.. M 3 Listened to music.. M 4 Listened to radio.. M 5 Downloaded a song.. M 6 Downloaded a ringtone.. M 7 Downloaded wallpaper.. M 8 Downloaded a game.. M 9 Downloaded an application or App.. M 0 Used an application or App.. M X Called directory assistance.. M Y 62X-0 Made or received a video call.. M 1 Please indicate how much you AGREE or DISAGREE with each of DISAGREE AGREE CELLULAR/ the following statements by checking the box that comes closest MOBILE OPINIONS Completely Somewhat Somewhat Completely to how you feel. 62H I understand how to use most of the features on my cell phone Having one mobile device that can do everything is very convenient There are some features on my cell phone I d like to use, but I don t know how to use them I just want to use my cell phone to make and receive calls and don t care about any other features I think of my mobile phone as a source of entertainment My cell phone is an extension of my personality I enjoy customizing the look and sound of my cell phone I would be willing to receive advertisements on my cell phone in exchange for services, like live TV or Text Messaging I would be willing to pay a monthly subscription fee to receive live TV on my cell phone I would be willing to receive advertisements on my cell phone in exchange for lower monthly costs I like to receive coupons on my cell phone that are based on my location I expect the quality of video on my cell phone to be as good as that on my TV Advertisements on cell phones are annoying I am interested in watching video clips on my cell phone I am interested in watching live TV on my cell phone Text messaging is an important part of my daily life I would use Text Messaging if I knew how to do it I would use Text Messaging more often, if it were easier to type the messages I would use Text Messaging more often, if it were less expensive I would use the Internet on my cell phone more often, if it were less expensive I would use the Internet on my cell phone more often, if the websites loaded more easily I would use the Internet on my cell phone more often, if the screen were easier to read

58 TABLETS & E-READERS Page 56 TABLETS & E-READERS Bought Last 12 Own Months Amazon Kindle (e-reader). M M 01 Amazon Kindle Fire (tablet). M M 02 Apple ipad (original, ipad 2, ipad 3).. M M 03 Apple ipad Air (or newer ipad model).. M M 04 Apple ipad mini.. M M 05 Barnes & Noble Nook (e-reader).. M M 06 Barnes & Noble Nook Color/HD (tablet).. M M 07 Google Nexus (tablet).. M M 08 Microsoft Surface.. M M 09 Samsung Galaxy Tab/ Galaxy Note (tablet).. M M 10 Samsung Galaxy Tab 4 Nook M M 11 Other Tablet.. M M 12 Other E-Reader.. M M Total cost of Tablet(s) or E-reader(s), purchased last 12 months: $ 01 (Write in Amount) Total time spent using your Tablet and/or E-reader, last 7 days: Tablet/E-reader: hours used, last 7 days 61Q-0 None.. M 1 Less than 1 hour.. M hours.. M hours.. M hours.. M hours.. M 6 30 hours or more.. M 7 Who uses your tablet? 61U-0 Yourself.. M 1 Other adult.. M 2 Child (under 18).. M 3 TABLETS & E-READERS (Continued) Activities you have done using a Tablet or E-reader, last 30 days: Read a book.. M 1 Read a magazine.. M 2 Read a newspaper.. M 3 Read or sent an .. M 4 Watched a movie M 5 Watched a TV show.. M 6 Watched other video.. M 7 Played a single-player game.. M 8 Played a multi-player game.. M 9 Visited Facebook.. M 0 Visited other social networking site.. M X 61L-0 Visited a search engine.. M 1 Visited other website.. M 2 Obtained information on news or current events.. M 3 Obtained information about sports.. M 4 Obtained financial information.. M 5 Obtained information about the weather.. M 6 Obtained information on travel.. M 7 Obtained local information.. M 8 Purchased a product or service.. M 9 Listened to music.. M 0 Downloaded music.. M X Listened to/watched a podcast.. M Y 61P-0 Took a picture or video.. M 1 Uploaded photos.. M 2 Used a map/navigation program.. M 3 Made or received a video call.. M 4 Other M 5 (Write In) TABLETS & E-READERS (Continued) Which, if any, of these types of Apps have you downloaded or used on your Tablet or E-reader in the last 30 days? 61D Downloaded, Used, last 30 days last 30 days APPS: 1 2 Banking/Finance.. M M 01 Books.. M M 02 Daily Deal.. M M 03 Education.. M M 04 Fitness.. M M 05 Food/Cooking.. M M 06 Games.. M M 07 Healthcare.. M M 08 Local Information.. M M 09 Magazine.. M M 10 Movies.. M M 11 Music.. M M 12 Navigation/Maps.. M M 13 News.. M M 14 Newspaper.. M M 15 Photography.. M M 16 Reference.. M M 17 Rideshare/Taxi.. M M 18 Shopping/Retail.. M M 19 Sports.. M M 20 Social Networking.. M M 21 TV/Cable.. M M 22 Travel.. M M 23 Weather.. M M 24 Other Entertainment.. M M 25 Other M M 26 (Write In) Number of Apps 61V downloaded for free, last 30 days: 01 (Write in Number) Number of Apps purchased, last 30 days: 02 (Write in Number) Amount spent on Apps, last 30 days: $ 61E-0 (Write in Amount) Please indicate how much you AGREE or DISAGREE with each of DISAGREE AGREE MORE the following statements by checking the box that comes closest MOBILE OPINIONS Completely Somewhat Somewhat Completely to how you feel. 62U On my tablet, I prefer to use apps instead of websites On my cell phone, I prefer to use apps instead of websites I often use my mobile device inside a store to get information about the products sold there I often use my mobile device inside a store to help me make purchase decisions I often use my mobile device inside a store to look for coupons or other offers I often use my mobile device to compare prices before making a purchase Mobile apps are updated too frequently My mobile device greatly improves my daily commute Whenever I am going somewhere new, I rely on my phone/mobile device to help me get there.. 09

59 Page 57 SPORTS EVENTS, GARDENING, EXTERMINATORS SPORTS EVENTS: WATCH, LISTEN & ATTEND Did you watch on TV, listen to on the radio or attend in-person any of these sports events: 1) in the last 12 months and if so, 2) regularly during the sport s season? WATCHED ON TV LISTENED TO RADIO ATTENDED Last 12 Regularly Last 12 Regularly Last 12 Regularly 682 months Watched months Listened months Attended Alpine Skiing & Ski Jumping Auto Racing NASCAR Auto Racing Other Baseball College Baseball MLB Regular Season Baseball MLB Playoffs/World Series. 06 Basketball College Basketball NBA Regular Season Basketball NBA Playoffs/Finals Basketball NCAA Basketball Tournament Basketball WNBA Bicycle Racing Bowling Boxing Equestrian Events Extreme Sports Summer Extreme Sports Winter Figure Skating Fishing Football College Football NFL Monday or Thursday Night Games Football NFL Weekend Games Football NFL Playoffs/Super Bowl. 23 Golf PGA Golf LPGA Golf Other Greyhound Racing Gymnastics High School Sports Horse Racing (at track or OTB) Ice Hockey NHL Regular Season. 31 Ice Hockey NHL Playoffs and Stanley Cup Finals Lacrosse MLL Marathon/Road Running, Triathlon & Other Endurance Events Mixed Martial Arts (MMA) Motorcycle Racing Olympics Summer Olympics Winter Poker Tournament Pro Bull Riding Rodeo Soccer MLS Soccer World Cup Tennis Men s Tennis Women s Track & Field Truck and Tractor Pull/Mud Racing Volleyball Pro Beach Weightlifting Wrestling WWE Wrestling Other Professional INTEREST IN SPORTS 491 On a scale from 0 to 10 where 0 means you are not a sports fan at all, 5 means you are an average sports fan and 10 means you are a super sports fan, where would you place yourself on that scale for each of the following? (PLEASE X ONE BOX FOR EACH SPORT.) Non-Fan Average Fan Super-Fan College Basketball College Football Other College Sports Golf High School Sports Major League Baseball NASCAR NBA NFL NHL Olympics Professional Wrestling Soccer Tennis GARDEN Do you have a garden? Yes 1 What size is your garden? Under 250 square feet square feet square feet or more square feet.. 5 Did you participate in outdoor gardening in the last 12 months? Yes 6 No 7 On how many days did you personally garden in the past 12 months? (Write in Number) Which of the following did you engage in during the last 12 months? Flowers/Ornamentals.. 1 Vegetable Gardening Herb Growing.. 3 Fruit (Not Trees) Lawn Care Berries & Brambles.. 6 PROPERTY AND GARDEN MAINTENANCE Bought last 12 months Bulbs.. 1 Flower seeds.. 2 Garden fertilizer.. 3 Garden insecticides.. 4 Garden soil Lawn fertilizer with weed control. 6 Lawn fertilizer without weed control 7 Lawn insecticides.. 8 Lawn maintenance service Lawn seed.. 0 Organic soil additives.. X Plant food (outdoor).. Y Pool chemicals.. 1 Potting soil.. 2 Shrubs & plants (outdoor).. 3 Top soil.. 4 Trees Vegetable plants Vegetable seeds Weed killer.. 8 Total amount spent on all garden items, last 12 months $ In the last 12 months have you used a service, or services, for property and garden maintenance? Yes 1 No 2 PROFESSIONAL EXTERMINATORS Had treatment Times/ last 12 last 12 months months 690 TOTAL FOR: Insects (ants, roaches, etc.). 01 Pests (mice, rats, etc.) Termites COMPANIES: Orkin Terminix

60 YELLOW PAGES, OVERNIGHT DELIVERY, NEWSPAPERS, BATTERIES, GAMES, BOOKS Page 58 YELLOW PAGES 691 In the past 12 months, have you referred to the yellow pages when considering the purchase or use of any of these items or services? You personally referred to, past 12 months: Paper Internet yellow yellow pages pages 1 2 Attorneys Auto Dealers & Sales Auto Parts & Supplies Auto Repair & Services Auto Other Banking, Finance & Insurance. 06 Beauty Salons Other Personal Care Services. 08 Carpet Cleaning Department Stores Doctors, Dentists and Other Medical Services Education/Schools Electronic Equipment, Supplies & Services Florists Home Appliance Repairs Home Improvement & Repairs 16 Household Furnishings Jewelers/Jewelry Pizza Pharmacies Plumbers & Electricians Real Estate Restaurants Sports & Leisure Activities & Equipment Supermarkets/Grocers Theaters Travel Airlines/Airline Tickets Travel Hotels/Motels Travel Other Services Other You personally referred in the past 7 days to: 63P-0 Paper yellow pages.. 1 Internet yellow pages OVERNIGHT PACKAGES/LETTER DELIVERY SERVICES Have you used an overnight package/letter delivery service in the last 12 months? Yes 1 No Services Used: Business Personal DHL Federal Express U.P.S U.S. Postal Service Other NEWSPAPER READING Which of these sections do you read or look at when you read your weekday and Sunday/ weekend newspaper? 63Q Read in Read in Sunday/ Weekday Weekend Newspaper Newspaper 1 2 Main News/Front Page International/National News. 02 Local News Business/Finance Classified Advertising Comics Editorial Page Entertainment/Lifestyle Fashion Food/Cooking Health Home/Home Design/ Furnishings/Gardening Movie Listings & Reviews Science & Technology Sports Travel TV Listings Weather Advertisements Circulars/Inserts/Fliers Which of these actions did you take in the past 30 days, as a result of reading or looking into a newspaper? (Check all that apply.) Shopped at an advertised store Purchased an advertised product.. 2 Requested additional information on an advertised product.. 3 Cut out an ad for later reference.. 4 How useful do you find the advertising in your newspaper? (Check one in each column.) Sunday/ Weekday Weekend Newspaper Newspaper Usefulness of Advertising: Very Somewhat Not at all BATTERIES Purchased Number/ in last 6 last 6 months months 633 Rechargeable Throw-away Duracell Duracell Quantum Duracell Rechargeable Enercell Energizer/Energizer Max. 07 Energizer Advanced Lithium 08 Energizer Ultimate Lithium. 09 Energizer Recharge Eveready Gold Eveready Super Heavy Duty. 12 Kodak Panasonic Rayovac Alkaline Rayovac Heavy Duty Sony Sunbeam Store s Own Brand CHILDREN S TOYS & GAMES Bought Number last 12 bought last months 12 months 693 Large/baby dolls Boy action figures Girl action figures Fashion dolls Plush dolls/animals Electronic dolls/animals. 06 Doll clothing Doll accessories Construction toys Educational toys Mechanical toys Model kits/model sets Action games Board games Sound games Word games Electronic games Infant toys Pre-school toys Builder sets Cars Electric trains Swing sets Bicycles Tricycles Water toys Other toys Amount spent for toys and games in last 12 months for children: 694 Under 1 year.. $ years old.. $ years old.. $ years old.. $ years old.. $ 05 BOOKS Bought Number last 12 bought last months 12 months 695 FORM: Paperback Hardcover Digital Fiction Non-Fiction Cookbooks Desk dictionary Mystery Novel Biography History Science fiction Children s books Romance Personal/business/self-help 15 Religious (not Bibles) Travel Where purchased: Barnes & Noble Book store 1 Other book store.. 2 amazon.com.. 3 barnes&noble.com.. 4 Google Play itunes/ibooks.. 6 Other Internet/Online D-0 Book club Department store Drug store.. 3 Mail order.. 4 Supermarket.. 5 Warehouse store.. 6

61 Page 59 INTEREST IN ADVERTISING INTEREST IN ADVERTISING Please read the following statements and check the box that most closely reflects your opinion. Questions are based on a 5 point scale. 697 Agree Agree Disagree Disagree Strongly Somewhat Neutral Somewhat Strongly TV Advertising 1 1. Advertising on TV provides me with useful information about bargains Advertising on TV provides me with meaningful information about the product use of other consumers Advertising on TV provides me with useful information about new products and services For me, advertising on TV is amusing For me, advertising on TV appears at inconvenient moments For me, advertising on TV has no credibility For me, advertising on TV is repeated too often. 8. For me, all ads on TV are alike. 2. Radio Advertising 9. Advertising on radio provides me with useful information about bargains. 10. Advertising on radio provides me with meaningful information about the product use of other consumers. 11. Advertising on radio provides me with useful information about new products and services. 12. For me, advertising on radio is amusing. 13. For me, advertising on radio appears at inconvenient moments. 14. For me, advertising on radio has no credibility. 15. For me, advertising on radio is repeated too often. 16. For me, all ads on radio are alike. 3. Newspaper Advertising 17. Advertising in newspapers provides me with useful information about bargains. 18. Advertising in newspapers provides me with meaningful information about the product use of other consumers. 19. Advertising in newspapers provides me with useful information about new products and services. 20. For me, advertising in newspapers is amusing. 21. For me, advertising in newspapers appears at inconvenient moments. 22. For me, advertising in newspapers has no credibility. 23. For me, advertising in newspapers is repeated too often. 24. For me, all ads in newspapers are alike. 4. Magazine Advertising 25. Advertising in magazines provides me with useful information about bargains. 26. Advertising in magazines provides me with meaningful information about the product use of other consumers. 27. Advertising in magazines provides me with useful information about new products and services. 28. For me, advertising in magazines is amusing. 29. For me, advertising in magazines appears at inconvenient moments. 30. For me, advertising in magazines has no credibility. 31. For me, advertising in magazines is repeated too often. 32. For me, all ads in magazines are alike. 5. Internet Advertising 33. Advertising on the Internet provides me with useful information about bargains. 34. Advertising on the Internet provides me with meaningful information about the product use of other consumers. 35. Advertising on the Internet provides me with useful information about new products and services. 36. For me, advertising on the Internet is amusing. 37. For me, advertising on the Internet appears at inconvenient moments. 38. For me, advertising on the Internet has no credibility. 39. For me, advertising on the Internet is repeated too often. 40. For me, all ads on the Internet are alike. 6. Mobile Advertising Advertising on mobile phones provides me with useful information about bargains Advertising on mobile phones provides me with meaningful information about the product use of other consumers Advertising on mobile phones provides me with useful information about new products and services For me, advertising on mobile phones is amusing For me, advertising on mobile phones appears at inconvenient moments For me, advertising on mobile phones has no credibility For me, advertising on mobile phones is repeated too often. 48. For me, all ads on mobile phones are alike.

62 GENERAL ATTITUDES Page 60 We are interested in your attitudes about a number of buying and style issues. There are no right or wrong answers. Please indicate how much you AGREE or DISAGREE with each of the following statements by checking the box that comes closest to how you feel. (FOR EACH QUESTION, PLEASE SELECT ONE ANSWER FOR EACH ITEM AND CHECK ONLY ONE BOX ON EACH LINE BELOW.) DISAGREE AGREE 698 Mostly Somewhat Somewhat Mostly Buying American products is important to me I know the price I pay for most of the foods and packaged goods I buy I think shopping is a great way to relax I enjoy wandering the store looking for new, interesting products I only purchase products online when I have a coupon or promotional code for the site I don t make purchase decisions based on advertising I like to shop around before making a purchase If I really want something I will buy it on credit rather than wait I buy based on quality, not price I buy natural products because I am concerned about the environment The offer of free shipping attracts me to a shopping website Price is more important to me than brand names I m a spender rather than a saver It s important to me that salespeople be knowledgeable about the products they sell I am influenced by what s hot and what s not How a personal care or household product smells is very important to me I like to share my opinions about products and services by posting reviews and ratings online My favorite grocery store offers low prices on all products every day A celebrity endorsement may influence me to consider or buy a product I only use coupons for those brands I usually buy I am annoyed by all of the signs in the stores I expect the brands I buy to support social causes I often seek the advice of others before making a purchase Before purchasing a product online, I typically read online reviews submitted by others I am willing to give up convenience in return for a product that is environmentally safe Shopping used to be more enjoyable I buy brands that reflect my style People often come to me for advice before making a purchase I tend to make impulse purchases I buy the brands I grew up with, the ones my parents used I prefer products that offer the latest in new technology My number one goal when shopping is to save as much money as possible I always check the ingredients and nutritional content of food products before I buy them I often save money by buying previously used items online I don t have time to bother clipping or saving coupons My children have a significant impact on the brands I choose I smell personal care and household products in the store before I buy them I would pay extra for a product that is consistent with the image I want to convey My spouse has a significant impact on the brands I choose I like to compare prices across different sites before purchasing something online When I find a brand I like, I stick to it If a product is made by a company I trust, I ll buy it even if it is slightly more expensive I like to change brands often for the sake of variety and novelty I buy natural products because I am concerned about me and my family s health I think if a manufacturer offers a coupon, I am probably being overcharged to begin with I prefer purchasing things online for a fixed price, as opposed to bidding in online auctions The service of the personnel at a store is an important part of my decision to shop there I will gladly switch brands to use a coupon I am more likely to purchase brands that support a cause I care about I m always one of the first of my friends to try new products or services I prefer a store that has a large selection of familiar brands I usually like to wait until other people have tried things before I try them myself Generic or store brand products are as effective as brand-name products I use the Internet to buy hard-to-find products I d rather receive a sample of a product than a coupon I am willing to pay more for a product that is environmentally safe I prefer to shop at stores that specialize in a specific type or style of product Brand name is the best indication of quality I prefer to buy things my friends or neighbors would approve of I like to connect with brands through social-networking sites

63 Page 61 TELEVISION VIEWING TELEVISION Listed below are television programs that are shown Monday through Friday. Please check in the appropriate columns below. VIEWING 1. How many times a week do you usually 2. Did you watch 3. If you watched the 4. If you watched watch the following programs? the program program yesterday, the program yesterday (if how much attention yesterday, today is Sunday were you paying? where did you or Monday, did watch it? you watch the program on Friday)? 68A Your Some- Own where EARLY MORNING NEWS None Yes Full Most Some Home Else 01 ABC America This Morning CBS Morning News Early Today.. X EARLY MORNING WEEKDAY NEWS PROGRAMS (LOCAL) 04 ABC (local TV news) CBS (local TV news) FOX (local TV news) NBC (local TV news).. X EARLY MORNING PROGRAMS 08 CBS This Morning (Charlie Rose/ Gayle King/Norah O Donnell). 09 Good Morning America (Stephanopoulos/Roberts) Today Show (Lauer/Guthrie) Today II - 3rd Hour (Roker/Morales/Geist/Hall) Today III - 4th Hour (Hoda Kotb/Kathie Lee Gifford). X E DAYTIME 01 The Bold & The Beautiful The Chew Days of Our Lives The Fab Life General Hospital Let s Make a Deal The Price is Right The Talk The View with Whoopi Goldberg. 10 The Young & The Restless.. X EARLY EVENING WEEKDAY NEWS PROGRAMS 11 ABC World News with David Muir. 12 BBC World News CBS Evening News (Scott Pelley). 14 NBC Nightly News (Brian Williams). 15 Nightly Business Report PBS NewsHour.. X EARLY EVENING WEEKDAY NEWS PROGRAMS (LOCAL) 17 ABC (local TV news) CBS (local TV news) FOX (local TV news) NBC (local TV news).. X M LATE EVENING WEEKDAY NEWS PROGRAMS (LOCAL) 01 ABC (local TV news) CBS (local TV news) FOX (local TV news) NBC (local TV news).. X LATE NIGHT SHOWS (Nightly) 05 ABC News: Nightline ABC World News Now All Night Dateline All Night Mad Money All Night Tonight Show All Night any other All Night programs CBS Overnight News Charlie Rose Jimmy Kimmel Live Last Call with Carson Daly Late Late Show with James Corden Late Night with Seth Meyers Late Show with Stephen Colbert. 18 Tavis Smiley The Tonight Show Starring Jimmy Fallon.. X

64 TELEVISION VIEWING Page 62 TELEVISION VIEWING Listed below are program segments for Early Morning Programs. Please check in the appropriate columns below. (Continued) 1. Which segments of the program 2. If you watched the segment Please answer for each Early Morning Program did you watch yesterday? yesterday, how much watched yesterday: attention were you paying? Watched 68C Yesterday Full Most Some PROGRAMS & SEGMENTS ABC Good Morning America: Animals/Pets Beauty Secrets Concert Series Cooking/Food Deals and Steals Morning Menu Play of the Day Pop News Index Weather (Ginger Zee) World/National News.. CBS This Morning: 11 Business/Finance CBS Eye Opener Consumer Entertainment News/Pop Culture The Green Room HealthWatch Note to Self Politics/Public Affairs Technology Weather.. NBC Today Show: 21 Ambush Makeovers/Makeovers Animals/Nature Concert Series Consumer Reports (Janice Lieberman) Entertainment News News Interview (Lauer/Guthrie) Real Estate (Barbara Corcoran) Today s Family Today s Health Today's Kitchen Today s Money Today s Travel Weather (Al Roker) Wedding Series Where In The World Is Matt Lauer World/National News (Natalie Morales) Listed below are television programs that are shown once a week. Please check in the appropriate columns below. 1. How many times a month do 2. Did you watch 3. If you watched the 4. If you watched you usually watch the following the program program in the the program in programs? in the past past 7 days, how the past 7 days, 7 days? much attention where did you were you paying? watch it? ONCE A WEEK PROGRAMS Your Some- 68H Own where None Yes Full Most Some Home Else EARLY EVENING WEEKEND NEWS PROGRAMS 01 ABC World News Tonight-Sat ABC World News Tonight-Sun CBS Evening News-Sat CBS Evening News-Sun NBC Nightly News-Sat NBC Nightly News-Sun.. X WEEKEND NEWS/INFORMATION PROGRAMS 07 ABC This Week with George Stephanopoulos CBS Face the Nation CBS Sunday Morning CBS This Morning: Saturday FOX News Sunday Good Morning America Weekend Edition NBC Meet the Press NBC Saturday Today NBC Sunday Today Wall Street Journal Report.. X LATE NIGHT PROGRAMS 17 Saturday Night Live.. X

65 Page 63 TELEVISION VIEWING TELEVISION VIEWING (Continued) 1. How many times a month do 2. Did you watch 3. If you watched the 4. If you watched you usually watch the following the program program in the the program in programs? in the past past 7 days, how the past 7 days, 7 days? much attention where did you 68F were you paying? watch it?. ONCE A WEEK PROGRAMS Your Some- Own where None Yes Full Most Some Home Else 01 ABC Saturday Movie of the Week. 02 A.D The Amazing Race American Crime American Experience American Idol American Idol Rewind American Ninja Warrior American Odyssey America s Funniest Home Videos. 11 America s Got Talent America s Next Top Model America s Test Kitchen Angel From Hell Animal Atlas Antiques Roadshow Aquarius Arrow Astronaut Wives Club Austin City Limits The Bachelor Battlebots Beauty and the Beast Best Time Ever Beyond the Tank The Big Bang Theory The Big Bang Theory - Weekend. 28 The Biggest Loser Black-ish The Blacklist Blindspot Blood & Oil Blue Bloods Blue Bloods - Weekend Bob s Burgers Bob's Burgers - Weekend Bones Bones - Weekend Bordertown Born to Explore Brooklyn Nine-Nine Calling Dr. Pol Castle Castle - Weekend The Catch Celebrity Apprentice Celebrity Family Feud Celebrity Wife Swap Chicago Fire Chicago Med Chicago PD The Closer - Weekend Coach Code Black Community - Weekend Containment Crimetime Saturday Crazy Ex-Girlfriend Criminal Minds Criminal Minds: Beyond Borders Crowded CSI: Crime Scene Investigation CSI: Cyber Da Vinci s Inquest Dancing With The Stars Dateline Dog Whisperer: Family Edition Dog Town, USA Dr. Chris Pet Vet Dr. Ken Dream Quest Elementary Elementary - Weekend Emerald City Empire Entertainment Tonight - Weekend. 77 Extra: Weekend Extreme Makeover: Weight Loss Edition The Family Family Guy.. X

66 TELEVISION VIEWING Page 64 TELEVISION VIEWING (Continued) 1. How many times a month do 2. Did you watch 3. If you watched the 4. If you watched you usually watch the following the program program in the the program in programs? in the past past 7 days, how the past 7 days, 7 days? much attention where did you 68F were you paying? watch it?. ONCE A WEEK PROGRAMS (Continued) Your Some- Own where None Yes Full Most Some Home Else 81 Finding your Roots with Skip Gates 82 The Flash Forever Hours Frankenstein Code Fresh Off the Boat Friends - Weekend Frontline Futurama - Weekend Galavant Game Changers with Kevin Frazier Game of Silence Glee - Weekend Globe Trekker The Goldbergs The Good Wife The Good Wife - Weekend GOTHAM Grey s Anatomy Grandfathered Grimm The Grinder The Guide to Surviving Life Hannibal Hatched Hawaii Five-O Heartbreaker Hell s Kitchen Heroes Heroes Reborn Hidden Heroes Hollywood Game Night Hot & Bothered How to Get Away with Murder In an Instant Innovation Nation Inside Edition - Weekend Insider Weekend The Inspectors izombie Jack Hanna s Wild Countdown Jane the Virgin Jeopardy - Weekend Just for Laughs King of Queens - Weekend Last Comic Standing The Last Man on Earth Last Man Standing Law & Order: Special Victims Unit Legends of Tomorrow Lidia s Italy in America Life in Pieces Limitless Little Big Shots Lucifer Lucky Dog Madam Secretary Marvel s Agent Carter Marvel s Agents of S.H.I.E.L.D MasterChef MasterChef Jr Masterpiece The Mentalist The Middle The Middle - Weekend Mike & Molly Mike & Molly - Weekend Minority Report Mistresses Modern Family Mom Motor Week Mr. Robinson The Muppets The Mysteries of Laura Nashville Nature NCIS NCIS: Los Angeles NCIS: New Orleans.. X

67 Page 65 TELEVISION VIEWING TELEVISION VIEWING (Continued) 1. How many times a month do 2. Did you watch 3. If you watched the 4. If you watched you usually watch the following the program program in the the program in programs? in the past past 7 days, how the past 7 days, 7 days? much attention where did you 68F were you paying? watch it? ONCE A WEEK PROGRAMS (Continued) Your Some- Own where None Yes Full Most Some Home Else 161 New Girl The Night Shift NOVA NY Med Ocean Mysteries The Odd Couple Of Kings & Prophets Once Upon a Time The The Originals Outer Limits The Player People are Talking Person of Interest Person of Interest - Weekend The Pinkertons Primetime: What Would You Do? Q Quantico The Real O'Neals Reign Religion & Ethics Newsweekly Revenge Rick Steves Europe Rizzoli & Isles - Weekend Rookie Blue Rosewood Rules of Engagement - Weekend Rush Hour Safari Tracks Sanctuary Save Our Shelter Scandal Scandal - Weekend Scorpion Scream Queens Sea Rescue Secrets and Lies Seinfeld - Weekend Shades of Blue Shark Tank Significant Mother Simply Ming The Simpsons Minutes Sleepy Hollow So You Think You Can Dance Soundstage Stargate: Atlantis Stargate: SG Storm Stories Supergirl Supernatural Superstore Survivor This Old House TMZ - Weekend Tosh.0 - Weekend / Two and a Half Men - Weekend Broke Girls Broke Girls - Weekend Uncle Buck Undateable Undercover Boss The Vampire Diaries Victory Garden The Voice The Walking Dead Washington Week Welcome to Sweden Wheel of Fortune - Weekend The Whispers White Collar Whose Line is it Anyway? Wicked City Wicked Offer Wife Swap The Wild Life of Tim Faulkner The Wildlife Docs World's Funniest Fails The X-Files You, Me and the End of the World X

68 TELEVISION VIEWING Page 66 TELEVISION VIEWING (Continued) 1. How many times a week do you usually 2. Did you watch 3. If you watched the 4. If you watched watch the following programs? the program program yesterday, the program yesterday (if how much attention yesterday, today is Sunday were you paying? where did you 68L or Monday, did watch it? you watch the program on Friday)? MONDAY THROUGH FRIDAY PROGRAMS Your Some- Own where None Yes Full Most Some Home Else 01 Access Hollywood Access Hollywood Live American Dad Anger Management Are We There Yet? The Big Bang Theory Cash Cab Celebrity Name Game The Cleveland Show Community Cops Cops Reloaded Cougar Town Crazy Talk Crime Watch Daily Dish Nation Divorce Court The Doctors The Dr. Oz Show The Dr. Phil Show Ellen Degeneres Entertainment Tonight Everybody Loves Raymond Extra FABLife Family Feud (Steve Harvey) Family Guy Friends Golf Magazine TV Hot Bench Hot in Cleveland How I Met Your Mother Inside Edition Insider Jeopardy! The Jerry Springer Show Judge Judy Judge Mathis King of Queens King of the Hill Law & Order: Criminal Intent Law & Order: Special Victims Unit. 43 Live with Kelly & Michael MASH Maury The Meredith Vieira Show The Middle Mike & Molly Modern Family The Office People s Court Rachael Ray Raising Hope The Real Right This Minute Rules of Engagement Seinfeld The 700 Club The Simpsons Steve Harvey Show The Steve Wilkos Show TMZ Two and a Half Men Broke Girls The Wendy Williams Show Wheel of Fortune Who Wants To Be A Millionaire.. X

69 Page 67 TELEVISION VIEWING 1. Did you 2. How many times a month do you 3. If you watched the 4. If you watched the SPORTS PROGRAMS watch any usually watch the following program in the program in the program when programs? past 12 months, past 12 months, it was shown how much attention where did you on television in were you paying? watch it? 68X the past 12 months? Some- Your Own where Yes None One Two Three Four Full Most Some Home Else BASEBALL 01 ESPN MLB Regular Season Games FOX Saturday Baseball TBS MLB Regular Season Baseball.. BASKETBALL 04 ABC NBA Countdown ABC NBA Regular Season Games ABC WNBA Regular Season Games CBS NCAA Men s College Basketball Games ESPN NBA Basketball Regular Season Games ESPN NCAA Men s College Basketball FOX College Basketball TNT NBA Basketball Regular Season Games FOOTBALL 12 ABC College Football Countdown ABC College Football Regular Season ABC Saturday Night College Football AFC Championship on CBS CBS College Football Games CBS College Football Today CBS NFL Regular Season Football CBS NFL Thursday Night Games CBS The NFL Today CBS NFL Today Thursday Night Pre-Game Show ESPN College Football Games ESPN NFL Monday Night Football ESPN Sunday NFL Countdown Football Night in America FOX College Football Regular Season FOX College Saturday Pre-Game FOX NFL Regular Season Games FOX NFL Sunday Pre-Game Show NBC NFL Sunday Night Football NBC Notre Dame Football NBC Sports Network College Football Regular Season NFC Championship on FOX NFL Network Regular Season Games.. OTHER 35 CBS Sports Spectacular ESPN Sports Saturday NBC Action Sports NBC Sports Special WWE Main Event X OLYMPICS How likely are you to watch the 2016 Summer Olympics in Rio de Janeiro, Brazil airing in August 2016? 68J-0 Very likely 1 Somewhat likely 2 Not very likely 3 Not at all likely 4

70 TELEVISION VIEWING Page Did you watch any 2. If you watched the program 3. If you watched the program in the past 12 program when it was in the past 12 months, how months, where did you watch it? (Check as SEASONAL SPORTS shown on television in much attention were you many as apply.) the past 12 months? paying? 68N Your Own Someone Bar/ Somewhere Yes Full Most Some Home Else s Home Hotel/Motel Restaurant Else BASEBALL 01 ABC Little League World Series ESPN Little League World Series FOX Major League Baseball World Series 04 FOX MLB Championship Series FOX MLB Divisional Playoffs MLB Wild Card Game TBS MLB Championship Series TBS MLB Divisional Series.. BASKETBALL 09 ABC NBA Finals ABC NBA Playoffs ABC WNBA Championship Finals ABC WNBA Playoffs CBS NCAA Men s Basketball Tournament. 14 ESPN NBA Playoffs SEC Championship TBS NCAA Basketball Tournament TNT NBA Playoffs TNT NCAA Basketball Tournament TRU NCAA Basketball Tournament.. FOOTBALL 20 CBS NFL Football Playoffs CBS NFL Pre-Season Games DIRECTV NFL Sunday Ticket ESPN NFL Football Playoffs ESPN NFL Pre-Season Football FOX NFL Football Playoffs FOX NFL Pre-Season Games NBC NFL Football Playoffs NBC NFL Pre-Season Games NFL Network Pre-Season Football NFL RedZone.. HOCKEY 31 NBC NHL Hockey Playoffs NBC NHL Hockey Regular Season Games. 33 NBC Sports Network NHL Hockey Playoffs NBC Sports Network NHL Hockey Regular Season Games NHL Stanley Cup Finals.. SOCCER 36 FOX Bundesliga Soccer FOX Major League Soccer FOX UEFA Champions League NBC Major League Soccer NBC Sports Network Major League Soccer NBC Premier League Soccer NBC Sports Network Premier League Soccer ANNUAL SPORTS EVENTS/SPECIALS 68P 1. Did you watch any program when it was shown on television in the past 12 months? 2. If you watched any program in the past 12 months, where did you watch it? (Check as many as apply.) Watched Past 12 months Where Watched Your Someone Some- Own Else s where Yes Home Home Else AUTO RACING 01 ABC NASCAR Countdown Formula 1 on NBC Formula 1 on NBC Sports Network Indianapolis Indianapolis 500 Pre-Race Show IndyCar Series NASCAR Daytona NASCAR Sprint Cup Series on FOX NASCAR Sprint Cup Series on NBC NASCAR Xfinity Series on FOX.. BASEBALL 11 FOX Major League All-Star Game Home Run Derby Did you watch any program when it was shown on television in the past 12 months? 2. If you watched any program in the past 12 months, where did you watch it? (Check as many as apply.) Watched Past 12 months Where Watched Your Someone Some- Own Else s where Yes Home Home Else BASKETBALL 13 NBA All Star Game NCAA Atlantic 10 Championship NCAA Basketball Championship Selection Show NCAA Big East Tournament NCAA Big Ten Championship NCAA Men s Basketball Championship Game NCAA Men s Division II Basketball Championship NCAA Men s Final Four NCAA Missouri Valley Conference Championship NCAA Mountain West Championship NCAA Road to the Final Four NCAA SEC Championship PAC-12 Championship

71 Page 69 TELEVISION VIEWING ANNUAL SPORTS EVENTS/SPECIALS (Continued) 68P 1. Did you watch any program when it was shown on television in the past 12 months? 2. If you watched any program in the past 12 months, where did you watch it? (Check as many as apply.) Watched Past 12 months Where Watched Your Someone Some- Own Else s where Yes Home Home Else FOOTBALL 26 AFC/NFC Pro Bowl Game Allstate Sugar Bowl Army-Navy Game AT&T ESPN All American Team Show Capital One Orange Bowl Celebration Bowl Chick-Fil-A Peach Bowl Citrus Bowl College Football Playoff National Championship ESPN NFL Draft Goodyear Cotton Bowl Heisman Trophy Las Vegas Bowl Mountain West Championship NFL Network NFL Draft Pinstripe Bowl Rose Bowl Presented by Northwestern Mutual SEC Championship Game Sun Bowl Super Bowl Super Bowl Post-Game Show Super Bowl Pre-Game Show Vizio Fiesta Bowl.. GOLF 49 ADT Skills Challenge Arnold Palmer Invitational AT&T Byron Nelson Championship AT&T Pebble Beach National Pro-Am The Barclays BMW Championship British Open/Open Championship Crowne Plaza Invitational at Colonial Deutsche Bank Championship Farmers Insurance Open FedEx St. Jude Classic Franklin Templeton Shootout The Greenbrier Classic Honda Classic John Deere Classic LPGA Tour Championship The Masters the Memorial Tournament presented by Nationwide Northern Trust Open Northwestern Mutual World Challenge PGA Championship PGA Championship Preview Show PGA of America Specials PGA Tour on Golf Channel PGA TOUR Specials PGA/USGA Specials The Players Championship PNC Father/Son Challenge The President s Cup Quicken Loans National Did you watch any program when it was shown on television in the past 12 months? 2. If you watched any program in the past 12 months, where did you watch it? (Check as many as apply.) Watched Past 12 months Where Watched Your Someone Some- ANNUAL SPORTS Own Else s where EVENTS/SPECIALS (Continued) Yes Home Home Else GOLF (Continued) 79 RBC Canadian Open RBC Heritage Ryder Cup Senior British Open Senior PGA Championship Shell Houston Open The Tour Championship Travelers Championship U.S. Amateur Championship U.S. Open U.S. Senior Open U.S. Women s Open Valero Texas Open Valspar Championship Waste Management Phoenix Open Wells Fargo Championship WGC Accenture Match Play Championship WGC Bridgestone Invitational WGC Cadillac Women s British Open Wyndham Championship Zurich Classic of New Orleans.. HORSE RACING 101 Belmont Stakes FOX Jockey Club Horse Racing Kentucky Derby NBC Breeder s Cup NBC Sports Network Horse Racing Preakness Stakes Road to the Kentucky Derby Santa Anita Derby Summer at Saratoga/Road to Breeder s Cup.. SKATING 110 ISU Grand Prix NBC Skating Specials U.S. Figure Skating Championships World Figure Skating Championships.. TENNIS 114 Emirates US Open Series Men s Final French Open U.S. Open Tennis on ESPN U.S. Open Tennis Men s Championship. 118 U.S. Open Tennis Women s Championship Wimbledon Wimbledon Highlights.. TRACK & FIELD 121 Adidas Grand Prix Prefontaine Classic U.S. Track & Field Championships World Track & Field Championships

72 TELEVISION VIEWING Page 70 ANNUAL SPORTS EVENTS/SPECIALS (Continued) 68P 1. Did you watch any program when it was shown on television in the past 12 months? 2. If you watched any program in the past 12 months, where did you watch it? (Check as many as apply.) Watched Past 12 months Where Watched Your Someone Some- ANNUAL SPORTS Own Else s where EVENTS SPECIALS (Continued) Yes Home Home Else OTHER SPORTS 125 Alli Dew Tour CBS 15/15 Bucking Battle Bull Riding CBS Premier Boxing Champions CBS PBR Bull Riding Deer Valley Celebrity Skifest Global Rally Cross Championship Jeep World Adventure Lucas Oil Drag Boat Racing Series Lucas Oil Late Model Dirt Series Lucas Oil Off Road Racing Series Pro4 & Pro Lucas Oil Pro Pulling League Major League Fishing Cup Championships NYC Marathon Red Bull Signature Series Summer X Games Tour de France U.S. Swimming Championship UFC on FOX USSA Skiing Winter X Games World Cup Soccer - Men s World Cup Soccer - Women s World Gymnastics Championships World Swimming Championships WrestleMania.. ENTERTAINMENT/NEWS SPECIALS 68R 01 ABC Academy Awards ABC American Music Awards ABC Annual Country Music Association Awards (CMA) ABC Barbara Walters Specials ABC 20/20 Specials Academy of Country Music Awards Academy of Country Music Presents ACM: Presents An All-Star Tribute to the Troops An American Celebration at Ford s Theater. 10 American Country Awards American Masters Big Brother Blake Shelton s Not So Family Christmas. 14 The Briefcase A Capitol Fourth CBS Kennedy Center Honors CBS Thanksgiving Day Parade Charlie Brown Specials Christmas in Rockefeller Center CMA Music Festival Television Special Coat Of Many Colors Daytime Emmy Awards Dick Clark s New Years Rockin Eve with Ryan Seacrest Elf: Buddy s Musical Christmas Elf on a Shelf ESPY Awards Extant Flight Before Christmas FOX New Year s Special Fox 25th Anniversary Special Frosty the Snowman Specials Golden Globe Awards Grammy Awards Grammy Nominations Concert Grammy Presents Did you watch any program when it was shown on television in the past 12 months? 2. If you watched any program in the past 12 months, where did you watch it? (Check as many as apply.) Watched Past 68R 12 months Where Watched Your Someone Some- Own Else s where Yes Home Home Else ENTERTAINMENT/NEWS SPECIALS (Continued) 36 Great Performances Hallmark Hall of Fame - Movies A Home for the Holidays How the Grinch Stole Christmas iheartradio Country Festival iheartradio Music Awards I Love Lucy Christmas Special Independent Lens Kelly Clarkson Ken Burns Films The Kennedy Center Mark Twain Prize Live From Lincoln Center Macy s Fourth of July Fireworks Spectacular Macy s Thanksgiving Day Parade Mat Franco s Got Magic Michael Buble Christmas Miss Universe Pageant Miss USA Pageant Murray Saves Christmas National Dog Show National Memorial Day Concert New Year s Eve Live New Year s Eve With Carson Daly People s Choice Awards POV Prep & Landing Primetime Emmy Awards Primetime News Specials The Reaper Red Nose Day Rudolph the Red-Nosed Reindeer Santa Claus Is Coming to Town Saturday Night Live Specials Secrets of the Dead Shrek the Halls The Sing-Off The Story of Christmas Live Soul Train Music Awards Stevie Wonder: Songs in the Key of Life - An All-Star Grammy Salute The Story of Santa Claus Super Bowl s Greatest Commercials Superbook Teen Choice Awards The Ten Commandments (1956) A Toast to Tony Awards Tournament of Roses Parade Toy Story of Terror Under the Dome Victoria s Secret Fashion Show Victoria s Secret: Swimsuit Show Walt Disney Specials The Wiz Live World Music Awards Yes, Virginia Zoo

73 Page 71 TELEVISION VIEWING SPANISH LANGUAGE SPANISH Listed below are television programs that are shown Monday through Friday. Please check in the appropriate columns below. TELEVISION 1. How many times a week 2. Did you watch the 3. If you watched the 4. If you watched the VIEWING do you usually watch the program yesterday program yesterday, program yesterday, following programs? (if today is Sunday how much attention where did you watch it? 66A or Monday, did you watch the program were you paying? on Friday)? Your Someone Some- Own Else s At where NEWS None Yes Full Most Some Home Home Work Else 01 Noticiero Telemundo Noticiero Univision.. EARLY MORNING PROGRAMS 03 Despierta América Un Nuevo Dia.. DAYTIME 05 Caso Cerrado Casos De Familia Como Dice El Dicho Hoy Laura Lo Mejor del Caso Cerrado La Revista De Zuleyka La Rosa De Guadalupe Roxanna Suelta La Sopa.. MONDAY THROUGH FRIDAY PROGRAMS 15 Al Rojo Vivo con María Celeste Caso Cerrado Edición Estelar El Chavo Cineplex El Gordo y La Flaca El Palenque Primer Impacto Veredicto Final.. LATE NIGHT SHOWS 23 Cineplex Cinescape Choques Extremos Decisiones Desmadrugados Estrellados La Familia P. Luche Noticiero Univision: Edición Nocturna. X Listed below are television programs that are shown once a week. Please check in the appropriate columns below. 1. How many times a 2. Did you watch 3. If you watched the 4. If you watched the program 66C month do you usually the program program in the past in the past 7 days, where watch the following in the past 7 7 days, how much did you watch it? programs? days? attention were you paying? Your Someone Some- Own Else s Hotel/ where ONCE A WEEK PROGRAMS None Yes Full Most Some Home Home Motel Else 01 Al Punto Aquí y Ahora Aventura Animal La Banda El Camino El Chavo Animado Cine De Las Estrellas Cine en Casa Cine En Familia Cine Especial Cine Exclusivo Cine Millonario Cineplex Cinescape Como Dice El Dicho La CQ D.C- La Biblia Continua Durmiendo Con Mi Jefe Enfoque La Familia P. Luche Gran Hermano Hotel Todo Incluido Noticiero Univision - Fin de Semana. 24 Nuestra Belleza Latina Parodiando VIP Planeta U Plaza Sésamo El Reino Animal Sabadazo Sábado Gigante Sal y Pimienta La Sorpresa de Tu Vida Tras La Verdad Va Por Ti La Voz Kids.. X

74 TELEVISION VIEWING SPANISH LANGUAGE Page 72 SPORTS 1. Did you watch any 2. How many times a 3. If you watched the program 4. If you watched the program program when it was month do you usually in the past 12 months, how in the past 12 months, shown on television in watch the following much attention were you where did you watch it? the past 12 months? programs? paying? 66E Some- Your Own where SPORTS PROGRAMS Yes None One Two Three Four Full Most Some Home Else 01 Contacto Deportivo Fútbol Central Liga Mexicana De Fútbol Lucha Underground República Deportiva Ritmo Deportivo Sólo Boxeo Titulares y Más Titulares Telemundo Zona NBA.. 6 X Did you watch any 2. If you watched the program in 3. If you watched the program in the past 12 months, program when it was the past 12 months, how much where did you watch it? (check as many as apply.) 66F shown on television in attention were you paying? the past 12 months? Your Someone Some- Own Else s Hotel/ Bar where SEASONAL SPORTS Yes Full Most Some Home Home Motel Restaurant Else 01 Boxeo Telemundo CONCACAF Champions League Copa América Copa Oro FIFA Confederation Cup Fútbol Estelar Liga Mexicana de Fútbol Major League Soccer Superliga USA vs Mexico Friendlies SOAP OPERAS/ NOVELAS 1. Did you watch any program when it was shown on television in the past 12 months? 66H Watched Past 12 months DAYTIME Yes 01 TELEMUNDO: (Imperio, Preciosa Perla) UNIMAS: (Rebelde, Una Familia Con Suerte, Vecinos) UNIVISION: (Triunfo Del Amor, La Vecina).. PRIME TIME 04 TELEMUNDO: (Bajo el Mismo Cielo, Doña Bárbara, La Indomable, Quién Es Quién, La Querida del Centauro, El Señor de los Cielos, Señora Acero 2) UNIMAS: (El Cartel De Los Sapos, El Dandy, Esmeraldas, La Viuda Negra 2, Lady La Vendedora de Rosas, Logout, Niño Santo, Ruta 35) UNIVISION: (A Que No Me Dejas Corazón, Amores Con Trampa, Antes Muerta Que Lichita, El Color De La Pasión, La Sombra Del Pasado, Lo Imperdonable, Muchacha Italiana Viene a Casarse, Que Te Perdone Dios, Yo No Creo En Los Hombres).. 6 ANNUAL EVENTS/ SPECIALS 66L 1. Did you watch any program when it was shown on television in the past 12 months? 2. If you watched any program in the past 12 months, where did you watch it? (Check as many as apply.) Watched Past 12 months Where Watched Your Someone Some- Own Else s where ANNUAL EVENTS/SPECIALS Yes Home Home Else 01 Alfombra de Premios Tu Mundo La Alfombra Roja de Billboard The Bible Cine Especial Detrás de la Fama El Desfile de las Rosas Es El Momento Feliz Año Nuevo El Grito de México I Heart Radio Fiesta Latina Latin AMA s Latin Billboard Music Awards Latin Grammy Las Mañanitas a la Virgen de Guadalupe. 15 Miss Universe Miss USA Miss Venezuela Nuestra Belleza de México Nuestra Navidad Premio Lo Nuestro Premios Billboard: Acceso VIP Premios Juventud Premios Oye Premios Tu Mundo Premios TV y Novelas Premios Univision Social Media Awards Univision Documentales

75 Page 73 CABLE AND SATELLITE TELEVISION NETWORKS CABLE AND SATELLITE TELEVISION NETWORKS 66X If you watched the program in the Past 7 days, how much attention were you paying? Watched Watched last last 30 days 7 days Full Most Some CABLE AND SATELLITE TELEVISION NETWORKS (Continued) 66X If you watched the program in the Past 7 days, how much attention were Watched Watched you paying? last last 30 days 7 days Full Most Some ABC Family 01 Baby Daddy The Fosters Pretty Little Liars Switched at Birth Young & Hungry.. Adult Swim 06 American Dad Family Guy Mike Tyson Mysteries Rick & Morty Robot Chicken.. A&E 11 Bates Motel Duck Dynasty The First Storage Wars Unforgettable Wahlburgers.. AMC 17 Better Call Saul Fear the Walking Dead Into the Badlands Talking Dead The Walking Dead.. Comedy Central 42 Broad City The Daily Show Inside Amy Schumer The Nightly Show with Larry Wilmore 46 Workaholics.. Discovery Channel 47 Alaskan Bush People Deadliest Catch Fast N Loud Naked & Afraid Street Outlaws.. E! (Entertainment Television) 52 E! News Fashion Police Keeping up with the Kardashians The Royals The Soup.. ESPN 57 Around the Horn College Football Live NFL Live PTI (Pardon the Interruption) SportsCenter.. Animal Planet 22 Finding Bigfoot My Cat From Hell Pit Bulls & Parolees River Monsters Tanked.. ESPN2 62 First Take His & Hers Mike & Mike in the Morning Olbermann SportsNation.. Bravo 27 Girlfriends Guide to Divorce The Real Housewives of Atlanta The Real Housewives of Beverly Hills 30 Top Chef Watch What Happens Live.. Food Network 67 Chopped Cutthroat Kitchen Diners, Drive-ins and Dives Guy s Grocery Games Restaurant Impossible.. CNBC 32 Fast Money Mad Money The Profit Shark Tank Squawk Box.. CNN 37 Anderson Cooper Anthony Bourdain Parts Unknown. 39 CNN Films Inside Man New Day Fox News Channel 72 The Five Fox and Friends Hannity The Kelly File The O Reilly Factor.. FX 77 American Horror Story The Americans The Bastard Executioner Fargo FX Prime Movie

76 CABLE AND SATELLITE TELEVISION NETWORKS Page 74 CABLE AND SATELLITE TELEVISION NETWORKS (Continued) 66X If you watched the program in the Past 7 days, how much attention were you paying? Watched Watched last last 30 days 7 days Full Most Some CABLE AND SATELLITE TELEVISION NETWORKS (Continued) 66X If you watched the program in the Past 7 days, how much attention were Watched Watched you paying? last last 30 days 7 days Full Most Some History Channel 82 American Pickers The Curse of Oak Island Pawn Stars Swamp People Vikings.. Syfy 120 The Expanse Face Off The Magicians WWE SmackDown Z Nation.. HLN 87 Issues With Jane Velez-Mitchell Morning Express with Robin Meade. 89 Nancy Grace.. Home & Garden Television 90 Fixer Upper Flip or Flop House Hunters Love It or List It Property Brothers.. ION 95 Blue Bloods Criminal Minds ION Movies Law & Order: Special Victims Unit. 99 Saving Hope.. Lifetime 100 Bring It Dance Moms Devious Maids Project Runway Unreal.. MTV 105 Awkward The Challenge Real World Teen Mom Teen Wolf.. Nickelodeon 110 Bella and The Bulldogs Dora and Friends Paw Patrol SpongeBob SquarePants Teenage Mutant Ninja Turtles.. TBS 125 American Dad Originals Angie Tribeca The Big Bang Theory Conan Family Guy.. TLC 130 Little Couple Long Island Medium Love, Lust or Run My Big Fat Fabulous Life Day Fiance.. TNT 135 The Last Ship Legends Major Crimes Murder in the First Rizzoli & Isles.. trutv 140 The Carbonaro Effect Fake Off Friends of the People Hardcore Pawn Impractical Jokers.. USA Network 145 Chrisley Knows Best Modern Family Suits WWE Raw WWE SmackDown.. Spike TV 115 Bar Rescue Family Takeover Ink Master Lip Sync Battle Sweat Inc The Weather Channel 150 AMHQ with Sam Champion Fat Guys in the Woods Prospectors Three Scientists Walk Into a Bar Wake Up with Al

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