!.

Name:
2. Address
3. Gender
4. Approximate household income:
5. Single: Married:
6: children in the household under the age of 18? How many:
7. Age: Boy___ Girl ____
8. Own your home?_____ Rent your home?_____

9. Approximately how often do you prefer this Mineral Water

(state the name of the Water Bottle Brand)
a) once or more a week
b) several times a month
c) less than once a month
d) several times a year
e) once a year
Then tell me________________

10. In the time of Journey have you purchased the Aquafina water, if
so when,
you alone
with friends
family members

11. Is it easy to find convenient parking?

SDA DA A SA

12. Were you able to find the AQF that you were looking for buy?
SDA DA A SA

13. Were you satisfied with the AQF at the shops you visited to buy?
SDA DA A SA

14. Were you satisfied with the prices of the AQF you purchased?
SDA DA A SA

15. overall, how likely are you to return to this AQF again to buy
a. very likely
b. somewhat likely
c. unsure
d. somewhat unlikely
e. very unlikely

16. if you chose somewhat unlikely, or very unlikely to give

preference to AQF again, could you please describe briefly, why you
answered that you would be unlikely to buy AQF again?

______________________________________…

______________________________________…
______________________________________…

17. do you feel the AQF has benefits over packaged water brands
locally?
a. yes
b. no
18. If you answered "yes" to question 19, please provide a short
explanation for your answer:

______________________________________…
______________________________________…

Thanks for participating.

To thank you for taking the time to fill out this survey.