JOIN the Sweetbay Customer Panel. 
                                    Voice your opinion and help 
                                   Sweetbay serve you better!

                                       Have fun! Win Prizes!
                                         for participation in surveys you could win:

                                           Cash, Gift Certificates, Prizes & Products

                                       We would like to invite you to join the Sweetbay Customer
     Panel. As panel members, you and the other members of your
                                    household will have the opportunity to participate in opinion polls
and satisfaction surveys.

                All of our surveys involve participation incentives. All new panel members will be entered into a sweepstakes offering Sweetbay gift certificates or other merchandise prizes.
(Click to read sweepstakes rules) All you have to do to join is complete this 10-minute questionnaire. Please be sure to answer every question completely. This information is for research purposes only and will be held in the strictest confidence. Your privacy is assured. Click to read our privacy pledge.

*Sweetbay can accept this panel application only if you are 18 years of age or older.

Please Tell Us About Yourself

First Name: Note: Please use upper/lower case
Last Name:
Street Address:
City:
State:
Zip Code:

What is the status of your residency here?

I live here year round
I live here only during the winter months
I live here only during the summer months
I would consider myself more of a visitor than a resident
Other

Area Code: Phone Number:

Your Primary E-Mail Address*:

*Please be sure your e-mail address is correct! This is the primary means we will use to contact you. For example: jo_doe@aol.com; jane@inet.net

Age: *Please do not leave blank. Must be 18 or over.

Date of Birth:

Gender: Male Female

What is your ethnic background?

Would you consider yourself to be Spanish, Hispanic, or Latino?

Marital Status

What is your annual household income?

Please indicate the highest level of education completed

What is your primary occupation?

If you selected "other occupation" please specify here:

Please Tell Us About Your Spouse/Significant Other

(If no spouse/significant other, please click here.)

First Name:

Last Name:

Age: *Please do not leave blank. Must be 18 or over.

Date of Birth:

Gender: Male Female

Please indicate the highest level of
education completed

What is their primary occupation?

If you selected "other occupation" please specify here:

 

Please Tell Us About Other Members of Your Household

Many of our projects consist of opinion polls or product/service evaluations that are intended for persons of a particular age and/or gender (for example: as families with young children). Please provide background information on the other members of your household, so that we can select appropriate participants for our projects.

In the space provided, please indicate the total number of people in each of the following age groups currently living in your household – including yourself and your spouse/significant other. If a certain age group does not apply, you may enter "0" or leave the box blank.

0-2 Years

3-5 Years

6 – 8 Years

9-12 Years

13-17 Years

18 and up

Please provide the following information for all household members (other than yourself and your spouse/significant other.)

Person 1

First Name

Last Name

Gender: Male Female

Date of Birth:

Person 2

First Name

Last Name

Gender: Male Female

Date of Birth:

Person 3

First Name

Last Name

Gender: Male Female

Date of Birth:

Person 4

First Name

Last Name

Gender: Male Female

Date of Birth:

Person 5

First Name

Last Name

Gender: Male Female

Date of Birth:

Person 6

First Name

Last Name

Gender: Male Female

Date of Birth:

Finally, Please Tell Us About Your Shopping Habits

Which of the following grocery store chains would you consider to be your PRIMARY grocery store – the one you make more of your grocery purchases at? (Please select ONE)

    Albertson's
    BJ's Club Store
    Fresh Market
    Kash n' Karry
    Publix
    Sam's Club Store
    Save Rite
    Save-A-Lot
    Smart & Final
    Sweetbay Supermarket
    Target Supercenter
    U-Save
    Wal-Mart Neighborhood Market
    Wal-Mart Supercenter
    Winn Dixie
    Whole Foods Market
    Speciality Markets:
    Other

Which of the following grocery store chains do you at least occasionally shop at? (Select all that apply)

    Albertson's
    BJ's Club Store
    Fresh Market
    Kash n' Karry
    Publix
    Sam's Club Store
    Save Rite
    Save-A-Lot
    Smart & Final
    Sweetbay Supermarket
    Target Supercenter
    U-Save
    Wal-Mart Neighborhood Market
    Wal-Mart Supercenter
    Winn Dixie
    Whole Foods Market
    Speciality Markets:
    Other

If you shop at least occasionally at Sweetbay Supermarket, which location do you most frequently shop at?

How often do you shop at a grocery store?

    Several times per week
    Twice a week
    Once per week
    Every other week
    Once a month
    Less than once a month

How much would you say you spend per week on groceries purchased at a grocery store?

    Less than $25
    $25 - $50
    $51 - $100
    $101 - $150
    More than $150

What percent of your weekly expenditures on groceries would you say on average takes place at Sweetbay Supermarket?

    Less than 25%
    25% - 49%
    50% - 74%
    75% - 100%

How often do you use a store’s weekly sales flyer when planning your shopping trip?

    Frequently
    Occasionally
    Rarely
    Never

How often do you use manufacturer’s coupons on a shopping trip?

    Frequently
    Occasionally
    Rarely
    Never

How did you learn about the Sweetbay Supermarket Customer Panel?

    Store Bulletin
    Sweetbay Supermarket website at: www.sweetbaysupermarket.com
    Word-of-Mouth
    Other

Which of the following product categories would you say you purchase on a regular basis at a grocery store? (please check all that apply)
    Produce
    Natural Foods
    Bakery Items
    Meats
    Medicines
    Pet Supplies/Food
    Deli
    Toiletries
    Batteries or Lightbulbs
    Dairy
    Paper Products
    Juices
    Frozen foods
    Feminine Products
    Trash bags    		 Alcoholic Beverages
    Stationery
    Prepared dinner mixes
    Condiments
    Baby Products
    Baking Mixes
    Pasta/Sauces
    Snack Foods
    Soups
    Soda
    Canned Vegetables
    Seasonal items
    Cereal
    Commercial Breads
    Coffee

Thank you for completing the Sweetbay Supermarket Customer Panel application.

Remember, all responses will remain strictly confidential!

Once we process this application, you and other members of your household will be members of our online Customer Panel. We thank you in advance for sharing your opinions. We hope you enjoy our surveys and we look forward to working with you!