Energy Drink Consumption Survey- For People Who Consume Energy Drinks
Please respond to this survey if you consume energy drinks.
1. What is your sex?
   Male
   Female
2. What is your age?
   17-24
   25-34
   34-39
   40-49
   50-65
   Other
3. What is your race?
   Caucasian
   African-American
   Hispanic
   Asian
   Other
4. Annual Income:
   Less than $25,000
   $25,000-$49,999
   $50,000-$74,999
   $75,000-$99,999
   $100,000 or more
5. What is the highest level of education you completed?
   High School or lower
   College
   Graduate School
6. If you are a female, do you have children?
   Yes
   No
7. If you are a female with children, how many children do you have?
   1
   2
   3
   4 or more
8. If you are a female with children, how old is your youngest child?
   Under age 4
   5-11
   12-18
   Over 18
9. Do you drink any "energy drinks" (Red Bull, Amp, or any other brand)?
   Yes
   No
10. On average, how many energy drinks do you consumer per day?
   Zero
   1-3
   4-6
   7 or more
11. On average, how many energy drinks do you consumer per week?
   Less than 7
   7
   14
   More than 14
12. Where do you buy energy drinks? Check ALL that apply.
   Supermarket
   Convenience store
   Health food store (such as GNC and Vitamin Shoppe)
   The gym
   Online
   Vending machine
   Wholesale Clubs (such as Costco, BJ’s, or Sam’s Club)
   Natural and organic groceries (such as Whole Foods or Trader’s Joe’s)
13. Why do you drink an energy drink? Check ALL that apply.
   Energy boost to start your day
   Energy boost mid-day to keep up your stamina
   Energy boost at night to stay awake longer
   Energy boost to maximize exercise or physical potential
14. Do you also consume any of the following other beverages for an "extra boost of energy?" Check ALL that apply.
   Hot coffee
   Iced coffee
   Caffeinated hot tea
   Caffeinated iced tea
   Vitamin water
   None
15. In choosing an energy drink, what is most important to you? Check ALL that apply.
   Taste
   Zero calories
   Less than 100 calories
   Low carbohydrates
   High protein
   Low sodium
   High in fiber
   Sugar
   Sugar-free (artificial sweetener, such as aspartame or Splenda)
   No side effects (such as the jitters)
   Sugar-free all natural sweeteners, such as Stevia and agave syrup
   B vitamins
   Vitamin C
   Minerals (such as calcium)
   All-natural
   Herbs (such as ginseng)
16. What is your ideal size for an energy drink?
   8 -10 ounces
   11-12 ounces
   13-16 ounces
   17-20 ounces
17. Do you prefer energy drinks in recyclable aluminum cans, recyclable plastic bottles, or recyclable cardboard containers (like those used for juice boxes)?
   Recyclable aluminum cans
   Recyclable plastic bottles
   Recyclable cardboard containers
   No preference
18. What kind of flavor would you like in an energy drink? Check all that apply.
   Lemon-lime
   Strawberry-kiwi
   Orange
   Mango
   Peach
   Green tea
   Raspberry tea
   Acai Berry
   Fruit punch
19. Do you prefer carbonated or noncarbonated energy drinks?
   Carbonated
   Noncarbonated
   No preference
20. What is the most you would ever pay for a single serving of a high-quality energy drink?
   $1.89
   $2.00
   $2.49
   $2.50
   $2.99
21. Do you utilize Facebook and/or Twitter to learn more about "energy drinks?"
   Facebook
   Twitter
   Both Facebook and Twitter
   Neither
22. Does advertising, such as TV commercials, radio, and magazine advertisements influence what energy drinks you consume?
   Yes
   No
23. Which type of advertising if any persuaded you to buy an energy drink? Check ALL that apply.
   TV commercials
   Radio
   Magazine advertisements
   Internet
   Billboards
   Advertisements on buses and taxis
   None