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HeadOn Survey Demographics 1. What is your gender?MaleFemalePrefer not to answer 2. How old are you?14-1819-2526-3031-3536-4041-4546-5051-5556+3. How many days a week do you spend 1 or more hours exercising or engaging in sports? 1-22-33-44-55-66-74. Please specify your ethnicity.American Indian or Alaskan NativeAsianBlack or African-AmericanLatino or Hispanic Native Hawaiian or other Pacific IslanderWhite/Caucasian From multiple racesOther Prefer not to answer 5. Which of the following best describes your current work status?Employed full-timeEmployed part-timeHomemakerStudentRetiredUnemployed Sports drink behavior 6. How frequently do you purchase sports drinks like Gatorade and Powerade for hydration while exercising/ engaging in sports?Every timeAlmost every timeMost of the timeAbout half the time Less than half the time NeverLow Calorie/Sugar Behavior 7. If given the option, how frequently do you chose a low calorie/sugar version of a beverage?Every timeAlmost every timeMost of the timeAbout half the time Less than half the time Never8. How familiar are you with sugar alternatives? (i.e. sucralose, aspartame, stevia, etc.)Very familiarSomewhat familiarSlightly familiarNot that familiar Not at all familiar 9. Does anyone in your family currently suffer from heart disease or diabetes?Yes No Please read the following description of a new ready-to-drink-athletic supplement beverage and answer the questions that follow.HeadOn. Restore-Replenish-RepairMost sports drinks stop at hydration. HeadOn Sports Drink goes far beyond hydration to supply your body with functional ingredients you need before, during, and after physical exertion. HeadOn Restores antioxidants to diminish damage from strenuous activities HeadOn Replenishes electrolytes that assist your body in staying hydrated HeadOn Repairs with micronutrients that support your body’s ability to reduce inflammation HeadOn is a ready-to-drink athletic supplement beverage. The advanced, patented formula was developed and tested by clinical experts and scientists, and is supported by doctors who are currently or previously associated with professional hockey, the NBA, NASA, the Department of Defense as well as professional and youth football. . HeadOn assists in neuro-health and supports the body’s recovery from impact and strenuous activity. Not only is HeadOn functionally better than its competition, but it tastes great. It is made without caffeine or high-fructose corn syrup. HeadOn, Long Live the Athlete. 10. Based on the description, how likely are you to purchase HeadOn?Definitely purchaseProbably purchaseMight or might not purchaseProbably not purchaseDefinitely not purchase 11. How much would you pay for this product in a 16 ounce bottle?A. $1.50-$2.00B. $1.75-$2.00C. $2.00-$2.25D. $2.25-$2.49E. $2.50-$3.20F. $3.20-$3.50G. $3.50+H. I would not buy this product 12. HeadOn currently comes in 16 ounce bottles. Please rank in order of preference, which additional packaging you would like to see HeadOn available in. (1 being highest, 6 being lowest)___ 6 pack of bottles___ 8 ounce bottle___ 24 pack of bottles ___ 20 ounce bottle___ 8 pack of bottles___ 32 ounce bottle Opinion of samples **Taste sample A13. How appealing is the color of sample A?Very appealingSomewhat appealingSlightly appealingNot that appealingNot at all appealing14. How appealing is the smell of sample A?Very appealingSomewhat appealingSlightly appealingNot that appealing Not at all appealing 15. Based on the taste, how likely are you to purchase sample A?Definitely purchaseProbably purchaseMight or might not purchaseProbably not purchaseDefinitely not purchase16. Comments on Sample A. (Aftertaste, sweetness, bitterness, etc.)________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________*Taste Sample B17. How appealing is the color of sample B?Very appealingSomewhat appealingSlightly appealingNot that appealingNot at all appealing18. How appealing is the smell of sample B?Very appealingSomewhat appealingSlightly appealingNot that appealing Not at all appealing 19. Based on the taste, how likely are you to purchase sample B?Definitely purchaseProbably purchaseMight or might not purchaseProbably not purchaseDefinitely not purchase20. Comments on Sample B. (Aftertaste, sweetness, bitterness, etc.)__________________________________________________________________________________________________________________________________________________________________________________________________________________21. If given the option, which sample, based on taste, color, and smell, would you choose to drink?Sample ASample B 22. Reason for answer:__________________________________________________________________________________________________________________________________________________________________________________________________________________23. If given the option of purchasing ONLY ONE version, the pure cane sugar version, which has 90 calories per serving, 180 calories per bottle, or the pure cane sugar/monk fruit/stevia version, which has 40 calories per serving, 80 per bottle, which would you choose?Pure cane sugar version Pure cane sugar, stevia, and monk fruit version ................
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