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  1. What is your gender?
    • Female
    • Male
  2. How old are you?
    • Under 18
    • 18 to 24
    • 25-34
    • 35-44
    • 45-54
    • 55-64
    • Over 65
  3. Do you have children living at home?
    • Yes
    • No
  4. How many children do you have living at home?
    • One
    • Two
    • Three
    • Four
    • Five
    • Six
    • Seven or more
  5. How old are your children? (check all ages that apply)
    • Baby younger than age 1
    • Toddler age 1 to 3
    • Age 4 to 6
    • Age 7 to 10
    • Age 11 to 13
    • Age 14 to 18
    • 19 or older
  6. How often do you use the Coupon Mom website?
    • Never
    • More than once a week
    • Once a week
    • 2-3 times a month
    • Once a month
    • Less than once a month
  7. How do you classify yourself as a grocery coupon user?
    • Beginner
    • Regular, moderate coupon user
    • Expert, heavy coupon user
  8. If you use the Coupon Mom site, how long have you been using it?
    • Less than 3 months
    • Less than one year
    • Between 1 and 3 years
    • Between 3 and 5 years
    • Over 5 years
  9. What prompted you to start using the Coupon Mom site? (check all that apply)
    • Extreme Couponing Show on TLC
    • Online search for coupons or other topic
    • Saw it on TV news or show
    • Saw it on Oprah
    • Read an article about it
    • Referral from a friend, relative
    • Referral from another shopper or cashier
    • Other
  10. If you use the site, what sections of the site do you use at least once a month? Check all that apply.
    • Printable Grocery Coupons
    • Grocery Deals list for my local grocery store
    • Drugstore Lists: CVS, Walgreens and/or Rite Aid
    • Walmart Deals list
    • Target Deals list
    • Kmart Deals list
    • Family Dollar Deals list
    • Dollar General Deals list
    • Office Max Deals list
    • Staples Deals list
    • Online shopping coupon codes
    • Coupon Database
    • Learn to Coupon videos and ebooks
  11. Have you watched any of the Coupon Mom videos in the "Learn to Coupon" section?
    • Yes
    • No
  12. Has the Coupon Mom website helped you save money?
    • Yes
    • No
  13. How much money do you save per month using grocery coupons, sales and promotions at grocery, drugstore and discount stores?
    • Less than $100 per month
    • Between $100 and $199 per month
    • Between $200 and $299 per month
    • Between $300 and $399 per month
    • Between $400 and $499 per month
    • Between $500 and $599 per month
    • Over $600 per month
  14. Would you recommend the Coupon Mom site to others?
    • Yes
    • No
  15. Would you be willing to pay a monthly subscription fee for a version of CouponMom.com that had no advertising?
    • Yes
    • No
  16. If you would prefer to pay a monthly fee than have advertising on the site, what is the amount you would be willing to pay per month for unlimited access to all store lists and tools?
    • $2 per month paid monthly with no contract
    • $10 per six months
    • $15 per year
  17. Do you donate food or personal care items to charity as a result of getting more deals with coupons?
    • Yes
    • No
    • I donated before I couponed and donate the same amount now
  18. If you donate to charity as a result of getting more coupon deals, how often do you buy an item for charity?
    • Once a year
    • Once a month
    • A few times a year
    • 1-2 times per month
    • Weekly
  19. What additional features would you like to see added to the Coupon Mom site? (check all that apply)
    • More local grocery store deals lists
    • Online coupon codes for all the online retailers
    • More contests with prizes
    • Detailed Savings Scenarios for stores' deals
    • More videos teaching coupon and saving strategies
    • More printable coupons
    • 1-800 phone help line to ask couponing questions
    • Travel discounts (airfare, hotels, etc.)
    • Discounts on financial services (credit cards, bank accounts, etc.)
    • Discounts on home services (home repair, landscaping, etc.)
    • Recipes
  20. If a Coupon Mom App was available with all the information and tools that the website has, would you use it?
    • Yes
    • No
  21. Do you use the Coupon Mom Facebook page?
    • Yes
    • No
    • I didn't know Coupon Mom had a Facebook page
  22. Do you receive the Coupon Mom email newsletter?
    • Yes
    • No
  23. Do you use the Pinterest site?
    • Yes
    • No
    • I haven't heard of that site
  24. How much do you spend per month at grocery, drugstore and discount stores?
    • $100 or less
    • $101 to $300
    • $301 to $500
    • $501 to $700
    • $701 to $900
    • $901 to $1100
    • Over $1100
    • I have no idea
  25. How important is CouponMom in planning/budgeting for your grocery, drugstore and discount store purchases?
    • Very important, I rely on the site to find the best deals
    • Important, I use it regularly
    • Somewhat important, I use it sometimes
    • Not important at all, I don't use the site to plan my shopping
 
 
 
 
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