Food Co-op Interest Survey <Co-op Name> Shopping Patterns 1. How much does your household spend in an average week on groceries? (check one) Under $50 $51-$75 $76-$100 101-$125 $126-$150 $151+ Don’t Know O O O O O O O 2. Where do you spend most of your grocery dollars? (check one) (Fill in w/local options) O a. Buying club O b. Limited assortment store O c. Existing food co-op in another community O d. Local supermarket O e. Natural product retailer O f. O g. Internet/Mail-order O h. National supermarket chain O i. O j. Supercenters O l. Other ____________________________ Convenience store O k. Local grocery store Regional supermarket chain Note: In the following questions, “primary store” means the place you spend most of your grocery dollars, the outlet you identified in question #2. 3. Where do you regularly purchase the following types of products? a. Grocery items (cereal, juice, canned goods, etc) O Buy mostly in primary store O b. Dairy (milk, eggs, yogurt, soy, etc) O O O c. Fresh fruits & veggies O O O d. Frozen foods O O O e. Meat, poultry, fish & seafood O O O f. O O O g. Beer/wine O O O h. Coffee/tea O O O i. Bread & bakery O O O j. Bulk products O O O O O O Product categories Deli/ready to eat foods k. Other (please specify): ________________________ Copyright 2008 by National Cooperative Grocers Association. Don’t buy Buy mostly elsewhere O 4. From the list below, please choose the top five factors you consider when choosing where to shop for groceries: O a. Product selection/variety O b. Cleanliness of store O c. Quality/freshness of products O d. Knowledgeable staff O e. Prices O f. O g. Location of store/convenience O h. Availability of brands I/my family likes O i. O j. Availability of natural/organic foods O k. Atmosphere/ambiance of store O l. Cooperative ownership O m. Other (please specify):_____________________ Hours of operation Friendly/courteous staff 5. How much of your grocery dollars does your household spend at your primary store in an average week? A little (0-25%) Some (26-50%) More than half (51-75%) Almost all (76-100%) Don’t know O O O O O 6. On average, how often do you shop at your primary store? More than 1/week Once/week Twice/Month Once/Month Less than 1/Month O O O O O Satisfaction 7. Please rate your primary grocery store in terms of how well it is meeting your needs with respect to the following store characteristics: a. Product selection/variety Very Well O O Somewhat Well O Somewhat Poorly O Well O Very Poorly O No Opinion O Poorly b. Quality/freshness of products O O O O O O O c. Prices O O O O O O O d. Location of store/convenience O O O O O O O e. Hours of operation O O O O O O O f. Atmosphere/ambiance of store O O O O O O O g. Cleanliness of store O O O O O O O h. Knowledgeable staff O O O O O O O i. Friendly/courteous staff j. Availability of brands I/my family O O O O O O O O O O O O O O k. Availability of natural/organic foods O O O O O O O l. Other (please specify):______________ m. How well does the store meet your O O O O O O O O O O O O O O likes needs overall? Copyright 2008 by National Cooperative Grocers Association. 8. Do you have any comments regarding how your primary grocery store is meeting your needs? [Optional— Data will be evaluated at additional cost to co-op] 9. Please rate your primary grocery store in terms of how well it is meeting your needs in the following product categories: a. Grocery items (cereal, juice, canned goods, etc.) Very Well Well Somewhat Well Somewhat Poorly Poorly Very Poorly No Opinion/ Don’t Buy O O O O O O O b. Dairy (milk, eggs, yogurt, soy, etc) O O O O O O O c. Fresh fruits & veggies O O O O O O O d. Frozen foods O O O O O O O e. Meat, poultry, fish & seafood O O O O O O O f. Deli/ready to eat foods O O O O O O O g. Beer/wine O O O O O O O h. Coffee/tea O O O O O O O i. Bread & bakery O O O O O O O j. Bulk products O O O O O O O 10. Do you have any comments regarding how your primary grocery store meeting your needs with respect to the products offered/not offered? [Optional—Data will be evaluated at additional cost to co-op] 11. If you are a <name of co-op> member-owner, how important are these features for shopping at <name of coop>? (If you are not a member-owner, please skip to question # 14.) Very Important Important Somewhat Important Not Important No Opinion a. Member-ownership of the business O O O O O b. Member-owner promotions O O O O O c. Patronage refund d. Member-owner appreciation days e. Ability to vote for board of directors f. Other (please specify): _________________________ O O O O O O O O O O O O O O O O O O O O Copyright 2008 by National Cooperative Grocers Association. 12. Please indicate your level of agreement with the following statements: a. I know how to contact the co-op organizing group b. The organizing group is responsive to my input c. I trust the group to use members’ investments appropriately d. The organizing group is making timely progress e. The organizing group has asked me to volunteer my assistance f. Other (please specify): _________________________ Agree Somewhat Agree Somewhat Disagree Disagree No Opinion O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O 13. Is there anything else you want to say about <name of co-op>? [Optional—Data will be evaluated at additional cost to co-op] Copyright 2008 by National Cooperative Grocers Association. Personal Characteristics Please tell us a little about yourself by answering the following questions. 14. Please indicate your level of agreement with the following statements: Agree Somewhat Agree Somewhat Disagree Disagree a. I exercise on a regular basis. O O O O b. Nutritional value is more important to me than price when buying food. O O O O c. Organic foods are very important to me and my family. O O O O d. I am proactive about my health. O O O O e. I buy local foods when available. O O O O f. I shop in places where I feel a sense of community. O O O O g. As much as possible, I shop at locally owned retailers. O O O O h. I am willing to pay a little more for products that are produced more sustainably/with less environmental impact. O O O O i. O O O O I engage in activities that address political/social issues. 15. What is your gender? Male Female O O 16. What is your ZIP code? _________________________ 17. What is your age range? 18 – 24 25 - 30 31-34 35-39 40-44 45-49 50-54 55-64 65+ O O O O O O O O O 18. Are you a member of a food co-op other than <name of co-op>? Which one? Not a member Am a member O O Name of Co-op __________________________ City __________________________State ____________ 19. Are you a member-owner of <name of co-op>? Not a member Am a member O O Copyright 2008 by National Cooperative Grocers Association. 20. Including you, how many of the following live in your household? None 1 2 3+ a. Adults (18+ years old) O O O O b. Children O O O O 21. How far do you travel (one way) to shop at your preferred grocery store? Less than 1 mile 1 – 5 miles 5.1 – 10 miles 10.1 – 25 miles 25+ miles O O O O O 22. What is your highest level of education? O Less than high school diploma O 2-year college/tech/trade school degree O High school diploma O 4-year college degree O Some college/tech/trade school O Graduate/Professional degree 23. What is your approximate annual household income? O Less than $15,000 O $50,000 - $74,999 O $15,000-$24,999 O $75,000 - $99,999 O $25,000 - $34,999 O $100,000 - $149,999 O $35,000 - $49,999 O $150,000 or more 24. Please tell us your ethnicity: O Asian American O Hispanic or Latino(a) O Black or African American O Native American/Alaskan Native O White or Caucasian O Two or more/multiple race O Other Communication 25. Please list up to three each of your favorite T.V. programs, radio stations, newspapers and websites. Favorite T.V. programs ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ Favorite radio stations ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ Favorite newspapers ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ Favorite websites ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ Copyright 2008 by National Cooperative Grocers Association. 26. How important to you are the following sources of information about <name of co-op>? Note: In the last column, please indicate your 3 preferred ways to get information from <name of co-op>. Very Important Important Somewhat Important Not Important No Opinion Check top 3 O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O a. Local postings (signs, bulletin board, flyers, pamphlets, etc.) b. Co-op website (including blog) c. Informal conversations (with co-op board or staff) d. Formal meetings (annual mtg, Board of Director meetings/listening sessions) e. Emails f. Mailings (co-op newsletter, annual g. report, special mailings) Other (please specify): ____________________ 27. How important to you are the following types of information? Very Important Important Somewhat Important Not Important No Opinion a. Board of directors news O O O O O b. Community events (e.g. festivals, O O O O O d. Financial information/reports O O O O O e. Other (please specify): _______________ O O O O O O O O O O O O O O O j. Locally produced products O O O O O k. Food preparation & recipes O O O O O l. Food safety O O O O O m. Other (please specify): ________________ O O O O O n. Fair trade O O O O O o. Producer profiles O O O O O p. Livestock treatment O O O O O q. The environment O O O O O r. Other (please specify): ________________ O O O O O Co-op news and information: celebrations) c. Co-op progress reports Information about foods and products: h. Health and nutrition information i. Food production practices (e.g. genetically modified organisms; organics/organic standards) Social and agricultural issues: Copyright 2008 by National Cooperative Grocers Association. 28. How satisfied are you with <name of co-op>’s current delivery of this information to you? (optional) Very Satisfied Satisfied Somewhat Satisfied Somewhat Dissatisfied Dissatisfied Very Dissatisfied No Opinion O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O h. Locally produced products O O O O O O O i. Food prep & recipes O O O O O O O j. Food safety O O O O O O O O O O O O O O O O O O O O O m. Producer profiles O O O O O O O n. Livestock treatment O O O O O O O o. The environment O O O O O O O p. Other (please specify): _________________ O O O O O O O Co-op news & info: a. Board of directors news b. Community events (e.g. festivals, celebrations) c. Co-op progress reports d. Financial info/reports e. Other (please specify): _________________ Information about foods and products: f. Health/nutrition info g. Food production practices (e.g. genetically modified organisms; organics/ organic standards) k. Other (please specify): _________________ Social and agricultural issues: l. Fair trade This completes our survey. Thank you for your participation—your feedback is critical to our ability to serve you well. Copyright 2008 by National Cooperative Grocers Association.