1. Gender

Male    Female

2. Age

18-22    23-34    35-54    55-64    65 or over

3. Did you like your experience with the CHEEZ WHIZ^® cheese sauce remote control?

Liked very much Liked somewhat May or may not have liked Disliked somewhat Disliked very much

4. What types of Web sites do you visit most often?
(Check all that apply.)

Sports Games Humor Travel Music Shopping

Computer/Technical Health News Business/Financial Chat Food Entertainment "Other"

5. Don't you hate it when you're walking down the street and some guy bumps into you and keeps walking and you just, like, stand there waiting for an apology?

Yes

6. Who in your household is responsible for purchasing snacks/dips?
(Check all that apply.)

Myself Roommate(s) Wife Husband

Brother Sister Mother Father

7. Have you and/or others in your household tried any of the following cheese dips?
(Check all that apply.)

CHEEZ WHIZ® TOSTITOS OLD EL PASO PACE

FRITO LAY TACO BELL Other Do not eat cheese dips

8. (If you do not eat cheese dips, please skip to question #13.) What is most important to you in choosing a cheese dip?

Brand name
Price
Nutritional information
Taste
How close it is to the chips

9. Who in your household is most likely to eat cheese dips?
(Check all that apply.)

Myself Roommate(s) Wife Husband

Brother Sister Mother Father

10.

Do you currently use CHEEZ WHIZ®?

Yes    No

11. Have you ever felt "uncomfortable" or "frightened" when there's no cheese dip in your general vicinity?

Yes    No    Yes, but I don't have a "problem."

12. If you do use CHEEZ WHIZ^®, in what ways have you used it?
(Check all that apply.)

	As a topping for nachos
	As a dip for chips/pretzels/veggies
	As a topping for veggies/potatoes/fries
	In macaroni & cheese/casseroles
	As a spread for crackers and toast
	I should not answer this question without my attorney present

13. If you do not use CHEEZ WHIZ^®, why not?

Price is too high
Health/nutrition concerns
Use a different brand
Taste
Haven't heard of it
Inconvenient for snacking
Can't find it in the store

14. You really, really want some nachos with CHEEZ WHIZ^®.

15. What additional flavors of CHEEZ WHIZ^® would you be interested in trying in the future if available?
(Check all that apply.)

Light salsa conqueso Chili & cheese Three alarm hot Bacon & cheese Three cheese

Sharp cheddar Beer cheese Light (reduced fat/calories) Medium salsa conqueso

16. How did you hear about the CHEEZ WHIZ^® Web site?

	An article (online or print)
	Word of mouth
	In-store display
	Mmm...beer cheese
	On the jar lid
	In Sunday paper (a coupon)
	Banner advertisement on the Web
	TV
	Radio
	Other

17. First name

     Last name

18. E-mail address

19. If you are concerned about your personal information being sent to third parties, read our privacy policy.

Street Address
City
State
Zip

20. Now that this form is complete, what snack are you going to grab before you continue surfing?
(Check all that apply.)

CHEEZ WHIZ^®
CHEEZ WHIZ^®
CHEEZ WHIZ^®

*Read the official rules