Lifestyle Survey Questions Master Version May 09:
Title: Mr / Mrs / Miss / Ms / Other (write in)
First name (write in)
Middle initial(s) (write in)
Last name (write in)
Home telephone number (write in)
Mobile number (write in)
Your preferred e-mail address (write in)
In addition to receiving selected offers addressed to you through the mail, would you also be happy to receive offers by
-Email
-SMS text message
-Telephone
About your interests:
1. Which of the following interests do you or your partner enjoy?
-Going to the pub/bar for a drink
-Going to the cinema
-Going to the gym
-Entertaining at home
-Eating out
-Wine
-Computer or video games
-Cooking
-Reading (non fiction)
-Reading (fiction)
-Gardening
-Entering competitions
-Sewing/crafts
-Cars
-Shopping for clothes
2. Which sports do you or your partner have any interest or participation in?
- Team sports (e.g. rugby etc.)
- Individual sports (e.g. golf etc.)
- Water sports (e.g. sailing etc.)
- Snow sports (e.g. skiing etc.)
- Cycling / mountain biking
- Outdoor activities (e.g. tramping etc.)
About your vehicles:
3. What is the make of your main vehicle?
-Audi
-BMW
-Daihatsu
-Ford
-Holden
-Honda
-Hyundai
-Isuzu
-Kia
-Mazda
-Mercedes
-Mitsubishi
-Nissan
-Peugeot
-Subaru
-Suzuki
-Toyota
-Volkswagen
-Other
-If Other please specify
4. What size/type is your main vehicle?
-Small car (e.g. Ford Festiva)
-Medium car (e.g. Holden Vectra)
-Large car (e.g. Ford Falcon)
-4WD/SUV
-Luxury car (e.g. Lexus IS3000)
-People mover (7+ seats)
-Commercial van/truck
-Motorcycle (over 50cc)
-Farm vehicle (e.g. tractor)
-Hybrid
-Other
- If Other please specify
5. How many vehicles do you currently have in your household?
-None
-One
-Two
-Three+
6. Approximately when do you intend to replace your main vehicle?
-In the next 6 months
-In 7-12 months time
-In 12+ months time
-Wont replace
7. Do you own a boat?
- Yes
- No
About your home:
8. Do you own or rent the home you live in?
-Own with a mortgage
-Rent
-Own without a mortgage
-Living with parents or family
9. What sort of home do you live in?
-Separate house
-Villa unit or townhouse
-Farm
-Semi-detached house
-Apartment or flat
-Other
10. When did you move in to your current home?
MM YYYY (Month/Year)
11. What is the approximate value of the home you currently live in?
-Under $250,000
-$250,000 to $500,000
-$500,000 to $750,000
-$750,000 to $1 million
-Over $1 million
-Dont know
12. If you have a mortgage, what rate type(s) do you have?
-1 year fixed rate, when did you take it out? (Month/Year)
-2 year fixed rate, when did you take it out? (Month/Year)
-3 year fixed rate, when did you take it out? (Month/Year)
-4 year fixed rate, when did you take it out? (Month/Year)
-5 year fixed rate, when did you take it out? (Month/Year)
-Variable or floating rate, when did you take it out? (Month/Year)
-Other, when did you take it out? (Month/Year)
13. How many bedroom(s) and bathroom(s) does your home have?
- Number of bedroom(s) [please specify]
- Number of bathroom(s) [please specify]
14. How many people live in your home? (including yourself)
Please specify
15. How satisfied are you with your providers of the following services?
(Satisfied / Not satisfied / Not connected) Provider: (write in)
-Main electricity
-Mains gas
-LPG gas (except BBQs)
-Broadband internet
-Dial-up internet
-Telephone landline
-Mobile telephone
-Digital or Satellite TV
16. What is the energy source for heating your hot water?
-Mains electricity
-Mains gas
-LPG gas
-Solar
-Other
17. Do you, or anyone in your household, intend to do any of the following in the next 12 months? (Next 3 months, in 4-6 months, in 7-12 months, not in the next 12 months).
-Move house
-Make major renovations
-Build a house or apartment to live in
-Build a house or an apartment as an investment
-Buy a house or an apartment to live in
-Buy a house or an apartment as an investment
-Get married
18. Do you own a holiday home?
-Yes
-No
19. Do you own any investment properties?
-None
- One
- Two
- More than two
20. Do you have any cat(s) or dog(s) in your household?
- Number of cat(s) [please specify]
- Number of dog(s) [please specify]
21. Do you operate a business from your home?
-Yes
-No
-Number of employees (including yourself) please specify
22. Do you own a business and operate it from somewhere other than your home?
-Yes
-No
-Number of employees (including yourself) please specify
23. If you have any mobile phone(s), are they: (please tick all that apply)
-Pre paid [specify provider]
-Personal contract [specify provider]
-Business contract [specify provider]
About your finances:
24. How satisfied are you with your main provider of the following financial services? (satisfied / not satisfied / not applicable)
-Banking
-Mortgage
-Personal loan
-Credit card
-KiwiSaver
25. Which credit card(s) do you have? (myself / my partner)
-Visa
-Mastercard
-American Express
-Diners Club
-Farmers Card
-Q Card
-Store Card
- None
-Other Card
If Other please specify
26. If you have any credit cards, what is your approximate total credit limit? (myself / my partner)
-Under $2,500
-$2,500 to $5,000
-$5,000 to $7,500
-$7,500 to $10,000
-$10,000 to $15,000
-Over $15,000
27. Do you pay your credit card balance off in full each month? (myself / my partner)
-Always
-Usually
-Rarely
-Never
28. Do you or your own partner have, or are considering, any of the following investments?
(Have now, considering)
-Term deposit
-Managed fund
-Direct stocks, shares or bonds
-Investments property
-KiwiSaver
-Other superannuation
-Other investment
29. Do you or your partner have, or are considering any of the following insurances?
(Have now, considering, Month of renewal MM).
-Home insurance
-Contents insurance
-Motor insurance
-Boat insurance
-Life insurance
-Funeral cover
-Health insurance
About your shopping habits:
30. Which is your main supermarket?
-Countdown
-Foodtown
-Fresh Choice
-New World
-Pak n Save
-Woolworths
-4 Square
-Other
-Dont have a main supermarket
31. If you have a main supermarket, why do you shop there over other supermarkets?
-Location
-Price
-Rewards or loyalty points
-Range of products
-Service
-Trust the brand
32. Approximately, how much do you spend at your main supermarket in a typical week?
-Under $100
-$100 to $200
-$200 to $300
-$300 to $400
-$400 to $500
-Over $500
-Dont shop at a supermarket
33. Which other supermarkets do you shop at regularly?
-Countdown
-Foodtown
-Fresh Choice
-New World
-Pak n Save
-Woolworths/Safeway
-4 Square
-Other
-None
34. Approximately, how much do you spend in total at all supermarkets in a typical week?
-Under $100
-$100 to $200
-$200 to $300
-$300 to $400
-$400 to$500
-Over $500
-Dont shop at a supermarket
35. Which is your main petrol station?
-BP
-Caltex
-Gull
-Mobil
-Shell
-Other
-Dont drive
-No main station
36. If you have a main petrol station, why do you fill up there over other petrol stations?
-Location
-Price
-Service
-Rewards or loyalty points
-Supermarket voucher
-Trust the brand
37. Which of the following loyalty cards/programmes do you use regularly?
-Flybuys
-AA Rewards
-OneCard
-Airline frequent flyer programme
-Credit card points programme
-Retail store loyalty programme
-Other
38. Which takeaway foods do you buy regularly?
-Pizza
-Burgers / chicken
-Fish and chips
-Sandwiches / subs
-Asian (e.g. Chinese, Indian, Thai etc.)
-Other takeaway
39. What is your approximate household monthly spend on the following categories?
(None, $0-$49, $50-$99, $100+)
-Beauty products
-Adults clothing
-Childrens clothing
-Books, music, DVDs, games
-Wine
-Pet care
-Cafes/Dining out
-Snack foods
-Confectionery/sweets
40. Which magazines do you or your partner read or purchase regularly?
(I read regularly, I purchase regularly, My partner reads regularly, My partner purchases regularly).
-Womens magazines (e.g. Womans Day)
-Mens magazines (e.g. FHM)
-Home & Garden magazines
-Motoring / boating magazines
-Sports / fishing magazines
-TV / entertainment magazines
-Business / investment magazines
-Food / wine magazines
-Technology / computer magazines
-Other magazines
41. Are you particularly interested in receiving special offers through the mail for any of the following products?
-Speciality foods
-Coffee or tea
-Beauty products
-Whiteware (fridges etc)
-Music CDs or MP3
-Furniture or carpets
-DIY or home improvement
-Non-fiction books
-Fiction books
-Cars or motoring
-Investments
-Mens fashion
-Childrens clothes
-Computer games
-Travel or holidays
-Insurance
-Mortgages or loans
-Womens fashion
-Sporting goods
-Wine
-Home entertainment (TVs etc)
-Video, DVDs, movies
-Soft furnishings
-Computers or consumables
42. Have you bought products or services using the following methods in the last 12 months, and would you consider using them to buy products or services in the next 12 months?
(Have bought, would consider, would not consider)
-Over the telephone
-Using a catalogue
-Over the internet
About your travel:
43. Which of the following destinations have you or your partner travelled to in the last 5 years, or are considering visiting in the next 12 months?
(Have visited, would consider).
-Australia
-Pacific Islands
-United Kingdom/Ireland
-Rest of Europe
-Asia
-Africa
-North America
-Rest of World
44. Approximately, how many times have you travelled by plane in the last year for:
-Leisure (domestic) write in (please specify number of return flights)
-Leisure (international) write in (please specify number of return flights)
-Business (domestic) write in (please specify number of return flights)
-Business (international) write in (please specify number of return flights)
45. Have you taken any of the following types of holiday in the last 12 months, and are you considering taking any of them in the next 12 months?
(Taken, considering).
-Backpacking
-Beach holiday
-Cruise
-Weekend/short break inside New Zealand
-Weekend/short break outside New Zealand
-Adventure holiday
-Guided tour
-City break
-Ski/snowboard holiday
-Sailing/diving holiday
General Information:
46. What are the dates of birth of:
-You DD MM YYYY
-Your partner DD MM YYYY
47. Please indicate whether you are male or female?
-Male
-Female
48. Which of the following best describes your ethnicity?
-NZ European
- Maori
-Other European
-Pacific Islander
-Asian
-Other
49. Which of the following best describes your marital status?
-Single
-Married
-De facto
-Civil union
-Divorced or separated
-Widowed
50. Please indicate the month and year of birth for any children (under 12 years) living in your household, and whether they are male or female?
First child: MM YYYY M/F
Second child: MM YYYY M/F
Third child: MM YYYY M/F
Fourth child: MM YYYY M/F
51. Which of the following best describes your main occupation?
(Myself/Partner)
-Manager
-Technician/trade worker
-Clerical/administrator
-Machinery operator/driver
-Student (full-time)
-Student (part-time)
-Home duties
-Unemployed
-Professional
-Community/Personal
-Sales
-Labourer
-Self-employed
-Retired
If self-employed, which industry do you work in?
52. How do you usually travel to work?
-Bicycle or Bus or Car or Motorbike or Train or Walk or Dont Travel.
53. Please indicate the postcode of your place of work/study? (if known)
-Myself.My Partner
54. What is the total annual income for your household before tax?
-Under $20,000, $20,000 to $30,000, $30,000 to $50,000, $50,000 to $70,000,
-$70,000 to $100,000, $100,000 to $150,000, Over $150,000.
55. Please indicate the sources of your household income (please tick all that apply)
-Wages / commissions
-Self employment / business
-Investments
-Superannuation / pensions
-Government benefits / work accident insurance
-Student allowance
56. Please indicate whether you agree or disagree with the following:
(Strongly agree, Agree, Dont agree, Disagree, Strong disagree).
-I try to buy NZ made products whenever possible
-I try to buy environmentally friendly products whenever possible
-When purchasing products I think quality is more important than cost
-I feel that technology is changing so fast its difficult to keep up with
-I feel in control of my finances
-I work just to pay the bills
-I feel financially secure at the moment
-I like to keep up do date with new ideas to improve my home
-When shopping, I always look for specials and bargains
-I like to shop around to get the best deals
-I eat whatever I like
-A low fat diet is an important part of my life
-I put a lot of effort into keeping healthy
-I like to keep up with the latest fashions
57. Which of the following groups of charities have you supported in the past, or would you be willing to support in the next 12 months?
(Have supported, open to supporting)
-Health, disability or illness charities
-Childrens charities
-Welfare, shelter or care-based charities
-Environmental or animal charities
-Community, cultural or sporting charities
-International aid or disaster relief charities
-Church/Religious groups
-Other
-If you regularly support a particular charity, please state.