QUESTIONNAIRE AND QUESTIONNAIRE INSTRUCTIONS 



W. R. Simmons fit Associates Research, Inc. 

 270 Park Avenue, New York 17, N. Y. 



J-106 



NATIONAL CANNED FISH AND SHELLFISH STUDY 



MAILING ADDRESS: 



Street or Box 



Cluster « 



Sheet » 



Unit I 



City or Post Office_ 



RECORD OF CALL: 



Zone # 



State 



INTERVIEW THAT PERSG.< SAINLY RESPONSIBLE FOR PLANNING ThE hEALS SERVED IN THE hOL'SEHOLD. 



We are conducting a study to learn some facts about the consumption of fish in American homes. 



la. First, does your family generally eat its main meal at home or somewhere else 3 



At nome □ Somewnere el se □ 



b. (IF "SOMEVHERi ELSE") Do you usually have your main meal at home once a week or more or less than once a week? 

 Once a week or more □ Less tnan once a week Q (IF "LESS THAN OKE A MEEK" DISCONTINUE) 





Date 



Interview 



Not at Home 



Refusal 



Other 



(SPECIFY) 



1st Call 







9-1 







2nd Call 







-2 



• 





Section A 



la. During the past 12 months has your family served fish 

 or shellfish which was purchased in any of the 

 following forms? (CHECK IF PURCHASED! 



SERVED 

 Frozen flsn (sucn as salmon sole, etc) I l-l 

 Fresn fisn (nort- frozen) C-2 



Frozen snellfisn (sucn as snrimp, crabs, 



lobsters, clams, etc) C3-3 

 Fresn snellfisn (non-f'ozen) O-u 



Cured fish (pickled herring, salmon in 



jars, etc) (3-5 



None served - Don't know 1 l-X 10. 



b. (SHOW CARD 1) Now about canned fish and shellfish 

 during the past 12 months did you serve any of 

 the following types of canned fish or shellfish? 



(RECORD BELOW) 



c. (IF MORE THAN ONE KIND SERVED) Which of these 

 types of canned fish or shellfish did you serve 

 most often? Could you name the first 3 in the 

 order of their frequency? 



SERVED FREQUENCY 

 Yes NO 

 Canned Tuna □ 11-1 □ 12-1 -1 



Canned Salmon O -2 □ 



Canned Sardines O -3 □ 



Canned Mackerel □ -u □ 



Canned Clams □ -5 □ 



Canned Crab Meat □ -6 □ 



Canned Oysters □ -7 □ 



Canned Shrimp □ -8 □ 



d. (SHOV CARD 2) During the past 12 months did you 

 serve other canned fishery products such as: 



SERVED 

 Fisn Cakes Ol 



Fisn Spreads D-2 



Strained Tuna (Baby Food) CZ3-3 



Dietetic Tuna D-" 



Clam Cnowder 0-5 



Frozen Oyster Stew CD- 6 



Non-Frozen Canned Cooked Oyster Stew CD-7 

 None - Don't know CD-X 



-2 



-2 





-3 



-3 





-u 



-11 



11- 



-5 



-5 



12. 



-6 



-6 



13- 



-7 



-7 



14- 



-8 



-8 



15- 



e. In addition to the products you have already 

 mentioned, were any other kinds of canned fish 

 products served during the past 12 months? 



Yes C3-o no OX 



f. (IF "YES") What were they' 



(IP NO CANNED FISH PRODUCTS SERVED IN THE PAST 12 

 MONTHS - Refer to lb, d, e - SKIP TO SECTION 0) 



Section B 



la. Were there any canned fish or canned shellfish 



items which you would have liked to purchase but 

 which were not available at ail at your usual 

 place of shopping 3 



Yes d-0 no D-x 

 b. (IF "YES") Which items? 



2a. Is there any seasonfs) during which your family 

 eats canned fish and shellfish more often than 

 during other seasons? 



Yes Oo no CD-X 



(IF "YES") Which 

 Spring 

 Summer 

 Fall 

 Winter 



seasons? 



(including Lent) CD-I 

 CD-2 

 D-3 

 CD-I 



19- 



About how many times did you serve canned fish or 

 shellfish during the last 4 weeks other than as 

 hors d'oeuvres or snacks? 



1 time D-l Did not serve CD-0 



2 times [3-2 Don't know CD-X 



3 t imes D-3 

 « times CD-U 



5 or more (SPECIFY) 



(SEE QUESTION lb OF SEC. A. - IF RESPONDENT SERVED 

 CANNED TUNA, ASK SEC. C. - IF SALMON, ASK SEC. D. 

 - IF SARDINES, ASK SEC. E. - IF SHRIMP, ASK SEC. F. 



IF MORE THAN ONE TYPE SERVED, ASK EACH APPLICABLE 

 SECTION. 



IF NONE OF THESE FOUR TYPES SERVED, SKIP TO SEC. G.) 



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