First Name *
Last Name *
Address 1 *
Address 2
City *
State *
Zip *
Day Phone *
Email Address *
Birthdate *
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January
February
March
April
May
June
July
August
September
October
November
December
/
/
Gender *
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Male
Female
For how many children are you the primary or shared-primary caregiver? *
0
1
2
3
4
5 or more
How old are the children for whom you are the primary or shared-primary caregiver? Select all that apply. *
0 - 2 years
3 - 5 years
6 - 11 years
12+ years
What is your relationship to the children in your household for whom you are the primary or shared-primary caregiver? Select all that apply. *
Parent
Grandparent
Older Sibling
Other Family Member (added)
Other please specify:
Which brands/varieties of juice have you used at home in the past three months? (check all that apply) *
Mott’s
Mott’s for Tots
Minute Maid
Juicy Juice
Juicy Juice Harvest Surprise
Welch’s
Ocean Spray
Apple & Eve
Sunny D
Capri Sun
Capri Sun Roaring Waters
Capri Sun 100%
V8
V8 Frusion
V8 Splash
Hi-C
Kool-Aid
Store Brand
Other
On average, how many total servings of 100% Juice and/or Juice Drinks, excluding orange juice and juice from frozen concentrate, do you and your household drink? Include home and away from home occasions. *
1 each week
2 each week
3 - 4 each week
5 - 6 each week
7 - 8 each week
11 - 15 each week
16 - 20 each week
21 or more each week
None
How many of the last 10 servings of juice you served your children have been JUICY JUICE? *
Which of the following statements best describes the way you feel about JUICY JUICE? (If you have never used the brand, base your answer on any impressions you may have.) *
It’s the only brand of juice for my household
It’s the juice brand I prefer most and buy most of the time
It’s one of the several juice brands I prefer
I only buy this brand under certain circumstances
I don’t buy this brand but might consider buying it in the future
I would never consider buying this brand
How likely are you to recommend JUICY JUICE to a friend on a scale of 1 to 10. (1 being highly unlikely, 5 being neutral and 10 being very likely) *
Which of the following statements describes best how you choose which juice to purchase for your children? *
I want a juice that my kids like
I want a juice that provides the best possible nutrition
I want the least expensive juice I can find
I want a juice with the right sizes for my family’s needs
On average, how many people do you talk to each day? (Include friends, family, co-workers, face-to-face, phone and internet communications) *
1-5
6-10
11-15
16+
You recently discovered a food product that you love. You… *
Tell everyone you know about it
Only tell your family members and close friends about it
Keep it to yourself
Do nothing in particular / may or may not tell others
Which of these kinds of people have you recommended any type of product or service to in the past month? Select all that apply. *
Family
Friends
Colleagues or co-workers
People who share a similar hobby or interest of yours
People you know through a community group or other activity
People you meet online and keep in touch with (e.g. message board, blog)
People you don’t necessarily know, but have run into at a store or at another location (e.g. park, doctor’s office, post-office)
People you train, coach or teach
Other
I have not recommended any type of product or service in the past month
Which of these organizations or activities, if any, do you actively participate in? Please check all that apply. *
PTA or parent support group
Mommy & Me, Stroller Strides, MyGym or Other Organized parent & child groupMommy & Me, Stroller Strides, MyGym or Other Organized parent & child group
Playdate or neighborhood groups
United Way, American Red Cross or other charitable organizations
Rotary International, Lions Clubs International or other similar organizations
Church, Temple or religious organization
Book Club
Gourmet Cooking
Fine Dining
Arts & Entertainment activities, such as visiting Art Galleries, Museums, Going to the Theater or Attending Musical Performances
Entertaining / Social-planning
Travel
Arts & Crafts
Fashion / Beauty
Other
I don’t participate in any of these organizations or activities
Please indicate how likely you are to participate in the following activities on a scale of 1 to 5:
Receiving a forwarded email for informational or entertainment purposes (1 for “I am not likely at all to do this” to 5 for “I am highly likely to do this”) *
Forwarding an email for informational or entertainment purposes (1 for “I am not likely at all to do this” to 5 for “I am highly likely to do this”) *
Reading message boards on websites (1 for “I am not likely at all to do this” to 5 for “I am highly likely to do this”) *
Posting a comment on a message board on website (1 for “I am not likely at all to do this” to 5 for “I am highly likely to do this”) *
Reading a blog (a website with regular entries of commentary) (1 for “I am not likely at all to do this” to 5 for “I am highly likely to do this”) *
Writing a blog or online journal (1 for “I am not likely at all to do this” to 5 for “I am highly likely to do this”) *
Watching a video on a video sharing site such as Youtube.com (1 for “I am not likely at all to do this” to 5 for “I am highly likely to do this”) *
Posting a video on a video sharing site such as Youtube.com (1 for “I am not likely at all to do this” to 5 for “I am highly likely to do this”) *
Viewing photos on a photo sharing site such as Flickr.com (1 for “I am not likely at all to do this” to 5 for “I am highly likely to do this”) *
Posting photos on a photo sharing site such as Flickr.com (1 for “I am not likely at all to do this” to 5 for “I am highly likely to do this”) *
Signing up for a social networking site such as Facebook.com, LinkedIn.com, Reunion.com or Classmates.com (1 for “I am not likely at all to do this” to 5 for “I am highly likely to do this”) *
Use the Twitter service (1 for “I am not likely at all to do this” to 5 for “I am highly likely to do this”) *
Actively participating in or using a social networking site such as Facebook.com, LinkedIn.com, Reunion.com or Classmates.com (1 for “I am not likely at all to do this” to 5 for “I am highly likely to do this”) *
Playing games online (1 for “I am not likely at all to do this” to 5 for “I am highly likely to do this”) *
Which of the following is MOST true for your circle of friends? *
I’m usually the one who has parties at my house
Someone else usually hosts the parties
We tend to rotate who has the parties
We don’t have in-home parties very often (we go out, etc.)
If the opportunity becomes available, would you be interested in hosting a party in your home for your family and friends featuring free Juicy Juice products? *
Yes
No
Maybe
Which of the following have you done when hosting a party? Select all that apply. *
Used email to invite guests
Invited guests via Evite or other party planning site
Made a song list or burned a CD for the party
Sent people online photos/videos after the event
Made special decorations or party favors reflecting a theme
None of the above
Do you participate in the WIC program? *
Yes
No
I don’t know what this is
Decline to answer
How would you describe your ethnicity? (Note: This question is optional)
White, Caucasian
Black, African-American
Hispanic or Latino
Asian or Pacific Islander
Native American
Other, please specify:
Tell us what would make you a great member of the Juicy Bunch. Please be specific. *
How did you find out about the Juicy Bunch program? *
Email from Néstle or Juicy Juice
Juicy Juice Website
From a Team Member*
Other Website*
Other*
*Please indicate which Website, Team Member, or specify Other here:
Code of Conduct
These are the rules for message board posts, communications, and general behavior on the Juicy Bunch website and when you are representing JUICY JUICE elsewhere.
Any violation of these rules can lead to member suspension or possible removal from the team. We also reserve the right to void any points accumulated by a member who is in violation of this code of conduct.
First and foremost, be honest about your relationship with JUICY JUICE. Let people know you are a JUICY JUICE brand ambassador and sometimes receive incentives for participating in the Juicy Bunch.
It is an FTC requirement that all compensated or incentived ambassadors of a brand disclose this relationship whenever communicating in reference to that brand. Therefore, whenever you post on your social networks or blog in reference to JUICY JUICE, it is imperative that you disclose your involvement in the Juicy Bunch team. Sample language:
"I am a member of the Juicy Bunch, a team of people who love and help spread the word about Juicy Juice. As a team member, I receive product and incentives in exchange for participating in brand related activities, both online and offline. To find out more, visit: team.juicyjuice.com."
Sample language for Twitter (may be sent as a follow up tweet to any brand-related tweets):
"Member of the Juicy Bunch"
In addition, there should be no:
Creating or utilizing technology to generate fraudulent point activity including: bots, spiders, email or IM spam
Creating multiple user accounts or misrepresenting yourself in the application
Posting outside pre-determined (by Juicy Bunch staff) third-party message boards, forums, communities or blogs
Posting negative comments or statements about the Juicy Bunch, JUICY JUICE or any Nestle brand
Misuse of Nestle assets including logos, photos or other electronic images
Posting images of people without their express permission. All posting must be of people 18 or older.
Posting of third-party content. This includes use of characters, trademarks, music, etc. If it isn\'t yours, don\'t post it.
Misrepresentation in activity submissions in any way
Juicy Bunch message boards are not to be used for:
Giving out personal information (email address, phone number, etc.)
Promoting, selling or spamming on behalf of any other products or brands
Uploading or posting of any computer viruses, harmful files or programs
Uploading any material deemed by Juicy Bunch staff as vulgar or inappropriate
Sending threatening or insulting messages to other Juicy Bunch team members
Any unlawful purpose or activity
The message board is a forum for the members of the Juicy Bunch to communicate and share ideas about JUICY JUICE, in a positive manner. The following type of posts will not be posted:
libelous, defamatory,
pornographic, indecent,
harassing, threatening, harmful, abusive,
invasive of privacy or publicity rights,
inflammatory or otherwise objectionable
Remember: We reserve the right to suspend, deactivate the account of or remove from the team any Juicy Bunch found to be in violation of these rules or for any reason at the discretion of Juicy Bunch program administrators. If you feel that members are not using proper judgment, making personal attacks or insensitive remarks please email us using the Contact Us page. While we encourage free thinking and an individual\'s opinion, the JUICY JUICE forum is a privilege and serves as a meeting place for an exclusive community. Negative behavior detracts from the experience of this group and will not be tolerated.
I have read and agree to the code of conduct *