2015 Summer Cookout Marketbasket Survey
100%
Questions marked with an * are required Exit Survey
 
 
Thank you for your support of our Summer Cookout survey program! Survey results are used for a national publicity campaign that reports the retail cost of food while emphasizing its relatively small increase in price over time compared to other consumer goods as well as the contribution of U.S. food, fiber and fuel production to national security.
 
 
 
Your Information
 
 
* First Name : 
* Last Name : 
Phone : 
Email Address : 
 
 
 
Store Information
 
 
City:
   
* State:
   
Zip Code:
   
Store Name:
   
Date of Store Visit:
   
 
 
 
Ground Round 1lb, (Note: if not available, use 80-85 percent lean ground beef)
 
 
Price:
   
Size (if not 1 lb.)
   
 
 
 
Hot dogs, “regular” (mixed meat)
 
 
Price:
   
Size (if not 1 lb.)
   
 
 
 
Hamburger buns, package of 8 
 
 
Price:
   
Size (if not 8)
   
 
 
 
Hot dog buns, package of 8
 
 
Price:
   
Size (if not 8):
   
 
 
 
Pork spare ribs, 1 lb
 
 
Price:
   
Size (if not 1 lb.)
   
 
 
 
American cheese,16-slice package
 
 
Price:
   
Size (if not 16 slice.):
   
 
 
 
Baked beans, 28 oz. can
 
 
Price:
   
Size (if not 28 oz.)
   
 
 
 
Potato salad (deli), 1 lb. 
 
 
Price:
   
Size (if not 1 lb.)
   
 
 
 
Watermelon (whole fruit or slices), 1 lb.
 
 
Price:
   
Size (if not 1 lb.):
   
 
 
 
Corn chips, 15-ounce bag
 
 
Price:
   
Size (if not 15 oz.)
   
 
 
 
Lemonade (premixed container), Half gallon (2 quarts)
 
 
Price:
   
Size (if not half gallon):
   
 
 
 
Chocolate milk (premixed container), Half gallon (2 quarts)
 
 
Price:
   
Size (if not half gallon):
   
 
 
 
Ketchup, 24-oz bottle
 
 
Price:
   
Size (if not 24 oz.)
   
 
 
 
Mustard, 8-oz bottle
 
 
Price:
   
Size (if not 8 oz.):