Online screening questionnaire – Hot Mix Asphalt

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Step 1 of 16

Thanks!

Just before we start, I would like to reassure you that any information you provide us with will be treated as confidential, and we will always hold the information you give securely, and delete it when no longer needed. Neither your name, nor the name of your organisation will be revealed to our client.

We conduct all studies in accordance with the UK Market Research Society Code of Conduct and, if you no longer wish to take part in the research, you can tell your interviewer at any time, and we will stop our conversation.

Can we proceed based on the above?*

Yes

Thank-you for the time you have taken to review this discussion – I will contact you about different projects in the future, if this is of interest to you?

SQ 1a) Do you personally support any Asphalt production, control, design or operations as part of your job?**

a) Yes

b) No

Please select one option: SINGLE CODE

SQ 1b) Which of the following activities do you support as part of your job?**

a) Hot Mix Asphalt Production;

b) Asphalt Quality Control;

c) Asphalt Mix Design;

d) Asphalt Operations

e) None of these.

Please select one or more options: MULTICODE

SQ 2) In which states do you operate a hot mix asphalt plant?

a) Company Name*

Please specify above: (use your own company name, if relevant)

b) State / District**

i. Alabama

ii. Alaska

iii. Arizona

iv. Arkansas

v. California

vi. Colorado

vii. Connecticut

viii. Delaware

ix. District of Columbia

x. Florida

xi. Georgia

xii. Hawaii

xiii. Idaho

xiv. Illinois

xv. Indiana

xvi. Iowa

xvii. Kansas

xviii. Kentucky

xix. Louisiana

xx. Maine

xxi. Maryland

xxii. Massachusetts

xxiii. Michigan

xxiv. Minnesota

xxv. Mississippi

xxvi. Missouri

xxvii. Montana

xxviii. Nebraska

xxix. Nevada

xxx. New Hampshire

xxxi. New Jersey

xxxii. New Mexico

xxxiii. New York

xxxiv. North Carolina

xxxv. North Dakota

xxxvi. Ohio

xxxvii. Oklahoma

xxxviii. Oregon

xxxix. Pennsylvania

xl. Rhode Island

xli. South Carolina

xlii. South Dakota

xliii. Tennessee

xliv. Texas

xlv. Utah

xlvi. Vermont

xlvii. Virginia

xlviii. Washington

xlix. West Virginia

l. Wisconsin

li. Wyoming

SQ 3) How many hot asphalt plants do you operate?*

a) 1

b) 2

c) 3

d) 4

e) 5

f) 6 or more

Please select one option: SINGLE CODE

SQ 4) Which department do you work in, and what is your current job title as it would appear on your business card or email signature?

a) Department*

Please specify above: (your department)

b) Job title*

Please specify above: (your job title)

SQ 5) Please describe your role and responsibilities within your company?*

Please specify above: (one or two sentences)

SQ 6) To what extent are you involved with decisions about materials used in asphalt mixes or job mix formulation?*

a) I am a primary decision-maker or share decision-making with others

b) I provide input to the key decision making

c) I’m not involved at all - I have no input in to the materials used in the asphalt mix

Please select one option: SINGLE CODE

SQ 7) How much of your work is public (highways, interstate, streets etc) versus private (driveways, parking lots etc)?

a) Public (highways, interstate, streets etc)*

Please specify above: (Insert numeric %)

b) Private (driveways, parking lots etc)*

Please specify above: (Insert numeric %)

SQ 8) How much of your work involves pavement preservation such as overlays for driveways?*

Please specify above: (Insert numeric %)

SQ 9) Which of the following statements best applies to your company’s approach to using recycled asphalt shingles (RAS) in your hot mix asphalt (HMA)?*

a) We currently use RAS

b) We used RAS in the past

c) We evaluated using RAS, but have never used it

d) We have never considered using RAS

e) I was unaware that RAS was a mix option

Please select one option: SINGLE CODE

Thank you for taking the time to answer these screening questions - we would like to consider inviting you to participate in a web-based telephone interview about asphalt mixes. The interview will last approximately 60 minutes, and no sales of any kind are involved - this is strictly for market research purposes. If you would like to contribute, you will receive an incentive of $450 as our way of saying ‘thank you’.

To participate you will need to log in with a laptop or desktop computer and turn on your camera - we will be sharing some materials with you via your computer, so a larger screen is important to view them properly.

Would you like to participate in our research project?**

i. Yes

ii. No

Please select one option: SINGLE CODE

Thank you - we will be interviewing during w/c Mon 4th November - could you advise of two or three suitable interview times, so that we can speak for up to 60 minutes when it’s mutually convenient.*

Earliest Date and Time*

Next Date and Time (if available)

CONFIDENTIALITY AGREEMENT

Thank you - you will be participating in market research that involves the exploration of business processes. The discussion represents confidential information of the company sponsoring this study. By participating, you agree that:

1) you, MarketVision (my immediate market research client), and the company sponsoring this study accept a legal obligation to maintain the secrecy of any technical or business information, ideas, concepts, products, and/or packages which are disclosed or made available to or by you directly or indirectly by either party as a result of your participation in this study;

2) to refrain from discussing any information, ideas, concepts, products, and/or packages which are disclosed or made available to you directly or indirectly as a result of your participation with anyone, including friends and family members, during or after the completion of the study;

3) that the company sponsoring this study's development of ideas, concepts, products, and/or packages may be informed or influenced by this market research, including participants' input or suggestions, and that regardless of a participant's personal contribution, no ownership rights or privileges will arise from participation in this market research other than for the company sponsoring this study.

I understand the terms of this Agreement, in particular the terms relating to confidentiality, and agree that I will act in accordance with this Agreement. In addition, I assign to the company sponsoring this research all ideas, discoveries, or inventions resulting from my participation in this test. In full and fair consideration for my obligations under this agreement, I will be entitled only to the agreed compensation.

Do you agree?*

Yes

AUDIO RELEASE AGREEMENT

Thank you - in exchange for receiving compensation upon completion of this study, I certify that I am 18 years or more of age and give my consent to Forbes Research and its sponsor and affiliates to audio record my participation in this research project. Furthermore, for a period of 3 years from the date of the research, Forbes Research and its sponsor and affiliates may use the audio in which I appear and any of my statements as contained in the audio of the discussion on which I appear in connection with this market research. I agree that my appearance in the audio may be used in whole or in part and that should Forbes Research and its sponsor and affiliates not desire to use any or all of the rights described herein, it is under no obligation to do so.

Do you agree?*

Yes

We will be sending you these details in a confirmation letter by email

If you are unable to keep your appointment, please call me as soon as possible. We will need ot find a replacement in order to meet our obligation to our client.

Thank-you! We look forward to speaking with you.

SQ 10) Finally, I would be grateful if you could confirm a few final details:

Your Name*

Job Title*

Company name*

Phone (inc international dialling code)*

Email*

LinkedIn profile link