Nesquik Shakers

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip *

Day Phone *

Night Phone

Email Address *

Birthdate * / /

Gender *

Number of Kids *

1. How many of these children currently reside in your home? *

2. Which of the following beverages do you consume more than three times a week? Please check all that apply. *

3. Please check all the factors you consider when making beverage purchases. *

Price
Nutritional content
Brand loyalty
Taste/Flavor
Other

4. What brands of flavored milk do you and/or your family drink? Check all that apply. *

NESQUIK
Hershey
Slammers
Milk Chugs
Ovaltine
Other
I and/or my family do not drink flavored milk

5. What do you like most about NESQUIK? Be as specific as possible. *

6. Which forms of NESQUIK do you purchase/consume most often? *

NESQUIK Ready-To-Drink
NESQUIK Powder
NESQUIK Syrup
I don’t buy/drink NESQUIK

7. How often do you purchase NESQUIK Ready-To-Drink? *

Once a month
Twice a month
Once a week
Every few days
Once a year
I don’t buy NESQUIK Ready-To-Drink, but I buy NESQUIK in other forms
I don’t buy NESQUIK

8. How often do you purchase NESQUIK Powder? *

Once a month
Twice a month
I restock as soon as it runs out
Once a year
I don’t buy NESQUIK Powder, but I buy NESQUIK in other forms
I don’t buy NESQUIK

9. How often do you purchase NESQUIK Syrup? *

Once a month
Twice a month
I restock as soon as it runs out
Once a year
I don’t buy NESQUIK Syrup, but I buy NESQUIK in other forms
I don’t buy NESQUIK

10. How likely are you to recommend NESQUIK over other beverages to others on a scale of 1 to 10. (1 being highly unlikely, 5 being neutral and 10 being very likely). *

11. I’m a person who likes to try new things, including beverages. (Scale of 1-10. 1 = Does not describe me at all. 10 = Describes me completely.) *


1	2	3	4	5	6	7	8	9	10

12. Do you work outside the home? *

Yes, I work full-time
Yes, I work part-time
I’m a stay-at-home parent
No, I work from home
No

13. If you work in an office, how many people work in the office with you? If you don't work in an office, please select N/A. *

14. On average, how many people do you talk to each day? (Include friends, family, co-workers, face-to-face, phone and internet communications) *

15. 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

16. Which of these, if any, are areas that YOU FEEL you have a great deal of knowledge or experience in? Select all that apply: *

If other, please specify:

17. How do you most often share your knowledge or experience about a product or service? Select all that apply: *

If other, please specify:

18. 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 or 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

If other, please specify:

19. Which of these organizations or activities, if any, do you actively participate in? Please check all that apply. *

20. If you have children, how often do you have your children’s friends over for meals or snacks? *

Every day
4-6 times a week
2-3 times a week
Once a week
Once a month
Once every few months
Rarely, if ever
I do not have children

21. If you were selected for the NESQUIK Shakers team, which of the following activities would you most like to participate in? (Check up to 3 options) *

Share the love of NESQUIK with friends by giving out product samples and coupons
Product feedback and reviews
Research panels and surveys
Talk to new people about NESQUIK

22. Please indicate how likely you are to participate in the following activities on a scale of 1 to 5, with 1 being not likely at all and 5 being highly likely.

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”) *


1	2	3	4	5

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”) *


1	2	3	4	5

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”) *


1	2	3	4	5

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”) *


1	2	3	4	5

Reading a blog (a website with regular entries of commentary) *


1	2	3	4	5

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”) *


1	2	3	4	5

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”) *


1	2	3	4	5

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”) *


1	2	3	4	5

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”) *


1	2	3	4	5

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”) *


1	2	3	4	5

Signing up for a social networking site such as Facebook.com, Twitter,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”) *


1	2	3	4	5

Actively participating in or using a social networking site such as Facebook.com, Twitter.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”) *


1	2	3	4	5

Playing games online (1 for “I am not likely at all to do this” to 5 for “I am highly likely to do this”) *


1	2	3	4	5

23.Tell us why you would make a good brand ambassador for NESQUIK? Please be specific. *

24. How did you find out about NESQUIK Shakers? *

Website
Email from Néstle
From a Team Member
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 Shakers website and when you are representing NESQUIK 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 NESQUIK. Let people know you are a NESQUIK brand ambassador and sometimes receive incentives for participating on the Shakers.

In addition, there should be no:

1. Creating or utilizing technology to generate fraudulent point activity including: bots, spiders, email or IM spam
2. Creating multiple user accounts or misrepresenting yourself in the application
3. Posting outside pre-determined (by Shakers staff) third-party message boards, forums, communities or blogs
4. Posting negative comments or statements about the Shakers, NESQUIK or any Nestle brand
5. Misuse of Nestle assets including logos, photos or other electronic images
6. Posting images of people without their express permission. All posting must be of people 18 or older.
7. Posting of third-party content. This includes use of characters, trademarks, music, etc. If it isn't yours, don't post it.
8. Misrepresentation in activity submissions in any way

NESQUIK Shakers message boards are not to be used for:

1. Giving out personal information (email address, phone number, etc.)
2. Promoting, selling or spamming on behalf of any other products or brands
3. Uploading or posting of any computer viruses, harmful files or programs
4. Uploading any material deemed by Shakers staff as vulgar or inappropriate
5. Sending threatening or insulting messages to other Shakers members
6. Any unlawful purpose or activity

The message board is a forum for the members of the Shakers to communicate and share ideas about NESQUIK, in a positive manner. The following type of posts will not be posted:

1. libelous, defamatory,
2. pornographic, indecent,
3. harassing, threatening, harmful, abusive,
4. invasive of privacy or publicity rights,
5. inflammatory or otherwise objectionable

Remember: We reserve the right to suspend, deactivate the account of or remove from the team any member found to be in violation of these rules or for any reason at the discretion of NESQUIK Shakers 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 NESQUIK Shakers 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 *