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Welcome to the Shopper’s Voice® Consumer Product Survey of America

Speak your mind.  Make a difference.  Earn rewards.

You’re only moments away from sharing your voice and influencing the companies behind the products and services you love.

You will be eligible for exclusive rewards like free samples, money-saving coupons and special offers tailor-made for you.

You’ll be entered to win $10,000 cash in our Shopper’s Voice® sweepstakes and qualify for our draw for
1 of 12 monthly prizes of a $500 gift card!
  Plus keep an eye on your email inbox for more great offers from Shopper’s Voice®!



  Please have this questionnaire filled out by the main grocery shopper in your household. Thank you.

  Please note: Fields marked with * are mandatory.

Title:
First Name: *
Last Name: *
Address 1: *
Address 2:
City: *
State: *
Zip: *
Email Address: *
Confirm Email Address: *
Attention Yahoo/Hotmail users:  We’ve been experiencing issues in delivering emails to Yahoo and Hotmail addresses.  Please add ContactUs@email.shoppersvoice.com to your Yahoo/Hotmail contact list.  Or, use an alternate email address.  Thank you.


This is a voluntary survey sponsored by Shopper's Voice®, a leading provider of consumer marketing information. As a responsible marketer, Shopper's Voice® respects the personal information that you have chosen to provide us.

By checking “Continue” below, you consent to valuable offers, such as coupons, samples, special offers, surveys, and research opportunities, sent by email, online advertising, or postal mailings by Shopper’s Voice® and our partner companies as detailed in our Privacy Policy. Shopper’s Voice® may share the information you voluntarily provide us with our partner companies for marketing and research purposes. By not checking “Continue” below, you do not wish to complete the survey and qualify for the contest.

We encourage you to read our Privacy Policy for more information on how we use and protect your information. If you change your mind about receiving these communications, you can cancel at any time by contacting us online (www.shoppers-voice.com), mail (Shopper’s Voice, Privacy Officer, P.O. Box 1478, Broomfield, CO 80036), or telephone (1-888-780-3869), or by clicking unsubscribe in any Shopper’s Voice email.


I have read and accept the rules for this Sweepstakes (*required)


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