Join Our Advisory Panel 

Thank you for your interest in joining the riceworks My Snack Works Consumer Advisory Panel, where serious snackers speak up! If you decide to join our Panel, you will be contacted by email approximately once a month over the course of a year and asked to provide your opinions and insights on a variety of topics related to snacking.* Your responses will truly help shape the snacking future of our branded products at Shearer's Foods, Inc.

To see if you qualify to become an official Panel member, please complete the form below. Everyone who completes the entire surveys that are sent to you on an ongoing basis will be entered into our monthly prize drawing for a chance to win one $100 gift card or one case of 5.5 oz riceworks® Gourmet Brown Rice Crisps delivered to their home. Click here for the official contest rules.

* Please be assured this is a legitimate research study. To ensure your total privacy, your answers will be grouped together with those of others who completed the same survey and the information you provide will be used for statistical purposes only.

Join Our Advisory Panel

Please note: All fields are required 

First Name:

Last Name:

Email:

Gender:

Female

Male

Birth Year:

Year 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910

Country:

Pick a country USA Afghanistan Albania Algeria Andorra Angola Anguilla Antigua Barbuda Argentina Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia-Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Burkina Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Chad Chile China Colombia Comoros Congo Costa Rica Cote D'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Polynesia Gabon Germany Ghana Gibraltar Greece Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Monaco Mongolia Montenegro Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Zealand Nicaragua Niger Nigeria North Korea Northern Mariana Islands Norway Oman Pakistan Palua Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia South Korea Spain Sri Lanka St Helena St Kitts Nevis St Lucia St Vincent The Grenadines Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tanzania Thailand The Gambia Togo Tonga Trinidad and Tobago Tunisia Turkey Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Vietnam West Indies Western Samoa Yemen Zambia Zimbabwe

State/Province

Pick a state or province AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA WA WV WI WY Province AB BC MB NB NL NT NS NU ON PE QC SK YT

Zip or Postal Code:

Importance of a Gluten-Free Snack:

Importance of Gluten-Free Snack Very Important Important Somewhat Important Not At All Important Not Sure

Ethnicity

Ethnicity African American Asian Caucasian Hispanic Native American Prefer not to answer Other

Formal Education:

Formal Education Grade School Some high school High school graduate Some college / technical school Completed college (university) Some post-graduate school Post-graduate degree

Marital Status:

Marital Status Married Living With Significant Other Single Divorced or Separated Widowed

Children Living in Household:

Yes

No

Employment Status:

Employment Status Employed full time (30 or more hours per week) Employed part time (fewer than 30 hours per week) Student Currently looking for work Homemaker Retired Other

Household Income:

Household Income Under $30,000 $30,000 - $49,999 $50,000 - $74,999 $75,000 - $99,999 $100,000 - $124,999 $125,000 - $149,999 $150,000 - $199,999 Over $200,000

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