VItamin Junkeys Viewer Survey

Dr. JJ and Jennifer Lyall would like to learn more about you & your interests to help us plan future episodes of Vitamin Junkeys. Please complete this brief survey and provide your email at the end for your chance to win a $100 prize pack from Hey Jute (www.heyjute.com)

Note: draw is open to individuals over the age of 18 in Canada and the United States

1. What country do you live in?

What country do you live in?

2. Gender

Gender Female

Male

3. How old are you?

How old are you? under 18

18-24

25-34

35-44

45-54

55-64

65+

4. What is your current marital status?

What is your current marital status? Never Married

Married

Separated

Divorced

Widowed

5. How many children do you have, and how old are they?

	No kids this age	1 child this age	2 children this age	3 children this age	4 children this age	5 children this age	6 + children this age
under 1 year	How many children do you have, and how old are they? under 1 year No kids this age	1 child this age	2 children this age	3 children this age	4 children this age	5 children this age	6 + children this age
13 months - 3 years	13 months - 3 years No kids this age	1 child this age	2 children this age	3 children this age	4 children this age	5 children this age	6 + children this age
4-6 years	4-6 years No kids this age	1 child this age	2 children this age	3 children this age	4 children this age	5 children this age	6 + children this age
7-10	7-10 No kids this age	1 child this age	2 children this age	3 children this age	4 children this age	5 children this age	6 + children this age
11-17	11-17 No kids this age	1 child this age	2 children this age	3 children this age	4 children this age	5 children this age	6 + children this age
18+	18+ No kids this age	1 child this age	2 children this age	3 children this age	4 children this age	5 children this age	6 + children this age

6. What is your estimated gross Household income (in US $)

What is your estimated gross Household income (in US $) less than $30,000

$30,000-49,999

$50,000- 69,999

$70,000- 89,999

$90,000-109,999

$110,000-$149,999

$150,000-$199,999

$200,000 +

7. I buy Natural and/or Organic Products...

I buy Natural and/or Organic Products... Never

Sometimes

Usually

Always

8. I am interested in the following areas of healthy living

I am interested in the following areas of healthy living alternative medicine

different forms of exercise

meditation

alternative energy

green products

eco-friendly homes

vitamins & supplements

Other (please specify)

9. I would like to see future episodes of Vitamin Junkeys cover...

I would like to see future episodes of Vitamin Junkeys cover... Homeopathy

Natural Make-up

Natural approaches to quit smoking

a specific vitamin or mineral e.g. Vitamin C or Essential Fatty Acids

holistic dentistry

Holistic pet care

meditation

personal stories from individuals

super foods

how to read product labels

how to shop at a health food store

breast cancer

prostate cancer

lung cancer

making healthy snacks

creating an exercise routine