Survey on pop/soda consumption
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1
. Do you drink pop/soda?
Do you drink pop/soda?
Yes
No
2
. How often do you consume pop/soda?
How often do you consume pop/soda?
Never
Rarely
Sometimes
Often
Always
3
. Why do you drink pop?
Why do you drink pop?
Out of preference
Dependence/addiction
I don't drink pop
Others
4
. Approximately, what percentage of your liquid consumption is from pop/soda?
Approximately, what percentage of your liquid consumption is from pop/soda?
0%
10%
30%
50%
70%
90%
100%
5
. Do you drink diet or regular soda/pop?
Do you drink diet or regular soda/pop?
Diet
Regular
Both
Neither
6
. Between regular and diet, approximately, how often do you drink diet pop?
Between regular and diet, approximately, how often do you drink diet pop?
0%
20%
40%
60%
80%
100% (of the time)
7
. What might influence you to stop drinking diet pop/soda?
What might influence you to stop drinking diet pop/soda?
Nothing
A better substitute
Cost
Health reasons
Others
8
. Are you currently a nursing, PA/NP or medical student?
Are you currently a nursing, PA/NP or medical student?
Yes
No
9
. What is your current occupation?
What is your current occupation?
CNA
CMA
LPN
RN/BSN
PA/NP
DDS
DNP
MD
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