Near East In-Home Party Registration

1. Near East Registration

If you are interested in receiving a Near East in-home party kit and hosting an event, please register here. Limited quantities are available.

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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Street Address

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* 5. City

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* 6. State

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* 7. Zip

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* 8. Phone Number

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* 9. We are looking for parties to be held between April 19, 2010 and August 15, 2010. What is the potential date for your event?

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* 10. What age range do you fall into?

25-34

35-44

45-54

55+

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* 11. What is your employment status?

Full-time

Part-time

Unemployed

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* 12. Do you have children in the home?

Yes

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* 13. On a 1-10 scale, where “1” means “strongly disagree” and “10” means “strongly agree,” how much do you agree with the following statement?

I am very proactive about my health and regularly look for health information.

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* 14. What are your biggest challenges in cooking dinner? Please select all that apply.

Time to plan and prepare meals

Deciding what to make

Choosing healthy options

Making meals that taste great

Satisfying picky eaters

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* 15. Are you open to trying to prepare new foods you haven’t tried to make before, in order to spice up your repertoire of go-to meals?

Yes, always open to trying to make new things

Maybe; it sounds good in theory, but then when it comes down do it, I don’t usually go to the trouble to learn something new

Not really; I’m happy with the meals I usually prepare

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* 16. How many times per week do you cook dinner using the stove or oven (not microwave oven)?

1-2

3-4

5-6

7 or more

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* 17. Which of the following social networks do you interact with regularly? Please select all that apply.

Facebook

Twitter

MySpace

Flickr

Your personal blog

None of the above

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* 18. Do you belong to any groups or organizations? (i.e. networking groups, professional groups, sports leagues, book clubs, social groups, etc)

Yes

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* 19. If so, how many groups would you say you belong to?

1-2

3-5

6-8

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* 20. Have you ever hosted an in-home party before?

Yes

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* 21. Who would you invite to your in-home party? Please select all that apply.

Close friends

Colleagues

Neighbors

Family members

Acquaintances

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* 22. Do you ever share cooking tips, recipes or interesting information you find online with your friends and family?

Yes

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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Street Address

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* 5. City

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* 6. State

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* 7. Zip

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* 8. Phone Number

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* 9. We are looking for parties to be held between April 19, 2010 and August 15, 2010. What is the potential date for your event?

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* 10. What age range do you fall into?

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* 11. What is your employment status?

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* 12. Do you have children in the home?

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* 13. On a 1-10 scale, where “1” means “strongly disagree” and “10” means “strongly agree,” how much do you agree with the following statement? I am very proactive about my health and regularly look for health information.

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* 14. What are your biggest challenges in cooking dinner? Please select all that apply.

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* 15. Are you open to trying to prepare new foods you haven’t tried to make before, in order to spice up your repertoire of go-to meals?

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* 16. How many times per week do you cook dinner using the stove or oven (not microwave oven)?

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* 17. Which of the following social networks do you interact with regularly? Please select all that apply.

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* 18. Do you belong to any groups or organizations? (i.e. networking groups, professional groups, sports leagues, book clubs, social groups, etc)

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* 19. If so, how many groups would you say you belong to?

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* 20. Have you ever hosted an in-home party before?

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* 21. Who would you invite to your in-home party? Please select all that apply.

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* 22. Do you ever share cooking tips, recipes or interesting information you find online with your friends and family?

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* 23. Please tell us why you’re interested in hosting an in-home party on behalf of Near East:

* 13. On a 1-10 scale, where “1” means “strongly disagree” and “10” means “strongly agree,” how much do you agree with the following statement?

I am very proactive about my health and regularly look for health information.