Demographics For Do You Feel Safe Dining Out With Food Allergies

*

1. Are you male or female?

Are you male or female?   Male Female

*

2. How long have you been living without gluten?

How long have you been living without gluten?

*

3. What is your age bracket?

What is your age bracket?   Younger than 20 20-30 31-40 41-50 51 or older

*

4. What part of the country do you live?

What part of the country do you live?   Alaska Midwest Hawaii Southwest Southeast Northwest Northeast I don't live in the United States