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* 1. What is your age?

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* 2. What is your DOB?

Date

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* 3. What is your ethnicity?

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* 4. Are you mixed another ethnic group?

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* 5. What is your gender?

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* 6. Do you have any food allergies? If so, what are you allergic to?

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* 7. Females: Are you pregnant or nursing?

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* 8. Which of the following snacks, if any, do you like to eat?

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* 9. How often, if ever, do you usually eat each of the following snack foods?

  Very Often – at least once per week Fairly Often – at least once per month Sometimes – once every 2-3 months Hardly Ever – once every 4-6 months Rarely/Never – less than twice per year
Cheetos Flamin’ Hot
Cheetos Crunchy Cheddar Jalapeno
Funyuns Spicy Queso
Takis Fuego
Munchies Flamin’ Hot
Old Dutch Jalapeno & Cheddar

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* 10. Are you available for a flavored chip taste test on MONDAY, 6/8, for 45 minutes in Plano, TX? Yes or No

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* 11. How did you hear about this study through an email blast or Facebook, or Instagram?

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* 12. Contact Information

T