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* 1. What is your current household’s annual income?

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* 2. What was your household’s average annual income when you were growing up?

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* 3. Approximately what percentage of your monthly income do you spend on food (groceries, eating out, snacks, etc.)?

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* 4. What is your food restriction? (Please select all that apply.)

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* 5. What is the reason for your food restriction? (Please select all that apply.)

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* 6. How long have you had this food restriction or been on this diet?

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* 7. Are your friends and family generally supportive of your food restriction/diet?

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* 8. Do other members of your family have the same diet/eating habits as you?

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* 9. On a scale of 1-10 how important is your food restriction/diet to you?

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* 10. What is your age, ethnicity, and gender identity?

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