Thank you for your interest in this short survey. The purpose of this survey is to collect information from parents and guardians about dining out and beverage consumption as it relates to children and families. The survey will take about 3-5 minutes to complete. 

Please note: Your participation in this survey is voluntary. Your email address will not be connected with your responses and will remain anonymous and confidential. If you do choose to share your contact information, your survey responses will still remain anonymous. 

Question Title

* 1. Which of the following best describes your affiliation with Pueblo? 

Question Title

* 2. Do you parent, provide care for, or work with children 12 years or younger? 

Question Title

* 3. If given the option, what do you choose for your child to drink at restaurants? Select all that apply

Question Title

* 4. When eating out, why does your child order soda, sweetened tea, juices or milk?

Question Title

* 5. There is nothing wrong with frequently drinking soda, sweetened tea, juices and milk when eating out.

Question Title

* 6. I would support a voluntary default option of water, or unsweetened milk on children's menus at restaurants. 

Question Title

* 7. I would support a policy requiring restaurants to offer milk, water or unsweetened milk alternative as the beverage that automatically comes with a kid's meal, knowing sugary drinks (ex: soda) could still be ordered if a family chooses.

Question Title

* 8. If you wish to be entered in the drawing for a $50 gift card, please enter your email address below.

T