* 1. How much does your household spend in an average week on groceries? (check one)

* 2.  Where do you spend most of your grocery dollars?  (check one) (Fill in w/local options)

* 3. Where do you regularly purchase the following types of products? Note:In these questions, “primary store” means the place you spend most of your grocery dollars, the outlet you identified in question #2.

* 4. From the list below, please choose the top five factors you consider when choosing where to shop for groceries:

* 5. How much of your grocery dollars does your household spend at your primary store in an average week?

* 6. On average, how often do you shop at your primary store?

* 7. Please rate your primary grocery store in terms of how well it is meeting your needs with respect to the following store characteristics:

* 8. Do you have any comments regarding how your primary grocery store is meeting your needs?

* 9. Please rate your primary grocery store in terms of how well it is meeting your needs in the following product categories

* 10. What is your gender?

* 11. What is your age range?

* 12. Are you a member/owner of a food co op?

* 13. Including you how many of the following live in your household?

* 14. What is your highest level of education?

* 15.  What is your approximate annual household income?

* 16. If funding weren’t an issue, which of the following entertainment offerings would you like to have in Rangely? Please rank them 1-5; 1 being the highest priority.

* 17. Where would you like to see the entertainment venue located?

* 18. Would you spend more weekends in town if your entertainment venue of choice were available in Rangely for you and your family?

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