1. A few questions


To claim your free pack of Glutafin crackers, please answer the questions below. Don't forget to fill in your address details at the end of the survey!

Please note: we have 5000 cracker packs to give away; samples will be allocated on a first come, first served basis. For full terms and conditions, please visit www.glutafin.co.uk/crackersgiveaway.

* 1. How much did you enjoy the samples we sent you? Please rate any applicable products from 1 to 5 (1= didn't enjoy 5 = really enjoyed). Note: please only rate those products that you received in your taste box.

  1 2 3 4 5 Received in taste box but have not tried
Part Baked 4 Fibre Rolls
Part Baked 4 White rolls
Pizza Bases
Pasta Fusilli
Pasta Fibre Fusilli
Seeded Loaf
Bread Mix

* 2. Have you added any of the products that were in your taste box to your prescription? (Please select all that apply).

* 3. If you have not added these products to your prescription, can you please tell us why?

* 4. Which brands do you use for the following gluten free foods on your prescription? Please tick one answer for each product category.

  Glutafin Juvela Genius Newburn by Warburtons Others Do not receive on prescription
Fresh Bread
Fresh Rolls
Long Life Bread
Long Life Rolls
Pizza Bases
Crackers & Crispbreads

* 5. Have you added any other Glutafin products to your prescription that you didn't have before?