June Online Study- Food

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* 1. What is your gender?

Female

Male

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* 2. How old are you?

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* 3. What is your marital status?

Married

Single

Widowed

Divorced

Separated

Living with significant other as married

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* 4. Are there any children living in your household?

Yes

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* 5. Which of the following best describes your current employment status?

Full Time

Part Time

Non-working/laid off

Retired

Stay at home mom

Student

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* 6. Do you, yourself, or any member of your household fall into any of the following categories?

Follow a restricted diet for any medical condition. This may include diabetes, heart disease, Crohn’s Disease, or any other condition that requires restrictions in foods you ea

A vegetarian or vegan

Follow a specific diet/meal plan (like Atkins, South Beach, Weight Watchers, Diet Workshop, Jenny Craig etc.)

Keep Kosher or follow a restricted diet for religious reasons

Have food allergies, including dairy, egg, gluten, nuts, seafood, soy, or wheat allergies

Are currently pregnant or breast feeding

Have a history of eating disorders

None of the above

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* 7. Now, I have a question about your shopping habits. Please tell me to what degree you, yourself, participate in shopping for your household’s groceries. Would you say you…

Almost always purchase groceries for the household

Share the responsibility for purchasing household groceries equally with another

household member

Sometimes purchase groceries for the household

Rarely or never purchase groceries for the household

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* 8. Now, I have a few questions about the grocery products you purchase. Which of the following products, if any, have you purchased in the past three months? Would you say…

Beverages (soda, juice, bottle water, etc.)

Condiments (such as ketchup, relish, sauces, etc.)

Bakery Products (bread, bagels, muffins, etc.)

Ice Cream Products (such as toppings, sauces, individual pints, ice cream bars, etc.)

Snacks (chips, crackers, nuts, granola bars)

Frozen Vegetables

Fresh vegetables

Canned (not refrigerated or frozen) vegetables

None of these

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* 9. Which ONE type of vegetable have you purchased and consumed most often in the past three months?

Frozen Vegetables

Fresh vegetables

Canned (not refrigerated or frozen) vegetables

I have not purchased any type of vegetables in the past three months

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* 10. Which of the following frozen vegetables have you purchased in the past three months?

Corn

Peas

Mixed Vegetables

Broccoli

Spinach

Green Beans

Other

I have not purchased frozen vegetables in the past three months

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* 11. Which of the following brands of FROZEN vegetables have you purchased in the past three months?

Birds Eye

Green Giant

Pictsweet Farms

Hanover

Store Brand

I have not purchased frozen vegetables in the past three months

Other (please specify)

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* 12. Which of the following brands of CANNED vegetables have you purchased in the past three months?

Del Monte

Green Giant

Libby's

Hanover

Store Brand

I have not purchased canned vegetables in the past three months

Other (please specify)

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* 13. Which ONE brand of Frozen and/or Canned vegetables have you purchased MOST OFTEN in the past three months?

Birds Eye

Green Giant

Pictsweet Farms

Del Monte

Libby's

Hanover

Store Brand

I have not purchased canned vegetables in the past three months

Other (please specify)

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* 14. What is the highest level of education that you, yourself, have completed?

Attended high school but did not graduate

High school graduate

Completed some college

Graduate of a 2 or 4-year college

Completed some post graduate work

Post graduate degree

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* 15. Which of the following best describes your ethnic background?

African-American

Asian

Caucasian

Hispanic

Other (please specify)

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* 16. Which of the following best describes your total annual household income?

Less than $30,000

$30,000-39,999

$40,000-44,999

$45,000 -49,999

$50,000-54,999

$55,000-59,999

$60,000-64,999

$65,000-69,999

$70,000-74,999

$75,000-79,999

$80,000-84,999

$85,000-89,999

$90,000-94,999

$95,000-99,999

$100,000 or above

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* 17. Participation in these discussions does require you to type responses, possibly review images online, and may require you to upload images or videos to the website. Do you feel comfortable with this format?

Yes

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* 18. To participate in these discussions, you will need access to a working computer with reliable high-speed internet. Do you have a computer with internet access available for this project?

Yes

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* 19. What internet browser do, you, yourself use?

Firefox

Internet Explorer 7+

Safari

Chrome

Other

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* 20. Contact Information

First & Last Name

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number