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* 1. If you would like to be entered to win a
$25 PFC gift card, please provide your email
address or phone number below. This
information will only be used to select
winners and will not be linked with your
survey responses.

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

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* 3. Where do you spend most of your
grocery dollars? (select one)

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* 4. Thinking about how often you shop at PFC which statement best defines you?

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* 5. From the list below, please choose three factors which, if implemented, would cause you to spend more of your grocery budget at PFC.

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