Skip to content
EDESIA GOURMET PUREES
Dysphagia Survey
Please kindly take 5 minutes to fill out this survey, if you have dysphagia. Thank you!
OK
1.
Where are you getting pureed foods you eat? Check all that apply.
Buy online
Purchase in store
Someone makes pureed food for me
I make my own pureed food
Other (please specify)
2.
If you are MAKING your own purees, how often do you make them?
Daily
1 - 2 times per week
more than 3 times per week
1 - 2 times per month
I don't make my own pureed food
Other (please specify)
3.
Which of these pureed foods are you currently MAKING? Check all that apply.
Starch and grains (potatoes, rice, quinoa, etc)
Vegetables
Protein ( Meat, poultry, fish, tofu, etc)
Dessert
Other (please specify)
4.
Which of these pureed foods are you currently PURCHASING? Check all that apply.
Starch and grains (Potato, rice, quinoa, etc)
Vegetables
Protein (Meat, poultry, fish, tofu, etc)
I don't purchase any pureed food.
Other (please specify)
5.
If you PURCHASE pureed foods, where are you buying them?
Online
In store
Other
6.
If you are PURCHASING purees, how often do you buy them?
Daily
3 - 5 times per week
1 - 2 times per week
1 - 2 times per month
less than once per month
never
Other (please specify)
7.
Overall, how satisfied are you with the pureed foods you are eating? 1 not as all satisfied - 10 extremely satisfied.
0
10
Clear
8.
Why did you rate your previous question this way?
9.
Please rate the importance of the following factors when you purchase pureed foods for yourself.
Not at all important
Slightly important
Important
Fairly important
Extremely important
Nutritional value
Not at all important
Slightly important
Important
Fairly important
Extremely important
Amount of sugar/carbs
Not at all important
Slightly important
Important
Fairly important
Extremely important
Gluten free
Not at all important
Slightly important
Important
Fairly important
Extremely important
Dairy free
Not at all important
Slightly important
Important
Fairly important
Extremely important
Nut free
Not at all important
Slightly important
Important
Fairly important
Extremely important
Organic
Not at all important
Slightly important
Important
Fairly important
Extremely important
Presentation, packaging and appearance.
Not at all important
Slightly important
Important
Fairly important
Extremely important
Price
Not at all important
Slightly important
Important
Fairly important
Extremely important
Other (please specify)
10.
If available, which of these pureed foods would you most likely consider purchasing? Check all that apply.
Starch and grains (Potato, rice, quinoa, etc)
Vegetables
Protein (Meat, poultry, fish, tofu, etc)
Dessert
Other (please specify)
11.
If available, which of these pureed meal options would you most likely purchase? Check all that apply.
Complete Breakfast meal
Complete Lunch Meal
Complete Dinner Meal
I only want to purchase individual items
I am not interested in buying pureed foods
Other (please specify)
12.
If available, how often would you consider purchasing pureed foods.
1 -2 times per week
3 -4 times per week
5 - 7 times per week
1 -2 times per month
I'm not interested in purchasing pureed food
Other (please specify)
13.
What is the most you would be willing to pay for ONE complete pureed meal?
Less than $10
$10-15
$16-20
$21-25
$26-30
$31-40
more than $40
Other (please specify)
14.
If available, where would you expect to purchase these pureed foods? Check all that apply.
In stores
Delivery
Other (please specify)
15.
What is the most you would be willing to pay for ONE WEEK of deliveries?
$10-20
$21-30
$31-40
$41-50
More than $50
Delivery should be free
Other (please specify)
16.
Address
Name
Company
Address
Address 2
City/Town
State/Province
ZIP/Postal Code
Country
Email Address
Phone Number
Current Progress,
0 of 16 answered