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* 1. Name

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* 2. Phone Number

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* 3. Email Address

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* 4. Age

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

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* 6. Which of the following stores, if any, have you made a grocery purchase from in the past 3 months?

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* 7. Which of the following grocery items, if any, have you purchased in the past 6 months?

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