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First Name

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* 1. First Name

Last Name

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* 2. Last Name

Email Address

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* 3. Email Address

Where did you see the screening of At the Fork? (City, State)

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* 4. Where did you see the screening of At the Fork? (City, State)

What best describes your current diet?

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* 5. What best describes your current diet?

Do you currently buy higher welfare, organic or certified humane animal products?

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* 6. Do you currently buy higher welfare, organic or certified humane animal products?

How likely is it that you would recommend this film to a friend or family member?

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* 7. How likely is it that you would recommend this film to a friend or family member?

Not at all likely
Extremely likely
What reason did you have for attending this screening?

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* 8. What reason did you have for attending this screening?

How did you hear about this film?

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* 9. How did you hear about this film?

How would you rate the film from 1 to 5 stars with 1 being the worst and 5 being the best?

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* 10. How would you rate the film from 1 to 5 stars with 1 being the worst and 5 being the best?

After watching this film, would you participate in a 21 day challenge that consists of being aware of the choices you make at each meal?

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* 11. After watching this film, would you participate in a 21 day challenge that consists of being aware of the choices you make at each meal?

After watching, how would you say that your level of concern about the way animals are treated for food has changed? Were you…?

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* 12. After watching, how would you say that your level of concern about the way animals are treated for food has changed? Were you…?

Will you change your animal product purchasing habits after watching this film, please choose all that apply?

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* 13. Will you change your animal product purchasing habits after watching this film, please choose all that apply?

How has this film impacted you personally?

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* 14. How has this film impacted you personally?

How do you plan to join the conversation about At the Fork?

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* 15. How do you plan to join the conversation about At the Fork?

What is your age?

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* 16. What is your age?

What is your gender?

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* 17. What is your gender?

Are you interested in helping host a screening of the film At the Fork for your community?

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* 18. Are you interested in helping host a screening of the film At the Fork for your community?

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