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Gluten Tester - March 2018
Free Product Testing opportunity: Gluten Tester
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1.
First Name
(Required.)
*
2.
Last Name
(Required.)
*
3.
Email Address
(Required.)
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4.
Phone Number
(Required.)
*
5.
Country
(Required.)
USA
Canada
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6.
Do you or anyone in your family suffer from a gluten intolerance or allergy?
(Required.)
Yes
No
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7.
Do you currently use a form of technology to detect gluten in your food?
(Required.)
Yes
No
8.
If you answered yes to question 7, please tell us what you are using
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9.
Do you avoid foods with gluten as part of your lifestyle?
(Required.)
Yes
No
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10.
Do you have trouble finding a restaurant that offers a gluten-free menu?
(Required.)
Yes
No
11.
Would you like to test a device that detects gluten in foods?
Yes
No