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Name
   
 
 
 
Gender
 
Male
 
Female
 
 
 
Age
 
16
 
17
 
18
 
 
 
Address
   
 
 
 
Email Address
   
 
 
Do you enjoy dining out
Yes
No
 
 
 
How often do you dine at restaurants?
 
Never
 
Once a week
 
About three times a week
 
Whenever I can
 
Only on weekends
 
All the time
 
 
 
Do you prefer to dine alone or with friends and family?
 
Alone
 
With friends and family
 
 
 
I enjoy Italian cuisine.
 
True
 
False
 
 
 
Please rank the following (starting at number one for the foods you enjoy the most)
Spaghetti and Meatballs
Chicken Parmigiana
Minestrone Soup
Calamari
Tiramisu
 
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