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Questions marked with an * are required Exit Survey
 
 
* Gender?
 
female
 
male
 
 
 
* Age?
   
 
 
 
* How many meals you eat a day?
 
1
 
2
 
3
 
4
 
5+
 
 
 
* How often do you eat delicacies (candy, pastries, junk food, crisps etc.)?
 
Daily
 
4-6 times a week
 
1-3 times a week
 
1-3 times a month
 
1-6 times a year
 
Never
 
 
 
* How often do you eat vegetables?
 
Daily
 
4-6 times a week
 
1-3 times a week
 
1-3 times a month
 
1-6 times a year
 
Never
 
 
 
* Do you have any special diet?
 
No
 
Yes
 
 
 
* What do you think of this survey?
I didn't like it at all.
I was a little disappointed.
It was okay.
I liked it.
I liked it a lot.