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How important are these factors to you in your food purchasing decisions (groceries or restaurants):
1. Very Unimportant 2. Unimportant 3. Neutral 4. Important 5. Very Important
Healthy
Tasty
Convenient
Cost
 
 
On average, how many of these meals do you prepare for yourself in a week?
1 2 3 4 5 6 7
Breakfast
Lunch
Dinner
 
 
 
When you eat out, do you order healthy options?
 
Always
 
Often
 
Sometimes
 
Rarely
 
Never
 
 
 
To what extent do you let money influence your purchasing decisions at the grocery store?
 
Always
 
A lot
 
Neutral
 
Rarely
 
Never
 
 
 
I will spend more money to get more healthy groceries
 
Strongly Agree
 
Agree
 
Neutral
 
Disagree
 
Strongly Disagree
 
 
 
Are you currently on a diet to lose weight?
 
Yes
 
No
 
 
 
Do you currently follow any dietary restrictions? Please check all that apply:
Vegetarian
Vegan
Gluten free
Lactose intolerant
Other
 
 
 
How often do you look at the nutrition label when shopping for groceries?
 
Always
 
Many items
 
Some items
 
A few items
 
Never (if never, skip next question)
 
 
How much influence does the nutrition label have on what you purchase?
(1) No Influence (2) (3) (4) (5) High Influence