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1. Hello, you are invited to participate in our survey for Fitness Fuel Healthy Meal. 


Your participation in this study is completely voluntary. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.


Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. 


Thank you very much for your time and support. 
 
 
 
* 2. Gender
Male Female
 
 
3. 
* Age
19 and under 20-29 30-39 40-49 50-59 60-69 70 and above
 
 
4. 
How often do you exercise? 
Once a week 2-3 times a week More than 3 times a week I am too lazy to exercise
 
 
5. 
 How important is it to you to eat healthy?
 
Very important
 
Not that important
 
Not at all important

 
6. 
What does “eating healthy” mean to you? (Check all that apply)
Low carbs Low calorie foods Low fat Low sodium Low sugar Eating fresh Well-balanced Organic foods Natural foods Whole grains
 
 
7. 
Do you feel that you eat healthy?
Yes Sometimes No
 
 
8. 
Do you follow a diet?
Yes Sometimes No Never
 
 
9. 
Do you know how to prepare and cook a healthy meal?
Yes Kind of (the basic things) No
 
 
10. 
Do you eat fresh food or frozen food?
Fresh Frozen Both It doesn't really change my life
 
 
11. 
Which types of meals are you interested in? (check all that apply)
Traditional Paleo Vegan Gluten free Low carb I need more information
 
 
12. .
How many meals do you eat per day?
 
1
 
2
 
3
 
4 or more

 
 
13. 
During the last 6 months, would you say you’re eating healthier than before?
Definitely healthier A little healthier Unchanged Less healthy
 
 
14. 
Do you read the Nutritional Facts labels on grocery items?
Almost always Usually Sometimes Rarely Never
 
 
 
15. Additional Comments/Suggestions for improvement
   
 

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