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Contact Information
* First Name : 
* Last Name : 
Email Address : 
 
 
 
sex:
   
 
 
 
location:
   
 
 
 
Do you eat outside your house?
 
Yes
 
No
 
Sometimes not often
 
 
 
do you eat junk food?
 
Yes
 
No
 
its not healthy
 
 
 
Do u consider junk food healthy?
 
Yes
 
No
 
some of them (specify)
 
 
 
do you consider ANY food not cooked at home is junk food?
 
Yes
 
No
 
I don’t know what junk food is
 
 
 
Do you prefer home cooked meal over junk food?
 
Yes
 
No
 
sometimes
 
 
 
What are you looking for when eating out?
 
Taste
 
Hygiene
 
Decoration and service
 
Other
 
 
 
 
What is your favorite restaurant and why?
   
 
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