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In the past 30 days, which of the following food items have you purchased?
 
Beef
 
Poultry
 
Seafood
 
Canned Food and Soups
 
Pasta
 
Rice
 
Beans
 
Cereal
 
Bread/Baked Goods
 
Candy
 
Salty Snacks
 
Fresh Fruits and Vegetables
 
Frozen Prepared Foods
 
Frozen Fruits and Vegetables
 
Dairy Products
 
Fermented or Cultured Foods
 
 
 
In a typical month about how much money, in U.S. dollars do you spend on food?
 
More than $1,000
 
$500 to $1,000
 
$200 to $500
 
Less than $200
 
 
 
What best describes your diet
 
Omnivorous
 
Vegetarian
 
Vegan
 
Ovo-lacto Vegetarian
 
Fruitarian
 
Macrobiotic
 
 
 
How many people are in your household?
   
 
 
 
What is your marital status?
 
Married
 
Single
 
Divorced
 
Widowed
 
 
 
I live in an...
 
Urban area
 
Rural area
 
 
 
How many pets do you own?
 
1
 
2
 
3
 
more than 3
 
 
 
When going places with my baby I would most often...
 
Wear my baby in a sling, wrap, or carrier
 
Push my baby in a stroller
 
Carry my baby in an infant carseat
 
 
 
At night I when sleeping I would...
 
Have my baby in a crib in a separate room
 
Have my baby in a crib in the same room as me
 
Have my baby in a bassinet next to my bed
 
Sleep with my baby
 
 
 
I see myself nursing my baby for...
 
A few days
 
A few weeks
 
3-6 months
 
6-12 months
 
More than 12 months