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1. Name (optional:)
Location:
Gender:
Number of members in your household:
 
 
 
2. Age
 
under 18
 
18 - 25
 
26 - 35
 
36 - 45
 
46 - 60
 
61+
 
 
 
3. How concerned are you about eating and living healthy?
 
extremely concerned
 
moderately concerned
 
not so concerned
 
not at all
 
 
 
4. How high would you rate your efforts to eat healthy food?
 
extremely high - I go extra out of my way to find healthy options
 
moderately high - I eat healthy whenever I can
 
low - I would eat healthy if it requires no extra effort on my part
 
zero - I hate healthy food
 
 
 
5. Who usually does the grocery shopping in your household?
   
 
 
 
6. What do you like the most about buying vegetables?
   
 
 
 
7. What do you dislike the most about buying vegetables?
   
 
 
8. Where do you prefer to buy your fresh vegetables? Please specify your reasons.
better quality more convenient faster better prices fresher products healthier cleaner more enjoyable
supermarket
vegetable seller
souq
organic outlet
 
 
 
9. What if we could provide you with a complete, easy-to-use, automatically irrigated home farming system, that is specially designed for small spaces, from which you could grow your own fresh vegetables, would you be interested in trying it out?
 
extremely interested
 
moderately interested
 
not so interested
 
no, thanks