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Surveys
2014
October
F
Food Questions
Food Questions
0%
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Gender?
Male
Female
Other
Age?
18-25
26-30
31-35
36-40
41-50
51-60
60+
Homeless?
Yes
No
Other
Do you have kid/kids?
Yes only 1 (one)
Yes more then 1 (one) but less then 5 (five)
Yes more then 5 (five)
No
How many meals do you receive a day?
1
2
3
4+
Other
How many warm meals do you receive a week?
1
2
3
4
5
6
7
8+
How many servings of ______ do you receive a week?
1
2
3
4
5
6
7
8+
FRESH
Fruit
NON
Fresh Fruit
FRESH
Vegetables
NON
Fresh Vegetables
How often do you consume alcohol?
Every day
A few times a week
Once a week
Once every few weeks
Once a month
Never
Do you use any tabaco products?
Cigarettes
Chewing tabaco
Cigar
None
Other
Do you have a job?
Yes
No
Part time
Other
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