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What is your gender?
 
Male
 
Female
 
 
 
What is your age?
 
<16
 
18-20
 
21-24
 
25-27
 
28-30
 
31-34
 
35-38
 
39-45
 
46+

 
 
 
Which category best describes your annual income?
 
Under $15,000
 
$15,000 - $29,999
 
$30,000 - $44,999
 
$45,000 - $59,999
 
$60,000 - $74,999
 
$75,000 - $89,999
 
$90,000 - $104,999
 
$105,000 - $119,999
 
$120,000 or more
 
Prefer not to answer
 
 
 
Are you a member of a gym?
 
Yes
 
No
 
 
 
Do you consider yourself to be a healthy eater?
 
Yes
 
No
 
 
 
Do you buy organic foods?
 
Yes
 
No
 
 
 
How times have you purchased food or drinks from a vending machine in the past month?
 
0
 
1
 
2
 
3
 
4
 
5
 
6
 
7
 
8+
 
 
 
How likely are you to purchase food from a vending machine filled with healthy foods (organic, gluten free, high in nutrition)?
 
Very likely
 
Somewhat likely
 
Neutral
 
Somewhat unlikely
 
Very unlikely
 
 
 
Which products would you expect to see in a healthy foods vending machine?
 
Gluten Free products
 
Organic Products
 
Dried Fruit
 
Protein Bars
 
Protein Shake Mixes
 
Other
 

 
 
 
Where would you expect to find a healthy foods vending machine?
 
School (College/University)
 
School (High school)
 
Workplace
 
Shopping Mall
 
Hospital
 
Airport
 
Other