This free survey is powered by
0%
Exit Survey
 
 
Hello:
You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
Part One: Demographics
 
 
 
What is your gender?
 
Male
 
Female
 
Prefer not to say
 
 
 
What is your age?
   
 
 
 
What city and country do you live in?
   
 
 
 
What is your ethnicity?
 
White/Caucasian
 
Hispanic/Latino
 
Black/African American
 
First Nations/Native/Inuit
 
East Asian
 
South Asian
 
Other
 
 
 
 
What is your highest education level completed?
 
Less than High School
 
High School
 
Vocational School
 
College
 
Graduate School
 
Post Graduate School/Specialty
 
 
 
What is your household income?
 
Less than $20,000
 
$20,001 - $50,000
 
$50,001 - $75,000
 
$75,001 - $100,000
 
$100,001 - $150,000
 
More than $150,000
 
 
 
Part Two: Consumer Behaviour
 
 
 
Where do you shop? (select all that apply)
 
Farmers Market
 
Local small independent grocer
 
Natural food grocer (Eg. Whole foods, Nature’s Fare)
 
Traditional grocer; (Eg. Wal-Mart, Superstore, Safeway)
 
Online natural/organic/sustainable provider

 
Share This Survey:          Online Survey Software Powered by  QuestionPro Survey Software