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What is your age?
 
Less than 20
 
20-29
 
30-39
 
40-49
 
50-59
 
60-69
 
70 or older
 
 
 
Are you male or female?
 
Male
 
Female
 
 
 
What is your relationship status?
 
Single
 
Married/Cohabiting
 
Widowed
 
Divorced
 
 
 
What is your race?
 
Caucasian
 
African American/Black
 
Hispanic/Latino
 
Middle Eastern
 
Asian
 
Pacific Islander
 
Native American/Alaskan
 
Other
 
 
 
 
What is the highest level of education you completed?
 
Some High School
 
HS Diploma or GED
 
Some College
 
Associates Degree
 
Bachelors Degree
 
Graduate Degree
 
 
 
What is your yearly income?
 
Less than $20,000
 
$20,000-$29,000
 
$30,000-$39,000
 
$40,000-$49,000
 
$50,000-$59,000
 
$60,000-$69,000
 
$70,000 or greater
 
 
 
In what area do you live?
 
City Center
 
City suburb
 
Exurb
 
Rural Area
 
 
 
Where do you buy the majority of your groceries?
 
Wholesale Club (BJ’s, Costco, etc.)
 
Supercenter (Wal-mart, Target, K-Mart, etc.)
 
Grocery Store (Giant, Safeway, etc.)
 
Supermarket (Harris Teeter, Wegman’s, etc.)
 
Specialty Grocery Store (Whole Foods Market, Trader Joe’s, Organic Market, etc.)
 
Small, Local Store (Bodega, Convenience Store, etc.)
 
Local Farmers’ Market
 
 
 
How many people reside in your household?
   
 
 
 
Where do you buy the majority of your groceries?
 
Wholesale Club (BJ’s, Costco, etc.)
 
Supercenter (Wal-mart, Target, K-Mart, etc.)
 
Grocery Store (Giant, Safeway, etc.)
 
Supermarket (Harris Teeter, Wegman’s, etc.)
 
Specialty Grocery Store (Whole Foods Market, Trader Joe’s, Organic Market, etc.)
 
Small, Local Store (Bodega, Convenience Store, etc.)
 
Local Farmers’ Market