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Gender
 
Male
 
Female
 
I prefer not to answer
 
 
 
Age
 
12 and under
 
13-16
 
17-25
 
26-35
 
36-49
 
50 and up
 
 
 
Ethnicity
 
African American
 
Chicano/Latino
 
Native American
 
Asian/Pacific Islander
 
White
 
Other
 
 
 
Income
 
19,999 and under
 
20,000-39,999
 
40,000-59,000
 
60,000-79,999
 
80,000 and above
 
 
 
How many people currently live in your household ?
 
I live by myself
 
2
 
3
 
4 and up
 
 
 
What grocery stores do you prefer to shop at?
 
Stop n Shop
 
Costco
 
Whole Foods
 
Trader Joe's
 
 
 
Do you prefer organic grown produce or non-orgnanic?
 
Yes
 
No
 
Both
 
 
 
When eating out, is organic food a factor in deciding where to eat?
 
Yes, very I'm important
 
No
 
Sometimes
 
 
 
Are you the main grocery shopper in your household?
 
Yes
 
No
 
 
 
How often do you purchase these products from farms, or organic grocery stores: Milk Eggs, Bread, Cheese, Yogurt?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
Never
 
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