PLEASE ANSWER THIS QUESTIONNAIRE ! (:?

B

Brodie Attwood

New member
Questionnaire
Question 1.
Are you
Male
Female

Question 2.
What is your age?
1-16
17-25
26-35
35-40
40-50
50+

Question 3.
How many people live in your house?
1-3
4-6
6+

Question 4.
How many of the people that live in your house are under 5 years old?
0
1-2
3-5
5+

Question 5.
When you go shopping, do you look at the sugar intake on the foods you buy?
Yes
No

a. If no then why

......................................…
......................................…

(this could include lack of time.)

Question 6.
Do you know the effects that sugar can do on your teeth?
Yes
No


Question 7.
Do you buy lots of snack foods that contain high-sugar? (cakes, biscuits, chocolate bars)
Yes
No

a. If yes please list products
Cakes
Biscuits
Chocolate bars
Donuts
Other

If other please list:
......................................…
Question 8.
Have you ever look at low-sugar alternatives to your high-sugar products?
Yes
No

a. If yes please state products:
......................................…

Thank you.
 
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