1. What gender do you identify with?
D)Prefer not to answer
2. What age group do you fall into?
3. Are you currently enrolled in college?
A)Yes( full time)
B)Yes (part time)
C)No, not currently enrolled
4.What is your monthly income?
5. Aside from school, which of the following activities consume a considerable amount of your time? Check all that apply.
____Work(full time) ____Work(part time) ____Sports____Gym ____Religious activities ____Community Service ____Recreational activities ____Other
6.How often do you grocery shop for your household?
A)Once a week
B)Once a month
D)Not at all
7. On average, how much time do you spend a day preparing your meals at home?
____I do not prepare my meals ____10-30 minutes ____1 hour ____2+ hours
8. Which of the following foods do you avoid or prefer not to eat? Check all that apply.
____Meat ___Red meats ____Chicken ____Fish ____Seafood ____Dairy Products
____Honey ____Eggs ____Vegetables
9. How many servings of meat do you consume in one week?
10. On a scale of 1-10, where 1 is not familiar at all, and 10 is very familiar, how familiar are you with the concept of a vegan diet?
Not Familiar at all 1 2 3 4 5 6 7 8 9 10 Very Familiar
11. If you were to try a vegan diet(no meat or dairy), which of the following would contribute to your decision? Rank the following 1-5 based on importance to you.
__ Animal rights
12. Which of the following are reasons that would prevent you from considering a vegan diet? Check all that apply.
____Financial reasons ____Cultural reasons ____Habitual reasons ____Lack of interest___Fear of malnutrition____Stereotypes ____I would consider a vegan diet
13. How many of your friends,acquaintances or family members are vegan?
14. What is your perception of vegans? Check all that apply.
____They impose their beliefs on others ____They are extreme ____They are activists ____They have strong morals ____They are healthy ____They are sabotaging their health ____I do not have negative feelings towards vegans
15. On a scale of 1-10, how strong do you think the correlation is between non- plant based diets and chronic diseases?
Not Strong 1 2 3 4 5 6 7 8 9 10 Very Strong
16. On a scale of 1-10, how strongly do your morals influence your dietary habits?
No influence at all 1 2 3 4 5 6 7 8 9 10 Strong Influence
No response yet.