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MILK NOT JAILS consumer survey

MILK NOT JAILS seeks to change the urban-rural political relationship by mobilizing urban residents to purchase from their local farmers. In order for this purchasing power to have a real political impact, we need to know more about our communities' eating habits. Please help us by filling out this survey.
1. How often do you and your household consume MILK? *This question is required.Please answer for each type of MILK listed.
Space Cell Daily1-2 Times / Week1-2 Times / MonthEvery Few MonthsRarelyNever
Non-Fat
Low-Fat
Whole
Organic
Raw
2. How often do you and your household consume YOGURT? *This question is required.Please answer for each type of YOGURT listed.
Space Cell Daily1-2 Times / Week1-2 Times / MonthEvery Few MonthsRarelyNever
Non-Fat
Low-Fat
Whole
Organic
Raw
3. How often do you and your household consume BUTTER? *This question is required.Please answer for each type of BUTTER listed.
Space Cell Daily1-2 Times / Week1-2 Times / MonthEvery Few MonthsRarelyNever
Salted
Unsalted
Organic
4. How often do you and your household consume COTTAGE CHEESE? *This question is required.Please answer for each type of COTTAGE CHEESE listed.
Space Cell Daily1-2 Times / Week1-2 Times / MonthEvery Few MonthsRarelyNever
Low-Fat
Whole
Organic
5. How often do you and your household consume ICE CREAM? *This question is required.
6. How often do you and your household consume CHEESE? *This question is required.
7. Please list types of cheese that your household consumes regularly (i.e. cheddar, mozarella, etc.)
8. How often do you and your household consume OTHER DAIRY PRODUCTS? *This question is required.Please answer for each type of dairy listed.
Space Cell Daily1-2 Times / Week1-2 Times / MonthEvery Few MonthsRarelyNever
Cream Cheese
Half & Half
Cream
Sour Cream
Other
9. If there are any other dairy products that you and/or your household consume frequently (weekly or daily), please list them here:
10. Where do you usually buy most of your groceries? (Check an answer in each row corresponding with how often you shop at each type of store.) *This question is required.
Space Cell Daily1-2 Times/wk1-2 Times/moEvery few monthsRarelyNever
Supermarket
Corner Store
Wholesale Club (Costco, Sam's, etc.)
Food Cooperative
Farmers Market
Community Supported Agriculture (CSA)
11. Please list the top 3 locations you purchase your groceries.
12. How much do you spend on groceries each week? (check one) *This question is required.
13. How often do you eat meals that are cooked or prepared at home? (check 1 for each) *This question is required.
Space Cell Never or less than weekly1 Time per week2-3 Times per week4-6 Times per weekEveryday
For Breakfasat *This question is required
For Lunch *This question is required
For Dinner *This question is required
This question requires a valid number format.
Tell us about yourself. Demographic details are important for market research like this.
15. How do you identify?
16. What is your race and/or ethnicity? (check all that apply)
17. What is your age?
This question requires a valid number format.
This question requires a valid number format.
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