Food Consumption Survey
How old are you?
15-20
20-25
30-35
35-40
40-45
45-50
55-60
60+
What is your gender?
Female
Male
Other
Which of the following best characterizes your work type?
Freelancer
Salaried
Business owner
Unemployed
Other
Please indicate your email so that we can reach you about the results.
example@example.com
Do you eat fast food on a regular basis?
Yes
No
On a weekly basis, how often do you eat fast food?
1-2 times
3-4 times
5-6 times
Every day
Do you eat food that can be cooked quickly at home (noodles, canned food, frozen food, food that can be served quickly in the microwave)?
Yes
No
How often do you eat instant food at home (noodles, canned food, frozen food, food that can be easily heated in a microwave)?
1-2 times
3-4 times
5-6 times
Every day
Do you have a certain mealtime that you adhere to?
Yes
No
Do any of your family members eat fast food?
Yes
No
Have you ever had your purchase habits influenced by fast food chain promotions on social media?
Yes
No
Please choose the fast-food establishments you patronize the most.
KFC
Pizza Hut
Burger King
Subway
McDonald's
Tacobell
Cinnabon
A&W
Dairy Queen
Chipotle
Jollibee
Other
How much money do you spend on fast food on a weekly basis on average?
Do you suffer from any of the following ailments?
Obesity
Heart disease
Cancer
Diabetes
Other
To transfer from your current brand to a competitive brand, how much of a discount would you need?
1-10%
10-25%
25-50%
50-75%
Above 75%
Please fill in the information below.
Agree
Moderate
Disagree
My most recent fast food lunch was well worth the money.
1
2
3
Fast food, in my opinion, is less expensive than conventional cuisine.
4
5
6
I would rather eat fast food than eat anything else.
7
8
9
To stay healthy, I exercise and work out.
10
11
12
Which of the followings is more important for you about your food consumption?
Calories
Taste
Health
Price
Customer service
Location
Drive in
Do you utilize fast food coupons to save money?
Never
Rarely
Sometimes
Always
What are your thoughts on fast food intake and its implications on your health?
Submit
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