Supplement Interest Survey Form

Supplement Interest Survey Form
Help us understand your interests and preferences regarding dietary supplements by completing this brief survey.
Have you used dietary supplements in the past 12 months?
Which types of supplements are you most interested in? (Select all that apply)
Other
How often do you purchase supplements?
What is your main reason for using or considering supplements?
Other
How do you prefer to take supplements?
Where do you usually get information about supplements?
Other
How likely are you to try a new supplement in the next 6 months?

1
2
3
4
5
1 is Not at all likely, 5 is Extremely likely
How important are the following factors when choosing a supplement?
Rows Very Important Somewhat Important Not Important
Brand reputation
Price
Ingredients
Scientific evidence
Taste/flavor
What is your age range?
Please share any additional comments or questions about supplements.
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