The version of the browser you are using is no longer supported. Please upgrade to a supported browser.Dismiss

Untitled form
Send
Untitled form
Section 1 of 1
Question
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Question
Question Type
Loading image…
17 - 24
25 - 29
30 - 40
Over 40
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
Question
Question Type
Loading image…
1.
Male
2.
Female
3.
Add option
Answer key
(0 points)
Loading...
Loading…
Question
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Question
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Question
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Question
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Question
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Question
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Question
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Question
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Question
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Question
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Question
Question Type
Loading image…
I don't know how to cook
Eating out is easier
I don’t have time to cook
Too much effort
Groceries are expensive
Eating out is fun/social
All of the above
Other…
Add option
Answer key
(0 points)
Loading...
Loading…
Question
Question Type
Loading image…
Yes
No
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
Question
Question Type
Loading image…
Answer key
(0 points)
Loading...