Food Box Program Post Survey
The following questions ask about the fruits and vegetables you ate or drank during the past 30 days. Please think about all forms of fruits and vegetables including cooked or raw, fresh, frozen or canned. Please think about all meals, snacks, and food consumed at home and away from home. Below each question please fill in how often you consumed them. For example, you can put, once a day, twice a day, once a week, three times a month, and so forth.
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Participant Name *
How many Fresh Fix boxes did you receive in total? *
The following questions ask about the fruits and vegetables you ate or drank during the past 30 days. Please think about all forms of fruits and vegetables including cooked or raw, fresh, frozen or canned. Please think about all meals, snacks, and food consumed at home and away from home. Below each question please fill in how often you consumed them.
During the past month, how many times did you drink 100% PURE fruit juices? Do not include fruit-flavored drinks with added sugar or fruit juice you made at home and added sugar to. Only include 100% juice. *
During the past month, not counting juice, how many times per day, week, or month did you eat fruit? Count fresh, frozen, or canned fruit. *
During the past month, how many times per day, week, or month did you eat cooked or canned beans, such as refried, baked, black, garbanzo beans, beans in soup, soybeans, edamame, tofu or lentils. Do NOT include long green beans. *
During the past month, how many times per day, week, or month did you eat dark green vegetables for example broccoli or dark leafy greens including romaine, chard, collard greens or spinach? *
During the past month, how many times per day, week, or month did you eat orange- colored vegetables such as sweet potatoes, pumpkin, winter squash, or carrots? *
Not counting what you just told me about, during the past month, about how many times per day, week, or month did you eat OTHER vegetables? Examples of other vegetables include tomatoes, tomato juice or V-8 juice, corn, eggplant, peas, lettuce, cabbage, and white potatoes that are not fried such as baked or mashed potatoes. *
Did you enjoy the produce in the Fresh Fix boxes? *
Do you have any suggestions for how to improve the boxes ? *
Dietary Information: How frequently have you eaten these foods over the past month?
How frequently have you eaten cruciferous vegetables (cabbage, broccoli, brussel sprouts)? *
How frequently have you eaten green leafy vegetables (e.g.spinach, kale, collards, greens)? *
How frequently have you eaten yellow fruits and vegetables (e.g.yellow peppers, corn)? *
How frequently have you eaten other green fruits and vegetables (e.g. peas, broccoli, avocado, cucumbers)? *
How frequently have you eaten blue/purple fruits and vegetables (e.g. blueberries, prunes, beets, purple cabbage)? *
How frequently have you eaten red fruits and vegetables (e.g. cherries, apples, tomatoes, kidney beans)? *
How frequently have you eaten orange fruits and vegetables (e.g. orange, cantaloupe, carrots, sweet potato)? *
How frequently have you eaten white/tan fruits and vegetables (e.g. onions, garlic, ginger, nuts)? *
How frequently have you eaten berries? *
How frequently have you eaten beans, legumes (black beans, kidney beans, white beans, lentils)? *
How frequently have you had 100% PURE fruit juices? Do not include fruit-flavored drinks with added sugar or fruit juice you made at home and added sugar to. Only include 100% juice? *
How frequently have you eaten these foods over the past month.
How frequently have you eaten food with a variety of good quality dark green vegetables, such as broccoli, romaine, chard, collard greens or spinach? *
How frequently have you eaten food with a variety of good quality orange- colored vegetables, such as sweet potatoes, pumpkin, winter squash or carrots? *
How frequently have you eaten food with a variety of fresh, frozen, or canned fruits? *
How frequently have you drank 100% PURE fruit juices? Do not include fruit-flavored drinks with added sugar or fruit juice you made at home and added sugar to. Only include 100% juice? *
How frequently have you eaten cooked or canned beans, such as refried, baked, black, garbanzo beans, beans in soup, soybeans, edamame, tofu or lentils. Do NOT include long green beans? *
How frequently have you eaten OTHER vegetables? E.g. tomatoes, tomato juice or V-8 juice, corn, eggplant, peas, lettuce, cabbage, and white potatoes that are not fried such as baked or mashed potatoes? *
For the following items, please read each statement carefully and decide which rating, strongly disagree to strongly agree, most accurately reflects your opinion.
I am always sampling new and different foods *
I don’t trust new foods *
I am afraid to eat things I have never had before *
I am very particular about the foods I eat *
I will eat almost anything *
The following questions ask about the fruits and vegetables you ate or drank during the past 30 days. Please think about all forms of fruits and vegetables including cooked or raw, fresh, frozen or canned. Please think about all meals, snacks, and food consumed at home and away from home. Below each question please fill in how often (on average) you consumed them.
During the past month, how many times did you drink 100% PURE fruit juices? Do not include fruit-flavored drinks with added sugar or fruit juice you made at home and added sugar to. Only include 100% juice. *
During the past month, not counting juice, how many times per day, week, or month did you eat fruit? Count fresh, frozen, or canned fruit. *
During the past month, how many times per day, week, or month did you eat cooked or canned beans, such as refried, baked, black, garbanzo beans, beans in soup, soybeans, edamame, tofu or lentils. Do NOT include long green beans. *
During the past month, how many times per day, week, or month did you eat dark green vegetables for example broccoli or dark leafy greens including romaine, chard, collard greens or spinach? *
During the past month, how many times per day, week, or month did you eat orange- colored vegetables such as sweet potatoes, pumpkin, winter squash, or carrots? *
Not counting what you just told me about, during the past month, about how many times per day, week, or month did you eat OTHER vegetables? Examples of other vegetables include tomatoes, tomato juice or V-8 juice, corn, eggplant, peas, lettuce, cabbage, and white potatoes that are not fried such as baked or mashed potatoes. *
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