Surfrider Dining Out Survey

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Hi! We are looking for information for our Plastic Free Ventura group, and we would like to find out what food establishments Ventura residents like to go to.

How many times a month do you go to a dine in restaurant? *

Never

Occasionally (1-2 times)

Sometimes (3-4 times)

Often (5-6 times)

7 or more times

How often do you take food home from a dine in restaurant per month? *

Never

Occasionally

Always

How many times a month do you go to an order and seat yourself restaurant? *

Never

Occasionally (1-2 times)

Sometimes (3-4 times)

Often (5-6 times)

7 or more times

How many times a month do you order take out food? *

Never

Occasionally (1-2 times)

Sometimes (3-4 times)

Often (5-6 times)

7 or more times

How many times a month do you order food from a food truck? *

Never

Occasionally (1-2 times)

Sometimes (3-4 times)

Often (5-6 times)

7 or more times

How many times a month do you order food to be delivered to your home? *

Never

Occasionally (1-2 times)

Sometimes (3-4 times)

Often (5-6 times)

7 or more times

Submit

Clear form

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms