Survey Form
Please take a few minutes to fill out this research
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Name:
*
Email:
*
Age:
*
Which option best describes you?
Select an option
Student
Graduate
Working Class
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Would you like food delivery to your location?
Yes
No
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Food items you would love to be delivered to you (Check all that apply):
Bread
Pasta
Meat
Rice
Soup
Cereals
Frozen Foods
Eggs
Salads
Dairy
Any Comments or Suggestions?
Submit