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Questions marked with an * are required Exit Survey
 
 
* How often do you purchase organic foods?
 
Weekly
 
Bi-Weekly
 
Monthly
 
Other
 
 
 
 
What organic products do you prefer?
 
Fruits
 
Vegetables
 
Juice
 
Nuts
 
Cereal
 
 
 
What is your weekly grocery budget ?
 
$25
 
$50
 
$75
 
$100
 
 
 
How many people are in your family?
 
1-2
 
2-4
 
4-6
 
6-8
 
 
 
Are you satisfied with the product selection?
 
Yes
 
No
 
 
 
Would you refer Organic Foods to your family and friends?
 
Yes
 
No
 
 
 
Are you satisfied with the price of your favorite items?
 
Yes
 
No
 
 
 
How often do you participate in surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
Comments/Suggestions:
   
 
 
 
Please enter your phone number & email address:
Cell
Email