Tell us all about your meal
Please use this form as many times as you wish during the challenge to rate the amazing options presented by local businesses in support of the environment and your community. Each rating you submit for a special is an entry to win one of several prizes at the end of the initiative. 🎉
First, please select your city
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Please Select
Detroit, MI
Nairobi, Kenya
Galesburg, IL
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What was the name of the restaurant you visited?
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What was the name of the special you tried?
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What was the name of your server? (They might get a perk!)
Give this dish a rating. One star = No thanks... Five Stars = Best Ever!
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1
2
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5
Do you believe the dish was worth the price you paid for it?
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Yes
No
Other
Where did you first discover the dish?
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At the restaurant (from a menu or server)
A friend told me about it
I saw an online advertisement about the Eat for Impact initiative
Other
Which best describes how often do you eat plant-based meals?
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Always – I only eat plant-based foods.
Mostly – I eat plant-based most of the time but occasionally eat animal products.
Sometimes – I regularly eat both plant-based and animal-based meals.
Rarely – I mostly eat animal-based meals but sometimes choose plant-based.
Never – I do not eat plant-based meals.
Optional: What motivates you to take part in Eat for Impact?
Please note - we may use this quote anonymously in our reporting
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Thank you for participating!
Optional: To be entered to win a prize, please type in your first name and email below. This will sign you up for our newsletter. After this month's initiative is over we will announce our winners!
First Name
Email
example@example.com
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