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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Austin
Malta
Metepec
New York
Thousand Oaks
First, please select your region's Eat for Impact Initiative
Austin
Detroit
Mérida
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What was the name of the business 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
3
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5
Do you believe the special dish or drink was worth the price you paid for it?
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Yes
No
Other
Where did you first discover the special?
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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 foods, like fruits and veggies?
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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 newsletters. After this month's initiative is over we will announce a few random winners! (prizes usually include local gift cards and sustainable goodies!)
First Name
Email
example@example.com
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