Tell us all about your meal
Please use this form as many times as you wish during Eat for Impact to rate the amazing options presented by local businesses in support of the environment and your community. Everyone who submits a rating will receive a little prize in the mail at the end of the initiative. 🎉
First, please select your region's Eat for Impact Initiative
Detroit
Los Angeles
Atlanta
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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
4
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
I saw an article or TV spotlight about Eat for Impact
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 receive a small thank-you prize in the mail (and updates about more events and ways to participate) please include your email and mailing address.
First Name
Email
example@example.com
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
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