Healthy Dining Preferences Survey

Healthy Dining Preferences Survey

We’re exploring the potential for a new restaurant specializing in healthy food in your area and would love your feedback! This survey takes about 5 minutes to complete and will help us design an experience that meets your needs. Your responses are anonymous. Those who complete the survey and include their email address will be entered in a drawing for a free meal voucher once the restaurant launches!
What is your age range?*

0-1718-2425-3435-4445-5455-6465+
What is your gender?*

FemaleOtherMalePrefer not to answer
What is your marital status?*

SingleMarriedDivorcedWidowedPrefer not to answer
What is your employment status?*

Employed full timeEmployed part timeSelf-employedUnemployedNot looking for a jobHomemakerStudentPrefer not to answerRetired
What is the highest level of education you have completed?*

Less than high schoolHigh schoolSome college / UniversityCollege diploma / CertificateUndergraduate degreeMasters / Graduate degreeDoctoratePrefer not to answerOther
What is your household income per year?*

Under $30,000$30,000-$60,000$60,000-$100,000$100,000-$150,000$150,000-$250,000>$250,000Prefer not to answer
What is your zip code?*
Are you employed in, or familiar with, the following industries or subjects? (Check all that apply)*

Market researchAdvertising/marketingFast casual restaurant/food service industryNutrition/dieteticsNone of the above
Are any immediate family members employed in, or familiar with, the following industries or subjects? (Check all that apply)*

Market researchAdvertising/marketingFast casual restaurant/food service industryNutrition/dieteticsNone of the above
Do you live or work within two (2) miles of Flower Mound, Texas?*

YesNo
When eating food produced by restaurants, how important are each of the following? (Rate their importance on a scale of 1-5, with 1 being not important and 5 being very important.)
- Option for in-restaurant pickup*
- Option for drive-up window for pickup*
- Option for delivery*
- Dining in with wait staff*
How often do you eat food produced by restaurants?*

Rarely (less than once a month)Occasionally (1 to 3 times per month)Regularly (1 to 3 times per week)Frequently (4+ times per week)
When dining out, how much do you typically spend per person?*

Under $10$10-$20$20-$30Over $30
What time of day do you most frequently eat out?*

BreakfastLunchDinnerSnacks
How often do you eat food produced by fast casual restaurants (e.g., Chipotle, Panera, Cava)*

Rarely (less than once a month)Occasionally (1 to 3 times per month)Regularly (1 to 3 times per week)Frequently (4+ times per week)
When ordering at a fast casual restaurant, what influences your choice the most? (Rate their importance on a scale of 1-5, with 1 being not important and 5 being very important.)
- Price*
- Convenient location*
- Fast service*
- Health/nutrition*
- Taste/flavor*
- Ingredient quality/sourcing*
- Sustainability/eco-friendly practices*
- Menu variety*
Do you actively look for healthier menu options (e.g., salads, grain bowls, lean proteins) when eating at fast casual restaurants?*

Yes, alwaysUsuallySometimesRarelyNo
How important is eating healthy to you overall?*

Not importantSomewhat importantModerately importantVery importantExtremely important
Would you pay a premium for healthy ingredients?*

Yes, absolutelyMaybe, depending on the costNo
Do you have any dietary restrictions or preferences (check all that apply)?*

Whole plant-basedVegetarianVeganMediterraneanGluten-freeLow carb/ketoLow-fatNoneOther (indicate which in space below*)
*Other dietary restrictions or preferences:
If this restaurant serves several flavorful versions of each of the first seven options above, what are the chances that you will be interested in eating there?*

1 – Low2 – Somewhat low3 – Somewhat neutral4 – Somewhat high5 – High
If this restaurant defines "healthy" as consisting almost exclusively of whole (healthily-prepared, non-processed) plants and lean proteins, and is devoid of sugar, oil, white flour, and artificial sweeteners (foods would be sweetened with fruits, made creamier with pureed cashews and low-calorie plant-based milks, and seasoned with whole herbs, salt in moderation, and spices), what are the chances that you will be interested in eating there?*

1 – Low2 – Somewhat low3 – Somewhat neutral4 – Somewhat high5 – High
On a scale from 1 to 5, how satisfied are you with the availability of healthy restaurant options in your area?*

1 – Not satisfied at all2 – Slightly satisfied3 – Neutral4 – Mostly satisfied5 – Very satisfied
Have you ever strongly recommended that someone eat at a restaurant because of its healthy food options?*

YesNo
What are the biggest challenges you face when trying to eat at healthy restaurants?
What is the furthest distance you'd typically be willing to drive to eat at a healthy restaurant you like?*

1 mile1-2 miles3-5 miles5-10 miles10-15 milesMore than 15 milesI'm not interested in healthy restaurantsPrefer not to answer
On a scale from 1 to 5, how open are you to discussing different viewpoints on healthy eating?*

1 – Not open23 – Neutral45 – Very open
Is there anything else you'd like to share or comment on this subject, or are there any questions you would like to ask?
Share your email address if interested in being entered in a drawing for a free meal voucher once the restaurant launches, or you would like to receive a response to comments or questions in the above field.
example@example.com
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