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Online Grocery Shopping
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* Indicates required question
What is your age range?
*
18-24
25-34
35-44
45-54
55-64
65-74
74+
How many people live in your household?
*
1
2
3
4
5-10
More than 10
How often do you shop for groceries?
*
1 time per week
More than 1 time per week
1 time per month
I don't shop for groceries
Other:
What grocery store do you typically shop from?
*
Your answer
Have you ever shopped for groceries online?
*
Yes
No
What online grocery shopping service do you use?
Your answer
Do you have any special dietary needs?
*
Yes
No
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