Plant Powered Pinole Questionnaire
Sign in to Google to save your progress. Learn more
What is your current diet?
(Select the option that best describes your typical dietary habits.)
*
Have you come across information about the potential health benefits of reducing meat and/or dairy consumption?
(Select the option that best reflects your experience.)
*
How frequently do you eat food from a restaurant? *
How often do you eat at locally owned small businesses in Pinole (not including chain restaurants)? *
How often do you eat at chain restaurants in Pinole (e.g., Chipotle, Habit Burger, Mod Pizza, Ike's)? *
Would the availability of more vegetarian and/or plant-based options at locally owned small businesses influence how often you eat there? *
How would you describe your level of awareness about the connection between food production and environmental issues, such as climate change? *
If you're interested in learning more about plant-based eating and related events in Pinole, please provide your email address to stay informed.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report