First Name
Last Name
Email
*
Do not exit this survey once started. It will take 5-10 minutes to complete.
What is your primary fitness or health goal right now?
*
Loose Fat
Gain Muscle
Improve Overall Health
Other (Please Specify)
If other, please describe
Do you have any dietary restrictions?
*
None
Gluten-Free
Dairy-Free
Nut-Free
Vegetarian
Other (Please Specify)
If other, please describe
What is your typical meal routine?
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1-2 meals a day
3 meals a day
More than 3 meals a day
Snacks only
Other (Please Specify)
If other, please describe
What are your favorite foods and meals that you enjoy eating regularly?
*
Are there any foods or ingredients you dislike or won't eat?
*
How often do you cook at home versus eating out?
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Mostly cook at home
Balanced between home and eating out
Mostly eat out
Never cook at home
Do you prefer meals that are quick to prepare, or do you enjoy cooking elaborate meals?
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Quick and easy
Don't mind cooking time
Prefer eleborate recipes
Mix of both
Is variety important to you?
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Yes, I need variety
No, I don't mind eating the same meals
Some meals can be the same, but not all the time
What kitchen appliances do you use regularly?
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Microwave
Oven
Stovetop
Slow Cooker
Air Fryer
Blender
Other (Please Specify)
If other, please describe
What’s your weekly budget for groceries?
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Under $50
$50-$100
$100-$150
Over $150
Which grocery stores do you frequently shop at?
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Walmart
Costco
Independent (regular grocery store)
Other (Please Specify)
If other, please describe
Do you need your meals to be portable or easy to eat on the go?
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Yes
No
Sometimes
How many people are you cooking for?
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Just me
2 people
Family (3-4 people)
Large Family (5+ people)
Do you follow any specific diet plan?
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No Specific Diet
Keto
Paleo
Vegetarian
Vegan
Other (Please Specify)
If other, please describe
Are you interested in trying new recipes, or would you prefer to stick with familiar dishes?
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Open to new recipes
Stick with famlliar
Mix of both
Do you have any health conditions that influence your diet?
None
Diabetes
High Blood Pressure
Heart Disease
Other (Please Specify)
If other, please describe