EDESIA GOURMET PUREES Survey

Question Title

1. Where are you getting pureed foods you eat? Check all that apply.

Buy online

Purchase in store

Someone makes pureed food for me

I make my own pureed food

Other (please specify)

Question Title

2. If you are MAKING your own purees, how often do you make them?

Daily

1 - 2 times per week

more than 3 times per week

1 - 2 times per month

I don't make my own pureed food

Other (please specify)

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3. Which of these pureed foods are you currently MAKING? Check all that apply.

Starch and grains (potatoes, rice, quinoa, etc)

Vegetables

Protein ( Meat, poultry, fish, tofu, etc)

Dessert

Other (please specify)

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4. Which of these pureed foods are you currently PURCHASING? Check all that apply.

Starch and grains (Potato, rice, quinoa, etc)

Vegetables

Protein (Meat, poultry, fish, tofu, etc)

I don't purchase any pureed food.

Other (please specify)

Question Title

5. If you PURCHASE pureed foods, where are you buying them?

Online

In store

Other

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6. If you are PURCHASING purees, how often do you buy them?

Daily

3 - 5 times per week

1 - 2 times per week

1 - 2 times per month

less than once per month

never

Other (please specify)

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7. Overall, how satisfied are you with the pureed foods you are eating? 1 not as all satisfied - 10 extremely satisfied.

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

8. Why did you rate your previous question this way?

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9. Please rate the importance of the following factors when you purchase pureed foods for yourself.

	Not at all important	Slightly important	Important	Fairly important	Extremely important
Nutritional value	Nutritional value Not at all important	Nutritional value Slightly important	Nutritional value Important	Nutritional value Fairly important	Nutritional value Extremely important
Amount of sugar/carbs	Amount of sugar/carbs Not at all important	Amount of sugar/carbs Slightly important	Amount of sugar/carbs Important	Amount of sugar/carbs Fairly important	Amount of sugar/carbs Extremely important
Gluten free	Gluten free Not at all important	Gluten free Slightly important	Gluten free Important	Gluten free Fairly important	Gluten free Extremely important
Dairy free	Dairy free Not at all important	Dairy free Slightly important	Dairy free Important	Dairy free Fairly important	Dairy free Extremely important
Nut free	Nut free Not at all important	Nut free Slightly important	Nut free Important	Nut free Fairly important	Nut free Extremely important
Organic	Organic Not at all important	Organic Slightly important	Organic Important	Organic Fairly important	Organic Extremely important
Presentation, packaging and appearance.	Presentation, packaging and appearance. Not at all important	Presentation, packaging and appearance. Slightly important	Presentation, packaging and appearance. Important	Presentation, packaging and appearance. Fairly important	Presentation, packaging and appearance. Extremely important
Price	Price Not at all important	Price Slightly important	Price Important	Price Fairly important	Price Extremely important

Other (please specify)

Question Title

10. If available, which of these pureed foods would you most likely consider purchasing? Check all that apply.

Starch and grains (Potato, rice, quinoa, etc)

Vegetables

Protein (Meat, poultry, fish, tofu, etc)

Dessert

Other (please specify)

Question Title

11. If available, which of these pureed meal options would you most likely purchase? Check all that apply.

Complete Breakfast meal

Complete Lunch Meal

Complete Dinner Meal

I only want to purchase individual items

I am not interested in buying pureed foods

Other (please specify)

Question Title

12. If available, how often would you consider purchasing pureed foods.

1 -2 times per week

3 -4 times per week

5 - 7 times per week

1 -2 times per month

I'm not interested in purchasing pureed food

Other (please specify)

Question Title

13. What is the most you would be willing to pay for ONE complete pureed meal?

Less than $10

$10-15

$16-20

$21-25

$26-30

$31-40

more than $40

Other (please specify)

Question Title

14. If available, where would you expect to purchase these pureed foods? Check all that apply.

In stores

Delivery

Other (please specify)

Question Title

15. What is the most you would be willing to pay for ONE WEEK of deliveries?

$10-20

$21-30

$31-40

$41-50

More than $50

Delivery should be free

Other (please specify)

Question Title

16. Address

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

EDESIA GOURMET PUREES

Dysphagia Survey

Question Title

* 1. Where are you getting pureed foods you eat? Check all that apply.

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* 2. If you are MAKING your own purees, how often do you make them?

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* 3. Which of these pureed foods are you currently MAKING? Check all that apply.

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* 4. Which of these pureed foods are you currently PURCHASING? Check all that apply.

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* 5. If you PURCHASE pureed foods, where are you buying them?

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* 6. If you are PURCHASING purees, how often do you buy them?

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* 7. Overall, how satisfied are you with the pureed foods you are eating? 1 not as all satisfied - 10 extremely satisfied.

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* 8. Why did you rate your previous question this way?

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* 9. Please rate the importance of the following factors when you purchase pureed foods for yourself.

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* 10. If available, which of these pureed foods would you most likely consider purchasing? Check all that apply.

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* 11. If available, which of these pureed meal options would you most likely purchase? Check all that apply.

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* 12. If available, how often would you consider purchasing pureed foods.

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* 13. What is the most you would be willing to pay for ONE complete pureed meal?

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* 14. If available, where would you expect to purchase these pureed foods? Check all that apply.

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* 15. What is the most you would be willing to pay for ONE WEEK of deliveries?

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* 16. Address

1. Where are you getting pureed foods you eat? Check all that apply.

2. If you are MAKING your own purees, how often do you make them?

3. Which of these pureed foods are you currently MAKING? Check all that apply.

4. Which of these pureed foods are you currently PURCHASING? Check all that apply.

5. If you PURCHASE pureed foods, where are you buying them?

6. If you are PURCHASING purees, how often do you buy them?

7. Overall, how satisfied are you with the pureed foods you are eating? 1 not as all satisfied - 10 extremely satisfied.

8. Why did you rate your previous question this way?

9. Please rate the importance of the following factors when you purchase pureed foods for yourself.

10. If available, which of these pureed foods would you most likely consider purchasing? Check all that apply.

11. If available, which of these pureed meal options would you most likely purchase? Check all that apply.

12. If available, how often would you consider purchasing pureed foods.

13. What is the most you would be willing to pay for ONE complete pureed meal?

14. If available, where would you expect to purchase these pureed foods? Check all that apply.

15. What is the most you would be willing to pay for ONE WEEK of deliveries?

16. Address