Junk Food Survey Question Title 1. Name Question Title 2. City Question Title 3. Email Question Title 4. How many children of each gender do you have? 0 1 2 3 4 more than 4 Boys Boys 0 Boys 1 Boys 2 Boys 3 Boys 4 Boys more than 4 Girls Girls 0 Girls 1 Girls 2 Girls 3 Girls 4 Girls more than 4 Question Title 5. What is the age range of your children? Under 1 1-3 4-6 7-9 10-12 Older than 12 Youngest Youngest Under 1 Youngest 1-3 Youngest 4-6 Youngest 7-9 Youngest 10-12 Youngest Older than 12 Oldest Oldest Under 1 Oldest 1-3 Oldest 4-6 Oldest 7-9 Oldest 10-12 Oldest Older than 12 Next