General Questions

Please answer all of the following questions to reflect the views of the person for whom you are filling out the survey  

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* 1. For whom are you filling out this survey (i.e. who is gluten-free)?

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* 2. Please identify the age group of the person for whom you are filling out this survey

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* 3. Please indicate the reason that you follow a gluten-free diet

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* 4. Where are you located?

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* 5. If you are outside of the United States, what country are you in? 

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