Grocery Store Survey

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete this form completely. The findings from this survey will be utilized by the University of Minnesota National Grocer's Association Case Study Team. Thank you for your participation!

What is your gender? *

Male

Female

What is your age? *

18 years or younger

19 to 25

26 to 40

41 to 55

56 years or older

Are you a parent? *

Yes

How many people are in your household (including yourself)? *

7 or more

How often do you visit the grocery store? *

More than once per week

Once per week

Every other week

Once per month

Less than once per month

Is there a rewards program offered at your preferred store? Are you enrolled? *

There is a rewards program and I am enrolled

There is a rewards program, but I am not enrolled

There is not a rewards program, but I would be enrolled if there was

There is not a rewards program, and I would not be enrolled if there was

On average, how much money do you spend on groceries for you and your family each month? *

Less than $100 per month

$100-$200 per month

$200-$300 per month

$300-$400 per month

$400-$500 per month

$500-$600 per month

$600-$700 per month

$700-$800 per month

More than $800 per month

Is "health and wellness" a priority in your most visited grocery store? *

Yes

Rank your top priorities when purchasing grocery items. 1 signifies your "top priority" and 4 signifies your "lowest priority." *

Price

Brand

Nutrition

Convenience

What is your biggest challenge when meal planning for your family?

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of University of Minnesota Twin Cities. Report Abuse

Forms