Name: _____________________ (Optional)
Age: _______
Gender: Male Female
Religion: ___________________________
1. Are you a vegetarian? Yes No
2. If yes, what type of a vegetarian are you?
-Lacto vegetarian (eats dairy products)
-Lacto-ovo vegetarian (eats dairy and egg products)
- Vegan (eats no meat, dairy, or egg products)
- Macrobiotic (eats seafood)
- Fruitarian (eats fruits and vegetables)
- Other ______________________________
3. How long have you been a vegetarian? __________________________
4. Why did you become a vegetarian? (Religion, Weight, Health, etc.)
______________________________________________________
______________________________________________________
5. How do you feel about the different vegetarian products that are being sold? (Vegetarian burgers, shrimp, chicken, lamb, fish, etc.)
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
6. Do you eat these products? If yes, which ones do you eat?
______________________________________________________
______________________________________________________
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