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Diet and Nutrition Survey

Page One

1. On a scale of 1-10, how big of a problem is overweight and obesity(1 being not a problem at all): *This question is required.

Space Cell	1	2	3	4	5	6	7	8	9	10
a) in the World: *This question is required
b) in the United States: *This question is required
c) in your community: *This question is required
d) to your family: *This question is required
e) to you: *This question is required

2. Which of the following is most consistent with your beliefs? *This question is required.

3. Are there any tools or services you would recommend? If so, please approximate cost.

4. On average, how much time free time do you have per day for leisure activities? *This question is required.

5. How many children do you have? *This question is required.

6. Have you ever purchased a diet or fitness related product from an infomercial (QVC,HSN,Etc.)? *This question is required.

7. Which dietary supplements do you use? *This question is required.

Weight loss pills/ thermogenics
Multi-vitamins
Protein Supplements
Creatine/Nitric Oxide (muscle building)
Joint or Bone Health (glucosamine, chondroitin, calcium, vitamin D, etc.)
None of the above

8. When preparing a meal or snack, what information are you interested in? (check all that apply) *This question is required.

9. Have you tried or are you currently on any of the following diets? *This question is required.

10. Do you buy pre-portioned foods? (like 100 calorie packs)? *This question is required.

If yes to the previous question, why?

11. Do you own a smartphone with a data plan? *This question is required.

12. If you own a smartphone, what type?

13. Do you have any fitness or diet-related applications on your smartphone? *This question is required.

If yes, which ones?

14. Have you or do you currently own a food scale? *This question is required.

If yes, for what use?

15. Are you a member of any diet or fitness related online communities (like bodybuilding.com, sparkpeople.com, Dailyburn.com, Shape.com or Livestrong.com)? *This question is required.

If yes, which one(s)?

16. If there was a food scale that could measure portion and provide real-time customizable nutrition information using your internet connected smartphone:
How interested would you be in the product (where 0 is not at all and 10 is "where do I buy one?"? *This question is required.

17. What features would be most important to you in a product like this? (Where 10 is the most desired feature and 1 is the least desired feature) *This question is required. Order the items from the following list. First select an item with the spacebar to show a menu of possible ranking positions. Next, click a ranking position to order it in the ranked list. Note the menu will display more ordering options as you add items to the ranked list.

	1	2	3	4	5	6	7	8	9	10
Ease of use	1	2	3	4	5	6	7	8	9	10
Attractiveness	1	2	3	4	5	6	7	8	9	10
Integration with popular weightloss and diet mobile applications	1	2	3	4	5	6	7	8	9	10
Integration with popular online diet and fitness communities	1	2	3	4	5	6	7	8	9	10
Portability	1	2	3	4	5	6	7	8	9	10
Price	1	2	3	4	5	6	7	8	9	10
Accuracy	1	2	3	4	5	6	7	8	9	10
Rechargeable battery	1	2	3	4	5	6	7	8	9	10
Discreteness	1	2	3	4	5	6	7	8	9	10
Popularity with friends/social circle	1	2	3	4	5	6	7	8	9	10

18. What is the maximum amount ($) you would spend for the product described above? *This question is required. This question requires a valid number format.

Demographic Information

19. If you would like to receive future updates and enter a drawing to win a free weight loss product, please leave your e-mail (we promise not to spam you!)