Food Consumption Patterns Part 2
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148<br />
Consumer Taste Test Questionnaire<br />
Enumerators initials*<br />
Surveyor: Where is the interview taking place*<br />
Vil de Port-au-Prince<br />
Vil de Cape_Haitian<br />
Vil de Gonnaives<br />
Andeyo Port-au-Prince<br />
Andeyo Cape_Haitian<br />
Andeyo Gonnaives<br />
Sex*<br />
male<br />
female<br />
Hello. My name is _______. I am working for a company that is studying foods. We would like to<br />
ask you some questions and share some snacks with you. After we share the snacks we would like<br />
to know what you think of them, if they are tasty… Do you agree to respond to the questions?*<br />
ok<br />
Sex*<br />
Respondent's name<br />
Last Name*<br />
Department*<br />
Where were you mostly brought up?*<br />
Port-au-Prince mtro area<br />
City in the provinces<br />
Peri_Urban<br />
Town<br />
Country<br />
Department*<br />
Neighborhood*<br />
Port-au-Prince mtro area<br />
City in the provinces<br />
Peri_Urban<br />
Town<br />
Country<br />
age*<br />
What class did you finish?*<br />
Do you have a skill?*<br />
(LIST OF SKILLS)<br />
What do you do to earn money?*<br />
Telephone number<br />
In general, according to you, what is the most important consideration when buying a snack?*<br />
price