03.10.2017 Views

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

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