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Number of people in household?
  1
2
3
4
5+
What is your age?
  18-24
25-34
35-44
45-54
55-64
65+
Do you have children under 18?
  Yes
No

If yes, how many?

1
2
3
4
5+

What are their ages?

Child 1: 5 and under
6-12
13-17
Child 2: 5 and under
6-12
13-17
Child 3: 5 and under
6-12
13-17
Child 4: 5 and under
6-12
13-17
Child 5: 5 and under
6-12
13-17

What types of juices do you/your family drink most often?
Orange: Always in my fridge
Usually in my fridge
Occasionally
Almost never
Apple: Always in my fridge
Usually in my fridge
Occasionally
Almost never
Cranberry: Always in my fridge
Usually in my fridge
Occasionally
Almost never
Grapefruit: Always in my fridge
Usually in my fridge
Occasionally
Almost never
Blended juices: Always in my fridge
Usually in my fridge
Occasionally
Almost never
Do you ever eat fruit snacks or fruit bars?
  Regular user
Occasional user
Never use
  Do you have any in the household right now?

Yes
No