1. Are you male or female? Please select

Male
Female

2. What is your age? Please select

Under 20
21-29
30-39
40-49
50 and over

3. Marital Status Please select

Single
Partner
Married
Other

4. Do you have children? Please select

Yes
No

5. I want to get my hands on GoodnessMe Box because: Please select

I want samples and love trying products
I want to discover products for my lifestyle/diet
I do not live near a health food store

6. Typically I buy my health food goods from: Please select

Health food stores
Online health food stores
Health isle in big supermarkets
Pharmacy
Local markets

7. I discover new health products from: Please select

Searching the internet
My friend who is a health addict!
Sales staff at the health food store
Supermarket health isle
Instagram
YouTube
Other

8. List 3 health foods I can’t live without: Please fill in

!! chnage to input text

I want samples and love trying products
I want to discover products for my lifestyle/diet
I do not live near a health food store

9. What is most important to you about a health food product? Please select (more than 1 can be selected)

Gluten Free
Dairy free
GMO free
Organic
Sustainable/ Eco-friendly
Raw
Sugar free
Soy free
Australian made
Price
Low sugar
Locally sourced
FODMAP Friendly
Keto

10. What are your health concerns? Please select

Want more energy
Weight loss
Food intolerances or allergies
Healthy lifestyle
Other

11. Do you suffer from intolerances or follow a special diet? Please select (more than 1 can be selected)

Vegetarian
Vegan
Paleo
Raw
Organic
Sugar free
Dairy free
Gluten free
Wheat free
Soy free
Nut free
Low carb
Keto
FODMAP

12. What are your other interests/hobbies Please select (more than 1 can be selected)

Beauty
Fashion
Sport/Fitness
Pilates/ Yoga
Restaurants/Cafes
Movies
Health Retreats
Local Festivals/Events
Cooking
Pets

13. What is your favourite food/health blog? (comment)

Beauty

14. What is your income? Please select

Below $50,000
$50,000 - $75,000
$75,000 - $100,000
$100,000+

15. How did you hear about GoodnessMe Box? Please select

Facebook
Pinterest
Instagram
YouTube
Google
Blogs
Friends
Magazine
Event
Other