Name (optional)
E-mail address (optional)
Food Preferences
1. What is your favorite breakfast?
2. What is your one major grievance about breakfast?
3. Which of the following would you select to make sure you start off the day with a helping of fruit?
4. How do you like your fried chicken prepared?
5. How do you like your Chinese rice?
6. What do you like on your pasta?
7. How much spice do you like in your Mexican salsa served with chips?
8. How do you like your pizza crust?
9. How do you like your chocolate chip cookies?
Grocery shopping questions
10. Where do you buy the majority of your food?
11. Do you select mostly organic foods?
12. If a package on a grocery store shelf has a label that reads
Gluten-free, do you still look at the list of ingredients?
Restaurant questions
13. How many times a month do you eat out at a restaurant?
14. Please explain briefly a recent restaurant experience.
Traveling questions
15. What is your favorite snack to take in the car while running errands?
16. If you have taken a long airline flight or a tour excursion
and you took your own foods, please explain briefly what
foods you took and how you packed them.
Gluten-free lifestyle questions
17. What one reason do you think accounts for most
of the "cheating" on this diet?
18. How many years were you ill before being diagnosed?
19. At what age were you diagnosed?
20. When you get a new prescription, do you ask the
pharmacist if it is gluten-free or do you call the
manufacturer?
21. If you are asked to go out for pizza spur of the
moment, how do you handle the situation?
22. What one thing would help make your life as a
celiac easier?
23. If you are not a celiac, please explain
why you are on a gluten-free diet.
24. Have you ever gone on the elimination diet to determine if you have food allergies?
25. Do you feel that there have been times when you have not been invited to a
party or included in an activity because of your diet restrictions?
26. If yes, how did you cope with that?
Cooking questions
27. If you own a bread machine, what is the brand name?
28. Have you ever used nutella?
If yes, were you pleased with it?
29. Have you ever used ghee?
If yes, were you pleased with it?
General questions
30. If you subscribe to the Premium Gluten-free Newsletter
(see Homepage), please tell me if there is a subject
you would like covered in the letter. All suggestions
are welcome.
31. What one thing helps you cope best with this diet?
32. If there is anything else you would like to share,
please feel free to do so.
To view answers from the previous Gluten-free Survey, click here.
As my way of thanking your for your responses, click the link below to get a free recipe.
Please click the "Submit" button below to submit your answers.
Connie Sarros
Gluten-free Cookbooks
