Enter to Win

Enter to win a free 12-meal session at the meal assembly kitchen of your choice (retail value $250). Click here to see the contest rules.

1) How did you find this website?
 Search on Google or other search engine
 Friend told me about it
 Other 

2) Have you ever been to a meal assembly kitchen?   Yes  No
2a) If yes, when did you first try a meal assembly kitchen?
in the past 3 months
3-6 months ago
6-12 months ago
more than a year ago
2b) If yes, when was your most recent visit?
This month
Last month
2-3 months ago
4-6 months ago
7-12 months ago
more than a year ago
2c) If yes, how many meal assembly visits have you made in the past 6 months?
0   1   2-4   5-7   8 or more

3) Please select your age range 
Under 18 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75+

4) Please select your gender           Male Female

5) Do you have children in your household No   [ Yes ->1, 2, 3, 4, 5+ ]
5a)  If yes, please identify which age group(s) your children fall under:
Toddlers 0-3  Kids 4-8  Tweens 9-12  Teens 13-17  Adults, 18+

6) Are you married?      Yes  No

7) What was your total household income range in 2006?  
Under $25k  $25k-$34,999   $35k-$54,999  $55k-$74,999  $75k-$99,999  $100k+

8)
First Name 
9)
Last Name 
10)
Address
City
State/Province
Zip / Postal Code
Country

11)
Email 
12)
Comments 

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