Project Siberia (Dining)

watchLAB welcomes you to the online survey for Project Siberia!

Topic: Dining
Incentive: $200 + $25 for completed pre-interview assignment
Genders: All
Ages: 18-65+
Type of study: In-home interviews
Length of study: 90 minutes
Dates: Wednesday, February 13th
Location: Portland, OR

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Ready to start the survey?

Contact & Basic Info

First Name

Last Name

Email

Mobile Phone

Gender

City

State

Zip Code

Metro Area

Birthdate (mm/dd/yyyy)

Ethnicity

What is your...?

Highest level of education attained

Are you currently enrolled in school?

What school do you attend?

Employment Status

In which industry are you employed?

What is your job title and occupation?

Martial Status

Household Income

Home Ownership

Final Page

Are you a parent?

YesNo

Please list the ages and genders of your children, and indicate whether they live at home with you (example: F-19-N; M-7-Y)

About how often do you eat at a sit-down restaurant?

How often do you eat at each of the following types of restaurants?

	Once every 2-3 months or less	once a month	once every 3 weeks	once every 2 weeks	once a week	twice a week or more
Fast Food (Mcdonald's, Taco Bell, etc.)
Fast Casual (Panera, Chipotle, etc.)
Casual Dining (TGI Fridays, Red Robin, etc.)
Fine Dining (Capital Grille, The Melting Pot, etc.)

You mentioned that you dine frequently at casual dining restaurants. What are some of the restaurants you typically attend?

Please tell me how often you dine at any of the following establishments. This could include eating in the restaurant or ordering delivery or carry-out.

	once/month	every 2-3 months	every 3-6 months	1-2 times/year	Never
TGI Fridays
Applebee's
Red Robin
Olive Garden
Buffalo Wild Wings
Chili's
Texas Roadhouse
Cheddar's
Five Guys
Smashburger

Roughly how often would you say you typically eat food from each of the following types of restaurants including dining in, carry out and delivery?

	Once a week	Once a month	Once every 3 months	Once every 6 months	Never
Pizza Delivery
Local restaurant options (Chinese, Indian, etc.)
Chain Restaurant Order-ahead and pick-up (Applebee's to-go, Chili's to-go, Buffalo Wild Wings curbside pickup, etc.)
Third Party Delivery Service (GrubHub, Door Dash, Uber Eats, etc.)

Who is the primary decision-maker and order-placer for any of the above delivery/pickup services mentioned?

MyselfMy partner and I do so evenlyMy PartnerMy children

Roughly how often would you say you eat the following type of food?

	2 or more times/week	once a week	2 times a month	Once a month	Once every 2-3 months or less
Burgers
Pasta
Tacos
Burritos
Salad
Sandwiches
Soups
Casseroles

Do any people in your household suffer from allergies or dietary restrictions?

Food allergies (peanut, fruit, etc.)Dietary restrictions (lactose intolerance, celiacs disease, etc.)None of the above