Survey Form Demographic InformationEmail PhonePlease indicate your age group(Required) Below 18 years 18-24 years 25-34 years 35-44 years 45-54 years 55-64 years 65 years and over What is your gender? Male Female Non-binary Prefer not to disclose Which ethnicities or racial identities do you identify with? African American/Black Hispanic/Latinx White/Caucasian Asian/Pacific Islander Native American/Indigenous Other Other (please specify)Kindly enter your postal code(Required)What is your annual income bracket? Below $25,000 $25,000 to $49,999 $50,000 to $74,999 $75,000 to $99,999 $100,000 to $149,999 $150,000 or more Prefer not to disclose Grocery preferencesWhich types of products would you prefer to find at the grocery store?(Required) Fresh produce (fruits and vegetables) Meat and poultry Dairy products Bread and bakery items Canned goods and pantry staples Frozen foods Prepared foods (rotisserie chicken, etc.) Snacks and beverages Organic and natural products Food for specialized diets (vegan, etc.) (please specify) Ethnic or cultural foods (please specify) Other (please specify) Specify food for specialized dietSpecify ethnic or cultural foodsSpecify other foods not listedDo you have any suggestions for the name of our new grocery store?How would you describe your typical monthly expenditure on groceries?(Required) Less than $100 $100 to $299 $300 to $499 $500 to $699 $700 to $999 $1000 or more How do you prefer to receive your groceries?(Required) Community Supported Agriculture (CSA) box pick-up Delivery service (e.g., DoorDash, Grubhub) In-store purchase Other (please specify) Specify other preferenceHow important is supporting Black and Brown artisans and farmers to you when shopping for groceries?(Required)Very importantSomewhat importantNot very importantNot important at allEvent and Programming PreferencesWhat types of events or programming would you like to see offered at the grocery store?(Required) Cooking demonstrations and classes Nutrition workshops Community gardening initiatives Live music performances Cultural celebrations and festivals Wellness and fitness activities Food tastings and samplings Other (please specify) Is there anything else you would like to share or suggest regarding the development of the grocery store?
