EmailMe Form - Health Star Rating Survey

Health Star Rating Survey

Thank you for agreeing to complete our survey. Your feedback will help inform us on how to better assist people to eat healthier. If you would like to receive a free, stylish cooler bag please opt in with your mailing details in the bottom section of the survey.

As a survey is only as good as the data it collects we do have a number of fields marked with * which must be completed we hope this is not too frustrating.

Enjoy eating healthy!
Leanne Fitzpatrick
General Manager

Do you live in Australia? *
Yes
No
Please note that this survey is only suitable for people who live in Australia.
Name
First Last
Sex *
Female
Male
Would rather not say
Other
Age *
< 15 years
15 - 20 years
21 - 30 years
31 - 40 years
41 - 50 years
51 - 60 years
61 - 70 years
71 - 80 years
>80 years
How often do you shop at a supermarket? *
More than twice per week
Once per week
Fortnightly
Monthly
More than three times per year
Once per year
Never
Other
Have you used the health star rating and if so how often? *
Never used it
Tried it occasionally
Using it regularly
Always use it when I shop
What products have you used the health star rating for?
Describe up to three examples of products you have used the health star rating for and what you found.
Do you think the health star rating system could be improved and if so how?
Have you used the nutritional panels on food labels and if so how often? *
Never use them
Use occasionally
Use them regularly
Always use ithem
What products have you used nutritional panels for?
Describe up to three examples of products you have used nutritional panels for and what you found.

Evaluate the following statements *

	Don't Know	Strongly Disagree	Disagree	Agree	Strongly Agree
Health Star Ratings are easy to use and understand
Nutritional panels are easy to use and understand
Health Star Ratings are easier to use than Nutritional Panels
Both Health Star Ratings and Nutritional Panels are useful to evaluate food products

Would you like to receive a free, stylish cooler bag?
Yes Please
No Thank You
Contact Number(s)
Postal Address *
Suburb *
State *
Postcode *
Keep up to date with our products: where to try them, who sells them, great tips and recipe ideas as well as access to special deals!
Yes, please add me to your mailing list for the Vegie Magic Newsletter.
Please untick the box if you do not wish to receive our newsletter
Email *

Please confirm your email