Dining survey

[Guest guest]

Hi! I recently saw the survey going around for ’s gifted and talent program and I thought I would give out a survey I have issued to fellow Celiacs at my school. I am doing a case study on people diagnosed with Celiac Disease for my school’s senior signature program. 1. What age group are you in? a. 11 or younger b. 12-18 c. 19-35 d. 35 or older 2. What is your gender? a. Male b. Female 3. How long have you been diagnosed for? a. 2 years or less b. 3-5 years c. 6-10 years d. 10 years or more 4. Have you been out to eat since your diagnosis? a. Yes b. No 5. If yes, how has Celiac Disease affected your dining experience? _________________________________________________________________________________________________________________________________________________ 6. Explain your dining experience in the past. (i.e. Has the restaurants been helpful? Are there many gluten free options in your area?) ___________________________________________________________________________________________________________________________________________ 7. Do the grocery stores in your area supply gluten free items? a. Yes b. No 8. If yes, what kinds of products? ________________________________________________________________________________________________________________________________ Thank you very much!! __________________________________________________