Last name (mandatory)

First name (mandatory)

Gender (mandatory)MaleFemale

Date of birth (mandatory)

Where do you work
ParisSuburbsI don't work

Kid(s) in the household
NoYes

Do you have a special diet? (several answers)
Yes: no porkYes: no alcoholYes: hallalYes: kosherYes: vegetarianYes: veganYes: gluten freeYes: no dairyNo specific diet

For each of the following group of statements, please select the sentence that fits you the most: (one per group)
Group 1 : ---I eat home-made food as often as I canI like ready meals
Group 2 : ---I pay attention to what I eatI eat whatever I want
Group 3 : ---I check the list of ingredientsI rely on well-known brands
Group 4 : ---I try to shop at organic shops, open air or farmers markets, independent local storesI only shop to supermarkets
Group 5 : ---I follow a specific diet in line with my beliefs (eg: vegan, vegetarian,...)I don't have a specific diet
Group 6 : ---I know all of the good and bad ingredientsI don't care
Group 7 : ---I know what to eat each season and I try to eat them at their peakI don't care, I buy what I like and whatever I find
Group 8 : ---I'd rather buy from independent producersI only buy well-known brands
Group 9 : ---I eat little meat or fishI eat a lot of meat or fish (more than 4 times/week)
Group 10: ---I spend at least 7h/week cooking at homeI spend less than 7h/week cooking at home
Group 11: ---I'm willing to try to buy more organic foodI'm not ready to try to buy organic food

Email address (mandatory)

Address

Zipcode

City

Telephone number (mandatory)