(Please
note that fields marked with a (*) are mandatory, the form
will not be processed if left empty)
Q1. How did you
first hear about Doves Farm Foods?
Friend
Magazine / Paper
Seen
product in Shops / Supermarkets
Web Search
Other
Existing Customer
Q2.
Please tick all places where you have purchased food in the
last week and month;
Q3.
Which daily newspaper do you read?
Q4.
Are you following any of the following diets?
Wheat
Free
Gluten Free
Dairy
free
Soya
free
Nut
free
Diabetic
Vegetarian
Vegan
Macrobiotic
Coeliac
diet
Calorie
Counting
Low
Fat
Weight
loss
Organic
Other
Q5.
Please Rank in order of importance, your attitude when food
shopping?
Q6.
Which part of the UK do you live in?
Scotland
Wales
North England
Midlands
South-East
South-West
Ireland
Other
Q7. Do you
follow recipes, if yes, in which format?
Q8.
Please indicate how often you make the following items from individual
ingredients in your own kitchen. Weekly and monthly - tick
all those that apply.
Q9.Do
you own a bread machine?
If Yes, what make is it?
Yes
No
Q10.
How often do you bake bread in your oven?
weekly
monthly
very occasionally
never
Q11.
Do you buy more than one kind of flour and if so which of
these flours have you purchased in the last month? Tick all
that apply.
Strong
White Bread
Strong
Wholemeal Bread
Plain
White
Self
Raising White
Plain
Wholemeal
Self
Raising Wholemeal
Malted
Grain Flour
Pasta
Flour
Gluten
Free Flour
Rice
Flour
Cake
Mix
Pancake
Mix
Value
Flour
Q12.
Please select the salary range of the principle wage earner in
your household:
Under 15K
15-25K
26-35K
36-50k
Over 50k
Q13.
Please tell us more about your household
Q14.
I would like to receive further information about Doves Farm
products and other relevant information.
No
Yes
Name*:
E-mail*:
Address*:
Postcode*: