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Final Questionnaire

Final Questionnaire

Full Name
Full Name
First
Last

Please rate CRAVINGS from 1 to 5.

1 = Not at all. 2 = Occasionally. 3 = Can do without it. 4 = Must have it daily. 5 = Constantly.

Sugar
Caffeine
Chocolate
Ice Cream
Cookies
Alcohol
Candy
Marijuana
Tabacco
Diet Soda Pop
Soda Pop
Cake
Opioids
Heroine
Cocaine
Crystal Meth
Crack
Drugs

Please rate CRAVINGS from 1 to 5.

1 = Not at all. 2 = Occasionally. 3 = Can do without it. 4 = Must have it daily. 5 = Constantly.

Sugar
Caffeine
Chocolate
Ice Cream
Cookies
Alcohol
Candy
Marijuana
Tabacco
Diet Soda Pop
Soda Pop
Cake
Opioids
Heroine
Cocaine
Crystal Meth
Crack
Drugs
I give my permission to use my answers and comments on any future products and social media using my first name, first name and last initial or initials.
If the form does not go through, double-check that you completed all the fields marked with an asterisk as they are required.