<<Disclaimer: Verify this information before applying it to your situation.>>

This is a survey for student research at Iowa State University. We are
trying to formulate new gluten free products and would appreciate your help
in answsering a few questions so we can determine where the needs and
problems are with current products. Responses will be confidential. Thank you
for your time!

Please email responses by January 29th to: [log in to unmask]


Mark an "X" in front of your chosen answer or type your responses.


1. What is your age?
    __under 18   __18-25   __25-30   __30-40    __over 40


2. Gender
        __male    __female


3. City, State you currently live in (optional)




4. Are gluten free products currently available at your supermarket? What
   would you like to see available?




5. If available, would you buy a gluten-free cake mix at the supermarket?

   ___yes    ____no


6. If available, would you buy a chocolate cinnamon flavored cake mix at the
   supermarket?

    ___yes  ___no


7. How much would you be willing to pay for a gluten free cake mix?

   ___$1.50-2.00  ___$2.00-3.00   ___$3.00-4.00   ___over $4.00



8. In past experiences, which of the following have you found most
   unappealing about gluten-free baked products? Mark all that apply.

   ___appearance
   ___texture
   ___flavor
   ___other (please list)


Again, thank you for your time!