Why are you interested in Low-Fat foods?

Please indicate your primary health concern.
 General health and well-being
 Heart disease
 High cholesterol
 Diabetes
 Cancer
 Obesity
 Poor digestion

Do you currently eat a low-fat diet?
 All the time
 Some of the time
 No

Do all members of your household eat a low-fat diet?
 All the time
 Some of the time
 No

Are you interested in achieving a higher-fiber diet?
 Yes
 No

Do you currently eat a high-fiber diet?
 All the time
 Some of the time
 No

Do all members of your household eat a high-fiber diet?
 All the time
 Some of the time
 No

Please indicate your primary dietary concern.
 Low Sodium
 Low Cholesterol
 Low Calorie
 Vegetarian
 Red meat

What would you like to read about?

Please indicate your level of interest in each of the following:

   Very        Somewhat        Not
Interested    Interested    Interested
     Recipes
     Vegetarian Recipes
     Articles relating to fat and your health
     Information/reviews on new low-fat products
     Tips & Techniques to reduce dietary fat
     Kids & low-fat diets/recipes for kids
     Reviews of Cookbooks
     Reviews of informational books about dietary fat/health


Would you rather:
 Receive the publication free, with advertisements?
 Pay for the publication, with no advertising?

Name
E-Mail

Address 1
Address 2
City
Prov/State
Postal/Zip
Country

Please indicate your recipe preference

 Vegetarian recipes
 Non-vegetarian recipes
 Both