Couscous Survey Form - The Lupin Co

Name

First

Last

Email

Phone

Please add your phone number if you would like to be contacted

SECTION 1: About the Participant

	Several times a week	Once a week	2-3 times a month	Rarely	Never
How often do you eat couscous or similar grain-based foods (e.g. rice, quinoa, bulgur)?	Several times a weekHow often do you eat couscous or similar grain-based foods (e.g. rice, quinoa, bulgur)? Several times a week	Once a weekHow often do you eat couscous or similar grain-based foods (e.g. rice, quinoa, bulgur)? Once a week	2-3 times a monthHow often do you eat couscous or similar grain-based foods (e.g. rice, quinoa, bulgur)? 2-3 times a month	RarelyHow often do you eat couscous or similar grain-based foods (e.g. rice, quinoa, bulgur)? Rarely	NeverHow often do you eat couscous or similar grain-based foods (e.g. rice, quinoa, bulgur)? Never

SECTION 1: About the Participant

	Health-conscious eater	Plant-based / vegetarian / vegan	High-protein focused	Gluten-free / low-carb focused	Convenience-focused (quick meals)	Family meal planner
Which of the following best describes you? (Select all that apply)	Health-conscious eaterWhich of the following best describes you? (Select all that apply) Health-conscious eater	Plant-based / vegetarian / veganWhich of the following best describes you? (Select all that apply) Plant-based / vegetarian / vegan	High-protein focusedWhich of the following best describes you? (Select all that apply) High-protein focused	Gluten-free / low-carb focusedWhich of the following best describes you? (Select all that apply) Gluten-free / low-carb focused	Convenience-focused (quick meals)Which of the following best describes you? (Select all that apply) Convenience-focused (quick meals)	Family meal plannerWhich of the following best describes you? (Select all that apply) Family meal planner

(Select all that apply)

SECTION 1: About the Participant

	Main meal	Side dish	Meal prep / lunches	Salads	I don’t usually use couscous
What do you typically use couscous for?	Main mealWhat do you typically use couscous for? Main meal	Side dishWhat do you typically use couscous for? Side dish	Meal prep / lunchesWhat do you typically use couscous for? Meal prep / lunches	SaladsWhat do you typically use couscous for? Salads	I don’t usually use couscousWhat do you typically use couscous for? I don’t usually use couscous

SECTION 2: First Impressions (Before Tasting)

	1 = Not appealing at all	2 = Slightly appealing	3 = Moderately appealing	4 = Very appealing	5 = Extremely appealing
Before tasting, how appealing does this product sound overall?	1 = Not appealing at allBefore tasting, how appealing does this product sound overall? 1 = Not appealing at all	2 = Slightly appealingBefore tasting, how appealing does this product sound overall? 2 = Slightly appealing	3 = Moderately appealingBefore tasting, how appealing does this product sound overall? 3 = Moderately appealing	4 = Very appealingBefore tasting, how appealing does this product sound overall? 4 = Very appealing	5 = Extremely appealingBefore tasting, how appealing does this product sound overall? 5 = Extremely appealing

SECTION 2: First Impressions (Before Tasting)

	LupinQ base ingredient	High protein / health benefits	Flavour variety	Convenience	Alternative to traditional grains
Which aspects appeal to you most? (Select up to 3)	LupinQ base ingredientWhich aspects appeal to you most? (Select up to 3) LupinQ base ingredient	High protein / health benefitsWhich aspects appeal to you most? (Select up to 3) High protein / health benefits	Flavour varietyWhich aspects appeal to you most? (Select up to 3) Flavour variety	ConvenienceWhich aspects appeal to you most? (Select up to 3) Convenience	Alternative to traditional grainsWhich aspects appeal to you most? (Select up to 3) Alternative to traditional grains

(Select up to 3)

SECTION 2: First Impressions (Before Tasting)

	1 = Very unclear	2 = Somewhat unclear	3 = Neither clear nor unclear	4 = Mostly clear	5 = Very clear
How clear and appealing is the product concept?	1 = Very unclearHow clear and appealing is the product concept? 1 = Very unclear	2 = Somewhat unclearHow clear and appealing is the product concept? 2 = Somewhat unclear	3 = Neither clear nor unclearHow clear and appealing is the product concept? 3 = Neither clear nor unclear	4 = Mostly clearHow clear and appealing is the product concept? 4 = Mostly clear	5 = Very clearHow clear and appealing is the product concept? 5 = Very clear