Dear Kiwi reader,

We’re so glad that you’d like more information about Enjoy Life® products. To ensure we send you news and information that you can use, we’d like to know a little bit more about you. *

Please take 5 minutes to complete a few questions about you and your family. That’s all you need to do to receive helpful information about our products, valuable coupons and our Food Allergy & Intolerance Survival Guide.

We hope that you will also join our community so we can send you new product news, recipes, new store announcements and more by email.

Required fields are marked with a *

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1. Do you, a family member or a close friend AVOID CERTAIN FOODS due to food allergies, food intolerances or other health concerns (such as celiac disease)?
Yes No
2. What SPECIFIC FOODS do you and/or your family & friends avoid? (select all that apply)
wheat gluten peanuts tree nuts soy eggs dairy casein corn sulfites potato sesame fish shellfish other (please specify)
3. Which of the following best describes WHY you and/or your family & friends follow a special diet? (select all that apply)
Food allergy Food intolerance Celiac disease Gluten intolerance Autism spectrum disorder ADHD Allergy prevention Vegan/vegetarian General health concerns other (please specify)
4. Are you currently an active MEMBER OF A SUPPORT GROUP that provides support, information and resources on various health concerns, such as food allergies, celiac disease or autism?
Yes No - Go to Question 5 Not Sure - Go to Question 5
4a. If you are involved with a support group, are you a GROUP LEADER?
Yes No Not Sure
4b. If you are a member of a support group, what is its NAME and LOCATION?
Support Group Name:
Support Group Location:
4c. Would you like to receive information from Enjoy Life to share with your support group members?
Yes No
5. Before seeing the Enjoy Life advertisement in Kiwi Magazine, were you at all FAMILIAR WITH Enjoy Life products? (select all that apply)
Yes No Not Sure
6. Have you EVER PURCHASED Enjoy Life products before? If so, which ones? (select all that apply)
Cookies Granolas Snack bars Trail mixes Chocolate chips Chocolate bars Bagels other (please specify) Have not purchased
7. We'd love to stay in touch with you. Would you like to JOIN OUR COMMUNITY to receive new product news, monthly recipes, new store announcements and more by email?
Yes Please! No thanks
8. We occasionally need people to do new product TASTE TESTS and market research SURVEYS. Would you like to participate?
Yes Please! No thanks
9. Finally, we always love to hear your suggestions about new products, recipes, marketing ideas and the like. What else would you like us to know? **

* Rest assured that we take your privacy seriously and won’t share this information with anyone outside our company.

** Enjoy Life welcomes everyone’s opinions. However, we have to let you know that all comments, suggestions, ideas, concepts or recipes offered to us through this website are deemed and shall remain the property of Enjoy Life Natural Brands, LLC.

© 2009 Enjoy Life Natural Brands LLC