| When eating meals at home, how often do you prepare the food yourself?* |
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| When preparing and cooking food at home, how often do you wash your hands with soap and water before you handle the food?* |
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| When was the last time you prepared food at home in which you started with raw meat, poultry, seafood or eggs?* |
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| Think about the last time you handled raw meat, poultry, seafood or eggs. Which of the following did you do immediately after handling these raw foods?* |
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| Think about the last that you prepared raw meat, poultry, seafood or eggs using a cutting board or countertop. Which of the following did you do before preparing the next food product?* |
1. Used cutting board or countertop without wiping, rinsing or washing it
2. Wiped or rinsed cuttingboard or countertop without using soap and or bleach and continued to use it
3. Washed cuttingboard or countertop with soap/bleach and continued to use it
4. Used different cuttingboard or countertop or did not use the original one for preparing the next food product
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| Think about the last time that you prepared raw meat, poultry, seafood or egs using dishes or utensils (i.e. knives). Which of the following did you do before preparing the next food product?* |
1. I used dishes or utensils again without wiping, rinsing or washing them
2. Wiped or rinsed dishes or utensils without using soap and continued to use them
3. Washed dishes or utensils with soap and continued to use them
4. Used different dishes or utensils or did not use the original ones for preparing the next food product
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| Think about the last time that you cooked raw meat, poultry, seafood on an indoor or outdoor grill or barbecue. What did you do with the dish, plate or other cookware that held the raw meat, poultry or seafood?* |
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| The last time you had leftovers (including soups or stews) containing meat, poultry, seafood, or eggs, how long were the leftovers out at room temperature before you refrigerated them or ate them later in the day without refrigeration?* |
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| Think about the last time that you prepared food and had a large amount (more than 4 servings) of leftovers such as soups or stew containing meat, poultry, seafood or eggs. What did you do with the leftovers?* |
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| Do you own a food thermometer?* |
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| Did you use a food thermometer the last time you cooked whole chickens or turkeys?* |
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| Did you use a food thermometer the last time you cooked roasts or other large pieces of meat including pork, beef, lamb or veal?* |
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| Did you use a food thermometer the last time you cooked chicken parts, such as breasts or thighs?* |
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| Did you use a food thermometer the last time you cooked hamburgers?* |
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| Did you use a food thermometer the last time you reheated leftovers, soups or stews containing meat, poultry, seafood or eggs?* |
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| When was the last time you prepared a meal at home using fresh fruits or vegetables (not canned or frozen)?* |
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| Think about the last time you prepared a meal with fresh fruits and vegetables using a cutting board or countertop. Which of the following did you do when switching from vegetables to a different food product like meat or bread?* |
1. Used cutting board or countertop without wiping, rinsing or washing it
2. Wiped or rinsed cutting board or countertop without using soap and/or bleach and continued to use it
3. Washed cutting board or countertop with soap and/or bleach and continued to use it
4. Used a different cutting board or countertop or did not use the original one for preparing the next food product
5. I do not prepare fresh fruits or vegetables
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| Think about the last time you prepared a meal using fresh fruit and vegetables using dishes or utensils (i.e. knives). Which of the following did you do when switching from vegetables to a different food product like meat or bread?* |
1. Used dishes or utensils again without wiping, rinsing or washing them
2. Wiped or rinsed dishes or utensils without using soap and continued to use them
3.Washed dishes or utensils with soap and continued to use them
4.Used different dishes or utensils or did not use the items for preparing the next food product
5. I do not prepare fresh fruits and vegetables
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| Before today, have you ever seen or heard of the character called BAC, part of the Fight BAC! campaign?* |
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| Before today, have you ever seen or heard of the Be Food Safe campaign from the USDA?* |
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| If you have heard of the Be Food Safe campaign, how did you hear about it?* |
1. I have never heard of or seen the Be Food Safe campaign
2. Magazine or newspaper
3. TV or Radio
4. Internet
5. Email or Listserv
6. From a Be Food Safe mailer
7. At a conference or meeting
8. Other
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| Are you male or female?* |
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| How would you describe your race or ethnicity?* |
1. American Indian or Alaskan Native
2. Asian
3. Native Hawaiian or Pacific Islander
4. Black or African American
5. Hispanic or Latino
6. White
7. Other
8. I choose not to respond
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| What is your highest attained level of education?* |
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| Are you or any member of your household.......?* |
1. 60 years or older
2. 5 years of age or younger
3. Pregnant
4. Diagnosed with an allergy to any food or food ingredient
5. Diagnosed with diabetes or kidney disease
6. Diagnosed with a condition that weakens the immune system such as cancer, HIV, AIDS, transplants, or received chemotherapy, radiation, or special drugs or medications to treat these conditions
7. None of the above
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| Please copy the letters from the image to the field below.* |
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| All fields marked with an asterisk (*) are mandatory. |
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