Vegetarian Survey

If you would like to participate in a study in which we would ask you questions in future years, please submit the form below or fill out this survey and send it back to

The Vegetarian Resource Group
P.O. Box 1463
Baltimore, MD 21203
FAX (410) 366-8804
e-mail vrg@vrg.org.
We will need contact information to periodically follow up with you in the future. Thank you!

I am (check one):
_____ 18 - 19
_____ 20 - 29
_____ 30 - 39
_____ 40 - 49
_____ 50 - 59
_____ 60 - 69
_____ 70 or older

I am:
_____ Male
_____ Female


I never eat (check all, if any, that apply):
_____ meat
_____ poultry (chicken, turkey, duck, etc.)
_____ fish
_____ dairy products
_____ eggs
_____ honey


I am:
_____ a vegetarian
_____ also a vegan
_____ not a vegetarian now.


I am interested in vegetarianism because of (check all that apply):
_____ health
_____ ethics
_____ animal rights
_____ weight loss
_____ the environment
_____ my religion
_____ my spiritual beliefs
_____ family or friends
_____ saving money
_____ politics
_____ world hunger
_____ taste
_____ other:
_____ I am not interested in vegetarianism.

If currently a vegetarian, I've been vegetarian:
_____ less than 1 year
_____ 1 - 2 years
_____ 3 - 5 years
_____ 6 - 10 years
_____ 11 - 15 years
_____ 16 - 19 years
_____ 20 - 25 years
_____ 26 - 29 years
_____ 30 or more years


The main reason I became a vegetarian was because of (check only one):
_____ health
_____ ethics
_____ animal rights
_____ weight loss
_____ the environment
_____ my religion
_____ my spiritual beliefs
_____ family or friends
_____ saving money
_____ politics
_____ world hunger
_____ taste
_____ other:
_____ I have never been a vegetarian.


I am a member of:
_____ a vegetarian organization.
_____ an animal rights group.

_____ I subscribe to at least one vegetarian magazine.

_____ I am not a member of a vegetarian or an animal rights group, and I do not subscribe to a vegetarian magazine.

Name:

Address:

City:

State: Zip:

Phone:

E-mail: