What is your first Name?

What is your Surname?

Which is your Favourite type of take-away?

McDonalds
Oportos
Pizza Hut

What days of the week do you eat Take away?

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

How much money do you generally spend each time?

0-$3 $4-$6 $7-$9 $10-$15 $16-$20

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