1. Are you interested in "going raw" full time?	Your name:    Your email address:
2. How did you hear about us?
3. How do you plan on promoting on the RAW diet?
4  Do you have any health issues that have motivated you to change your diet?
5. How can you help us? Can you perhaps make raw crackers or cookies to those that are too sick to make them? Can you refer people to us who can't afford equipment who would like better prices?
6. Could you help us talk to our customers on the phone about the diet if we give you their number?