Paid Discussion for Restaurant Workers

Please complete the following survey to help determine eligibility for this study. The research session will be conducted in-person at a Lexington restaurant with dinner included. You will be contacted for follow up IF you meet the requirements for the study.

Question Title

* 1. Which of the following describes your employment status?

Employed full time

Employed part time

Retired

Student

Not employed

Question Title

* 2. In which of the following types of establishments do you work?

Restaurant with table service

Restaurant with counter service

Food truck

Restaurant providing delivery only

Caterer

Drive thru

None of these

Other (please specify)

Question Title

* 3. What is your job role?

Restaurant Management

Back of the House Staff - sous chef, line cook, prep cook, specialty chef, dishwasher, etc

Front of the House Staff - server, waiter, waitress, bartender, host, expo, food runner, busser, bar back, barista, sommelier, maitre'd

Question Title

* 4. Which best matches your job title at the restaurant where you work the most hours per week?

Dish washer

Runner

Line cook

Sous chef

Prep cook

Specialty chef

Server / waiter / waitress

Bartender

Host

Expo

Busser

Bar Back

Barista

Sommelier

Other (please specify)

Question Title

* 5. What restaurant(s) or dining establishment(s) are you employed by? LIST

Question Title

* 6. In what category does your age fall?

Under 18

18-27

28-34

35-44

45-54

55+

Question Title

* 7. Please provide your contact information for follow up. You must include an email address and phone number.

Name

ZIP/Postal Code

Email Address

Phone Number