*= required fields

Are you a(n)...* Undergraduate Student Graduate Student

Do you live on campus?.* Yes No

If yes, what board plan are you on? Feynman Avery N/A

E-mail address (optional):

1. Considering that on-campus dining options are very limited on weekends, how interested would you be in participating in an optional off-campus dining program that would allow you to use your Caltech ID card to make purchases at local eateries?*

2. On average, how often do you eat off campus during the week?*
...on weekends?*
3. Approximately how much do you spend each time?*

4. Mark up to 10 of the following places where you'd be most likely to eat:*

Baja Fresh	El Pollo Loco	McDonald's	Souplantation
Burger Continental	Fraedo's	Mediterranean Cafe	Starbucks
Burger King	Go Fresh	Panda Express	Subway
California Skewers	Hamburger Hamlet	Pataya Cafe	Taipan
Carl's Jr.	Hana Grill	Peet's Coffee and Tea	Tommy's
Chipotle	IHOP	Pizza Man	Wahoo's Fish Tacos
Coffee Bean	Jack in the Box	President 2 Thai	Winchell's
Corner Bakery	Jamba Juice	Roscoe's	Yoshinoya
Del Taco	Koo-Koo-Roo	Rubio's	Zankou Chicken
Denny's	Mako Bowl	Sharky's	Zono Suchi

5. Aside from those mentioned above, what other local off-campus merchants would you like to see participating in the program?