Kellogg's
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**First Name:
**Last Name:
**Email Address:
**Password:
(Minimum of 6 characters)
**Confirm Password:
**Address:
 
**City:
**Province:
**Postal Code:
**Birth Date:
**Gender:
    
Mobile Phone:
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**How many people, including yourself, are currently living in your household?
**How many people currently living in your household are in each of the following age groups? (Answer all that apply.)
6 or less
7-12
13-17
18-29
30-44
45-59
Over 60
**Which of the following foods were consumed by your household for breakfast at home during the last 7 days? (Check all that all apply)
Ready-to-eat Cereals
Bread
Hot cereal
Yogurt
Eggs
Frozen Waffles
Fruit
Bacon
**How many boxes of ready-to-eat cereal are currently in your household?
**Please type the exact characters you see in the picture below.
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