2. The Town of Jupiter is beginning an education campaign to encourage the reduction of the use of single-use plastic straws and other single-use plastics. By providing the information in the brief survey below, you are helping the Town to shape this campaign in a way that is most beneficial to the entire Jupiter community. Thank you for providing your input!*
4. 1. Does your business currently offer straws?

   1. Yes
   2. No
5. 2. If yes, what type of straws does your business offer:

   1. Single-use plastic straws
   2. Paper straws
   3. Re-usable straws (stainless steel, bamboo, etc.)
   4. other
7. 3. Please choose the statement below that most accurately describes your business’ current practice:

   1. Offer straws when a beverage is ordered or purchased
   2. Offer straws only on-demand (when a customer requests one)
   3. Offer only paper straws
   4. Offer re-usable straws (stainless steel, bamboo or other washable, reusable alternatives)
   5. We do not offer straws at all
9. 4. If your business has recently changed its consumption of single-use plastic straws, please indicate when you made the change, and why:
11. 5. If your business has recently changed its consumption of single-use plastic straws, please estimate:
13. Monthly quantity of single-use plastic straws before the change
14. Monthly quantity of single-use plastic straws after the change:
16. 6. If you currently offer single-use plastic straws regularly to customers, what kind of support could the Town offer to encourage you to reduce or eliminate them?
18. 7. Are you reducing or eliminating other types of single-use plastics in your business? If so, please tell us how:
20. 8. Please tell us about your business:
22. Business Name
23. Primary contact & phone
25. Business address
26. Business email*
28. Business type:

    1. Full service restaurant
    2. Counter service restaurant
    3. Bar
    4. Convenience store
    5. Hotel/motel
    6. Fast foot restaurant
    7. Other
29. * Florida has a very broad public records law. Under Florida law, e-mail addresses are public records. The Town makes every effort to protect individual privacy, but may be compelled to provide email addresses in some circumstances under Florida law. If you do not wish to provide your email when completing this survey, please call Kate Moretto at 561-741-2575.
31. Please Specify
33. If we may contact a representative of your business to discuss your responses, please list name, phone and email here:
35. Thank you for taking the time to complete this survey. If you would like to provide further input, please contact Kate Moretto, Director of Community Relations, at katem@jupiter.fl.us or 561-741-2575.
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39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit

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