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Dietary survey questionnaire

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

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1

What is your preferred type of diet?

Select your primary diet preference
2

Rate your satisfaction with your current diet

Rate from 1 to 10, where 1 is very dissatisfied and 10 is very satisfied
3

What is your favorite type of vegetable?

Please specify your favorite vegetable
4

How often do you consume fast food?

Choose the frequency of fast food consumption
5

Rate the importance of organic food in your diet

Rate from 1 to 10, where 1 is not important and 10 is very important
6

Do you have any food allergies?

Please mention any food allergies you have
7

How often do you drink sugary beverages?

Choose the frequency of sugary beverage consumption
8

Rate your cooking skills

Rate from 1 to 10, where 1 is poor and 10 is excellent
9

What is your favorite type of fruit?

Please specify your favorite fruit
10

Are you currently following a specific diet plan?

If yes, please indicate the diet plan. If no, leave this question blank
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