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Food habit survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
Name
2
Gender
Select one answer
Male
Female
Other (please specify)
3
Contact no.
Use digits only
4
Age
Use digits only
5
Age
Select one answer
0-5
6 - 12
13 - 17
18 - 24
25 - 39
40 - 59
60 - 74
70 +
6
Religion
Select one answer
Hindu
Sikh
Muslim
Jain
Parsi
Christian.
Other (please specify)
7
City
Select one answer
Vadodara
Ahmedabad
Surat
Anand
Rajkot
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8
Do you think your cultural or religional beliefs influence your food & if yes, how much?
Select one answer
Significantly
moderately
slightly
Not at all
9
What cuisine do you consume on daily basis
Select one or more answers
Gujarati
Punjabi
Marathi
Bengali
South Indian
Jain
halal / Muslim
Other (please specify)
10
Are there any specific dietary restrictions or fasting practices, you follow due to your religious beliefs beliefs
Select one answer
Yes
no
11
If yes, can you mention them…
12
During cultural festivals, or celebrations, are there any specific special dishes that are Cooked and consumed in your family?
Select one or more answers
Diwali
Dussehra
Makar Sankranti
New year
Holi
Eid
Ramzan
Navratri
Christmas
Janmashtami
Shivratri
Other (please specify)
13
According to your answers in previous questions, please mention the dishes cooked or consumed…
14
Are there any other festival / occasions specific to your cultural or religion, please specify the special foods cooked & consumed during the occasion…
15
Are there any specific days of month or week that have change in menu of them due your cultural beliefs or religion
Eg; No eggs on Sunday
16
Are there any traditional foods that have been passed down to you?
17
Are there any traditional foods that are not cooked/consumed anymore? please mention
18
What foods are considered special and are made on significant occasions or events?
Special ladoos on chhat
19
Do you believe in using certain foods or remedies for healing or maintaining health? Do you use them often?
Select one answer
Yes
No
Other (please specify)
20
If you answered Yes, in the previous question, please mention with certain foods are used as a remedies in your culture/religion if possible please mention reasons …
Honey with turmeric to relieve coughing
21
Are there any food that are restricted or avoided during illness or healing process?
Avoiding curd ,tamarind while healing from open cuts or bleeding
22
What are the specific foods that are specially consumed during certain seasons or time of the year due to their benefits, according to cultural beliefs
23
What are the specific foods you avoid eating or restrict during certain seasons or time of the year due to cultural beliefs ?
24
Does your culture restrict any age group or gender from eating certain food items?
25
Do culture promote any age group or gender for eating certain food items?
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Likes and dislikes
26
Is there any change observed in foods habits in your family across the generations ?
Eg; Consumption of rotla, more consumption of ghee in earlier generations
27
What flavours do you crave or need in your meals?
Select one or more answers
Sweet
Savoury
Sour
Spicy
28
Which kind of food is your go to option as a comfort food…
Select one or more answers
Sweet
Salty
Spicy
Sour
29
Are there any foods or flavours you avoid or dislike? What are they?
30
Which kind of food do you do you prefer?
Select one or more answers
Fried
Baked
Roasted
Boiled
Raw
Other (please specify)
31
What are the food texture you prefer
Select one or more answers
Creamy
Crunchy
Slimy
hard
Soft
Chewy
fizzy
Other (please specify)
32
What is your comfort food?
33
Do you often try new kinds of foods or explore new cuisine?
34
Do you prefer several small meals or infrequent large meals?
Select one answer
Several small meals
Infrequent Large meals
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35
During occasion like birthday what kinds of foods are cooked / consumed in your family…
36
What foods are cooked during occasions like anniversaries other significant milestones….
37
What are the specific foods cooked/ consumed during local events in your culture
Kheer during sarad Punam
38
What kinds of foods are cooked/ consumed during family gathering that are commonly expected, also who usually cooks them
39
What are different kind of foods use/ consumed/ cooked during different phases of wedding, please specify significant importance or reasonings
Eg; mehendi, wedding dinners etc
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