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Dietary Habits Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
How often do you consume fruits and vegetables?
Choose the frequency that best represents your intake
Rarely
Occasionally
Regularly
2
Rate your water consumption habits
Indicate your daily water intake on a scale of 1 to 10
3
Describe your typical breakfast
Provide a detailed description of what you eat for breakfast
4
Do you follow any specific dietary restrictions or preferences?
Select all that apply to your eating habits
Vegetarian
Vegan
Gluten-free
Dairy-free
None
5
How often do you consume processed foods?
Choose the frequency that best represents your consumption
Rarely
Occasionally
Regularly
6
Rate your sugar intake
Indicate how well you control your consumption of sugary foods
7
What is your typical snack choice?
Describe what you usually snack on between meals
8
How often do you eat out at restaurants?
Select the frequency of dining out
Rarely
Occasionally
Frequently
9
Rate your cooking skills
Rate your confidence and proficiency in preparing meals
10
What motivates you to make healthy food choices?
Share the reasons behind your food decisions
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