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Dietary Habits Survey

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

Secured
1

How often do you consume fruits and vegetables?

Choose the frequency that best represents your intake
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
5

How often do you consume processed foods?

Choose the frequency that best represents your consumption
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
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