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Healthy Eating Patterns for Families 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 does your family eat fruits and vegetables?
Please select the frequency your family consumes fruits and vegetables.
Rarely
Sometimes
Often
Always
2
Rate your family's overall healthy eating habits
Please rate the overall healthy eating habits of your family.
3
What are the common unhealthy snacks your family consumes?
Please list down the unhealthy snacks commonly consumed by your family.
4
How frequently does your family eat out or order fast food?
Please select the frequency your family eats out or orders fast food.
Rarely
Sometimes
Often
Always
5
Rate the importance of balanced meals in your family's diet
Please rate how important balanced meals are in your family's diet.
6
Does your family read nutrition labels on food products?
Please select whether your family reads nutrition labels on food products.
Yes
No
Sometimes
7
Describe a typical breakfast in your family
Please describe what a typical breakfast looks like in your family.
8
How often does your family consume sugary beverages?
Please select the frequency your family consumes sugary beverages.
Rarely
Sometimes
Often
Always
9
Rate the variety of fruits and vegetables in your family's diet
Please rate the variety of fruits and vegetables in your family's diet.
10
What are the biggest challenges your family faces in maintaining healthy eating habits?
Please describe the biggest challenges your family faces in maintaining healthy eating habits.
11
What would help you to increase healthy eating options for you and your family (e.g., money, time, access to better shopping options)? Please explain your answer.
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