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Eating Routine 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 have breakfast?
Please select the frequency of having breakfast.
Every day
Few times a week
Rarely
2
Rate your overall satisfaction with your current eating routine
Please rate your satisfaction on a scale from 1 to 10.
3
Do you follow a specific diet plan? If yes, please specify.
Please provide details about any specific diet plan you follow, if applicable.
4
How many meals do you typically have in a day?
Please select the number of meals you usually consume in a day.
3 meals
4-5 meals
More than 5 meals
5
Rate the importance of balanced nutrition in your eating routine
Please rate the importance on a scale from 1 to 10.
6
What is your go-to healthy snack option?
Please describe your preferred healthy snack option.
7
Do you track your daily calorie intake?
Please provide information on whether you track your daily calories.
Yes
No
Sometimes
8
Rate your level of hydration throughout the day
Please rate your hydration level on a scale from 1 to 10.
9
What is your favorite meal of the day and why?
Please share insights about your favorite meal.
10
How do you handle cravings for unhealthy food?
Please describe your approach to managing cravings.
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