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Dietary survey questionnaire

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

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1

Do you follow a specific diet?

Select yes or no
2

Rate your overall diet satisfaction

Rate from 1 to 10 (1 being very unsatisfied and 10 being very satisfied)
3

What is your favorite daily meal?

Provide the name of your favorite meal (breakfast, lunch, dinner, etc.)
4

How many servings of fruits do you eat per day?

Estimate the number of servings of fruits you consume daily
5

Have you ever tried a vegetarian diet?

Select yes or no
6

Rate your knowledge about nutrition

Rate from 1 to 10 (1 being very low and 10 being very high)
7

Do you have any food allergies or intolerances?

Select yes or no
8

How often do you consume sugary beverages?

Select the frequency of consumption
9

What is your most commonly eaten vegetable?

Provide the name of the vegetable you eat most frequently
10

Rate your meal preparation skills

Rate from 1 to 10 (1 being very low and 10 being very high)
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