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Eating Habits and Food Addictions Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
Do you prefer salty or sweet snacks?
Choose which type of snacks you prefer the most.
Salty
Sweet
2
How would you rate your overall diet?
Rate your overall diet on a scale of 1 to 10, with 1 being the lowest and 10 being the highest.
3
Do you have any specific food cravings?
Please describe any specific food items that you often crave.
4
How often do you eat fast food per week?
Select the frequency at which you consume fast food per week.
Never
1-2 times
3-5 times
Almost every day
5
How important is breakfast to you?
Indicate the importance of breakfast in your daily routine.
Very important
Somewhat important
Not important
6
How often do you drink sugary beverages?
Choose the frequency at which you consume sugary beverages.
Rarely or never
1-3 times per week
Every day
7
What is your favorite type of cuisine?
Select your favorite type of cuisine from the options below.
Italian
Mexican
Asian
Mediterranean
Other
8
Are you a vegetarian or vegan?
Indicate if you follow a vegetarian or vegan diet.
Vegetarian
Vegan
Neither
9
How often do you snack between meals?
Select how frequently you consume snacks between main meals.
Rarely or never
1-2 times per day
3 or more times per day
10
Do you track your calorie intake?
Indicate if you monitor the calories you consume daily.
Yes, I track my calories
No, I don't track my calories
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