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Nutrition Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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Cassiano Neto - Consultoria Personalizada
1
What is your favorite type of protein source for meals?
Please select your favorite protein source
Chicken
Fish
Beans
Eggs
Tofu
2
How would you rate your current diet on a scale of 1 to 10?
Please rate your diet's effectiveness on a scale from 1 to 10 (1 being lowest, 10 being highest)
3
Do you have any dietary restrictions or allergies?
Please explain any dietary restrictions or allergies you may have
4
How often do you consume fruits and vegetables in a day?
Please select the frequency of consuming fruits and vegetables
Less than once
1-2 times
3-4 times
5 or more times
5
What is your preferred cooking oil for meal preparation?
Please select your preferred cooking oil
Olive oil
Coconut oil
Canola oil
Avocado oil
6
Are you currently following any specific diet plan?
Please specify if you are following any diet plan
7
How often do you consume processed foods in a week?
Please select the frequency of consuming processed foods
Never
Rarely
Sometimes
Frequently
8
On a typical day, how many glasses of water do you drink?
Please estimate the number of glasses of water consumed in a day
Less than 4 glasses
4-6 glasses
7-9 glasses
10 or more glasses
9
How important is breakfast in your daily routine?
Please rate the importance of breakfast in your daily routine
10
Do you have a snack habit between main meals?
Please indicate if you have a habit of snacking between main meals
Yes, regularly
Yes, occasionally
No
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