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Daily Routine and Peristaltic Movements Habits Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
What time do you usually wake up?
Select the approximate time you wake up on a typical day.
Before 6:00 AM
6:00 AM - 7:00 AM
After 7:00 AM
2
What time do you usually go to bed?
Select the approximate time you go to bed on a typical day.
Before 10:00 PM
10:00 PM - 11:00 PM
After 11:00 PM
3
When do you feel most active during the day?
Rate your peak activity time during the day.
4
Has anything changed in your sleep and wake-up routine after changing your diet?
Describe any changes you noticed in your sleep and wake-up routine after altering your diet.
5
What was it like to eat only fruit for several days?
Describe your experience of consuming only fruit for an extended period.
6
Did you miss any specific foods during the fruit-only period?
Specify if there were any particular foods you missed while following the fruit-only diet.
7
Did you feel full after consuming only fruit?
Share your feeling of fullness or satisfaction after eating fruits exclusively.
Yes
No
8
Did you feel hungrier than usual when eating only fruit?
Indicate if you experienced increased hunger levels compared to your normal diet while consuming only fruit.
Yes
No
9
What time do you get up in the morning?
Select the approximate time you get up in the morning on a typical day.
Before 6:00 AM
6:00 AM - 7:00 AM
After 7:00 AM
10
Describe your overall experience with the fruit-only diet.
Share your general thoughts and feelings about following a diet solely based on fruits for multiple days.
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