Visiting a dietician

Geachte Heer / Mevrouw, neem alstublieft een paar minuten tijd om de volgende enquête in te vullen.

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Questionnaire about visiting a dietician

1

What is your gender?

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Male

Female

I do’nt want to say

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Questionnaire about visiting a dietician

2

What is you age?

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18-30 years

30-50 years

50-70 years

70 years or older

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Questionnaire about visiting a dietician

3

How long do you live in the Netherlands?

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less than 1 yaer

between 1-5 years

between 5-10 years

longer than 10 years

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Questionnaire about visiting a dietician

4

Which languages do you speak?

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English

Dutch

Other language

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Questionnaire about visiting a dietician

5

How do you like to greet people in general?

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Shaking hands

Waving

Smiling

Saying hello

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Questionnaire about visiting a dietician

6

How do you like to greet people in an business environment or at a care provider?

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Shaking hands

Smiling

Saying hello

Other

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Questionnaire about visiting a dietician

7

Is it important to you that a care provider follows a certain order when greeting, for example greeting an older person first?

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Yes

No

No opinion

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Questionnaire about visiting a dietician

8

What order do you prefer in this situation?

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Older person first

Man first

Woman first

No opinion

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Questionnaire about visiting a dietician

9

How would you like to be addressed by a care provider?

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With mr/mrs and your surname

With Sir/Madam

No opinion

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Questionnaire about visiting a dietician

10

Do you think it is important that an appointment with a care provider starts exactly on time?

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Yes

No

No opinion

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Questionnaire about visiting a dietician

11

Do you find it annoying when a care provider touches your child, for example when he/she is measuring and weighing?

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Yes

No

No opinion

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Questionnaire about visiting a dietician

12

If so, are there certain things that an care provider can take into account, such as

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Prefer not to touch my child at all

Prefer not to touch the child on the head (for example when measuring the height)

No opinion

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Questionnaire about visiting a dietician

13

Do you like it when the care provider asks quastions about general personal matters?

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Yes

No

Neutal

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Questionnaire about visiting a dietician

14

Do you like it when the care provider also shares personal matters that can help with the consultation?

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Yes

No

Neutral

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Questionnaire about visiting a dietician

16

Have you ever been to a dietician (with your child)?

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Yes

No

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Questionnaire about visiting a dietician

17

If yes, did you have good experiences with the treatment?

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Yes

Moderate

No

Not applicable

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Questionnaire about visiting a dietician

18

Do you find visiting a dietician comparable to visiting a doctor?

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Yes

No

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Questionnaire about visiting a dietician

19

If not, in what way do you consider it different?

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Questionnaire about visiting a dietician

20

Do you mainly eat dishes from Indian cuisine?

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Yes

No

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Questionnaire about visiting a dietician

21

If you regularly eat non Indian dishes, wich ones do you eat?

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Questionnaire about visiting a dietician

23

Are there other Indian dishes that you eat often?

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Questionnaire about visiting a dietician

24

What drinks do you consume most often?

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Questionnaire about visiting a dietician

25

Which meal do you consider the most important meal of the day?

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Breakfast

Lunch

Dinner

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Questionnaire about visiting a dietician

Thank you for completing this questionnaire.

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Visiting a dietician

What is your gender?

What is you age?

How long do you live in the Netherlands?

Which languages do you speak?

How do you like to greet people in general?

How do you like to greet people in an business environment or at a care provider?

Is it important to you that a care provider follows a certain order when greeting, for example greeting an older person first?

What order do you prefer in this situation?

How would you like to be addressed by a care provider?

Do you think it is important that an appointment with a care provider starts exactly on time?

Do you find it annoying when a care provider touches your child, for example when he/she is measuring and weighing?

If so, are there certain things that an care provider can take into account, such as

Do you like it when the care provider asks quastions about general personal matters?

Do you like it when the care provider also shares personal matters that can help with the consultation?

To what extent do you find it important that the care provider

Have you ever been to a dietician (with your child)?

If yes, did you have good experiences with the treatment?

Do you find visiting a dietician comparable to visiting a doctor?

If not, in what way do you consider it different?

Do you mainly eat dishes from Indian cuisine?

If you regularly eat non Indian dishes, wich ones do you eat?

How often do you eat below dishes?

Are there other Indian dishes that you eat often?

What drinks do you consume most often?

Which meal do you consider the most important meal of the day?

Which of the following statements is the most applicable?

When you go to the dietician with your child, do you need: