Your Eating Habits
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Do you eat breakfast every morning? *
How many times during the week do you eat… *
Every Day
Seldom
Never
Cereals
Pasta
Bread
Pulses
Meat
Fish
Eggs
Chicken
Dairy products
Fruit
Vegetables
Potatoes
Salad
Cakes
What does your breakfast usually includes *
Required
How many times a week do you drink soft drinks? *
Every Day
Seldom
Never
How many times a week do you drink natural juice? *
Every Day
Seldom
Never
What do you usually eat during schools breaks? *
Required
Do  you  and  your  family  usually  eat together? *
Do  you  know  the  pyramid  of  the Mediterranean Diet? *
How many meals do you have during the day? *
one
two
three
more
How much water do you drink a day? *
Do you and your family eat the same food?
Clear selection
Do  you  prefer  traditional  food  in meals or fast food? *
Traditional Food
Fast Food
a) during the weekend
b) at weekend
Are   you   influenced   by   the   food commercials you have seen? *
Yes
No
Sometimes
Do  you  consume  frozen  and  tinned foods? *
Yes
No
Sometimes
Do you read the additives, preservatives,  artificial  flavour colour? *
Do   you   read   the   nutrition   value, energy on the food packets? *
Are  you  informed  about  genetically modified products? *
How much of your own money do you spend on snacks? *
A lot
Some
A little
Do you follow a specific diet to improve your appaerance? *
Alcohol *
Yes
No
Do you drink alcohol?
Wine/beer at home
Alcohol drinks outside
Do  you know  what  organic  products are? *
Submit
Clear form
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