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Your Eating Habits
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* Indicates required question
Do you eat breakfast every morning?
*
Yes
No
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
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
*
Cereals
Milk
Juice/Fruit
Toast
Coffee
Chocolate
Required
How many times a week do you drink soft drinks?
*
Every Day
Seldom
Never
Every Day
Seldom
Never
How many times a week do you drink natural juice?
*
Every Day
Seldom
Never
Every Day
Seldom
Never
What do you usually eat during schools breaks?
*
Sandwich
Pie
Juice/Fruit
Sweet-Bars
Required
Do you and your family usually eat together?
*
Yes
No
Do you know the pyramid of the Mediterranean Diet?
*
Yes
No
How many meals do you have during the day?
*
one
two
three
more
one
two
three
more
How much water do you drink a day?
*
1-2 glasses
3-4 glasses
more
Do you and your family eat the same food?
Yes
No
Clear selection
Do you prefer traditional food in meals or fast food?
*
Traditional Food
Fast Food
a) during the weekend
b) at weekend
Traditional Food
Fast Food
a) during the weekend
b) at weekend
Are you influenced by the food commercials you have seen?
*
Yes
No
Sometimes
Yes
No
Sometimes
Do you consume frozen and tinned foods?
*
Yes
No
Sometimes
Yes
No
Sometimes
Do you read the additives, preservatives, artificial flavour colour?
*
Yes
No
Do you read the nutrition value, energy on the food packets?
*
Yes
No
Are you informed about genetically modified products?
*
Yes
No
How much of your own money do you spend on snacks?
*
A lot
Some
A little
A lot
Some
A little
Do you follow a specific diet to improve your appaerance?
*
Yes
No
Sometimes
Alcohol
*
Yes
No
Do you drink alcohol?
Wine/beer at home
Alcohol drinks outside
Yes
No
Do you drink alcohol?
Wine/beer at home
Alcohol drinks outside
Do you know what organic products are?
*
Yes
No
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