Survey about healthy eating habits

1. 1. Do you think you eat healthy? * ^*

Do you think you eat healthy?

You can give only one answer.

	Yes
	No

2. How many meals do you eat daily? ^*

You can give only one answer.

3. Do you eat anything in between the main meals? ^*

You can give only one answer.

	Yes
	Sometimes
	No

4. What do you most often choose as a snack between meals? ^*

You can select several answers.

	sweets		fast food
	dairy products (e.g. yoghurt, cream cheese)		fruits
	meat snacks		vegetables
	bread		other products: what?

5. How long after waking up do you usually eat breakfast? ^*

You can give only one answer.

6. How many hours before falling asleep do you usually eat your last meal? ^*

q

7. How often do you usually eat: ^*

You can give only one answer in a row.

	never	once a month	several times a month	once a week	several times a week	every day
sweets	sweets - never	sweets - once a month	sweets - several times a month	sweets - once a week	sweets - several times a week	sweets - every day
vegetables	vegetables - never	vegetables - once a month	vegetables - several times a month	vegetables - once a week	vegetables - several times a week	vegetables - every day
fruit	fruit - never	fruit - once a month	fruit - several times a month	fruit - once a week	fruit - several times a week	fruit - every day
fastfood	fastfood - never	fastfood - once a month	fastfood - several times a month	fastfood - once a week	fastfood - several times a week	fastfood - every day
dairy	dairy - never	dairy - once a month	dairy - several times a month	dairy - once a week	dairy - several times a week	dairy - every day
meat	meat - never	meat - once a month	meat - several times a month	meat - once a week	meat - several times a week	meat - every day

8. In what circumstances do you usually eat? ^*

You can select several answers.

	during work/classes		alone
	restaurant/bar		during breaks
	with friends		in a hurry
	at home		in peace

9. List 3 products that form the basis of your everyday diet: ^*

10. Have you ever been on a diet. If so, what kind?

11. Order the products from the healthiest to the most unhealthy: ^*

Click to activate

j 1. meat
j 2. sweets
j 3. ice cream
j 4. dairy
j 5. bread
j 6. vegetables
j 7. fruit
j 8. juices
j 9. carbonated drinks
j 10. sugar-free drinks
j 11. fast-food

12. How much do you think a healthy diet affects: ^*

You can give only one answer in a row.

	has no impact	little impact	I do not know	big impact	very big impact
restful sleep	restful sleep - has no impact	restful sleep - little impact	restful sleep - I do not know	restful sleep - big impact	restful sleep - very big impact
health	health - has no impact	health - little impact	health - I do not know	health - big impact	health - very big impact
weight	weight - has no impact	weight - little impact	weight - I do not know	weight - big impact	weight - very big impact
physical condition	physical condition - has no impact	physical condition - little impact	physical condition - I do not know	physical condition - big impact	physical condition - very big impact
mental condition	mental condition - has no impact	mental condition - little impact	mental condition - I do not know	mental condition - big impact	mental condition - very big impact
ability to focus	ability to focus - has no impact	ability to focus - little impact	ability to focus - I do not know	ability to focus - big impact	ability to focus - very big impact
the ability to remember	the ability to remember - has no impact	the ability to remember - little impact	the ability to remember - I do not know	the ability to remember - big impact	the ability to remember - very big impact
social contacts	social contacts - has no impact	social contacts - little impact	social contacts - I do not know	social contacts - big impact	social contacts - very big impact
migraines/headaches	migraines/headaches - has no impact	migraines/headaches - little impact	migraines/headaches - I do not know	migraines/headaches - big impact	migraines/headaches - very big impact
digestive problems	digestive problems - has no impact	digestive problems - little impact	digestive problems - I do not know	digestive problems - big impact	digestive problems - very big impact
good mood	good mood - has no impact	good mood - little impact	good mood - I do not know	good mood - big impact	good mood - very big impact

Survey about healthy eating habits

1. 1. Do you think you eat healthy? * *

2. How many meals do you eat daily? *

3. Do you eat anything in between the main meals? *

4. What do you most often choose as a snack between meals? *

5. How long after waking up do you usually eat breakfast? *

6. How many hours before falling asleep do you usually eat your last meal? *

7. How often do you usually eat: *

8. In what circumstances do you usually eat? *

9. List 3 products that form the basis of your everyday diet: *

10. Have you ever been on a diet. If so, what kind?

11. Order the products from the healthiest to the most unhealthy: *

12. How much do you think a healthy diet affects: *

1. 1. Do you think you eat healthy? * ^*

2. How many meals do you eat daily? ^*

3. Do you eat anything in between the main meals? ^*

4. What do you most often choose as a snack between meals? ^*

5. How long after waking up do you usually eat breakfast? ^*

6. How many hours before falling asleep do you usually eat your last meal? ^*

7. How often do you usually eat: ^*

8. In what circumstances do you usually eat? ^*

9. List 3 products that form the basis of your everyday diet: ^*

11. Order the products from the healthiest to the most unhealthy: ^*

12. How much do you think a healthy diet affects: ^*