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Nutrition & Dietary Habits

  1. How would you describe your overall eating habits?

Single choice
Very healthy
Moderately healthy
Mixed/varies
Unhealthy
  1. How many meals do you typically eat per day?

Single choice
1–2
3
4–5
More than 5
  1. Do you follow a specific diet or eating style?

Single choice
Yes, strictly
Yes, loosely
Not really
No, I eat freely
  1. What type of meals do you have most often?

Single choice
Home-cooked meals
Takeaways/fast food
Pre-packaged meals
Mixed
  1. How often do you eat breakfast?

Single choice
Daily
Sometimes
Rarely
Never
  1. Do you regularly track calories or macros?

Single choice
Yes, consistently
Occasionally
Tried it before
Never
  1. What influences your food choices the most?

Single choice
Taste
Health/nutrition
Convenience
Cost
  1. How often do you consume fast food?

Single choice
Rarely/Never
1–2 times per week
3–4 times per week
Almost daily
  1. Do you meal prep for the week?

Single choice
Yes, every week
Occasionally
Rarely
Never
  1. How important is protein intake to you?

Single choice
Very important
Somewhat important
Not very important
Never think about it
  1. Do you include fruits and vegetables daily?

Single choice
Yes, always
Most days
Rarely
Never
  1. Do you consume sugary drinks (soft drinks, energy drinks)?

Single choice
Daily
Few times a week
Rarely
Never
  1. What is your biggest challenge with eating healthy?

Single choice
Time to cook
Cost of food
Cravings
Lack of knowledge
  1. How often do you have cheat meals or binge snacks?

Single choice
Weekly
Twice a month
Rarely
Never
  1. Do cultural or traditional foods influence your diet?

Single choice
Strongly
Occasionally
Slightly
Not at all
  1. How often do you eat out at restaurants?

Single choice
Weekly
Monthly
Rarely
Almost never
  1. Do you avoid any foods due to allergies or intolerance?

Single choice
Yes
Suspected, but not diagnosed
No
Prefer not to say
  1. Do you consume supplements related to nutrition (vitamins, meal shakes)?

Single choice
Daily
Occasionally
Tried before
Never
  1. How mindful are you about sugar intake?

Single choice
Very mindful
Somewhat
Rarely
Not at all
  1. Do you read food labels before buying items?

Single choice
Always
Sometimes
Rarely
Never
  1. What best describes your portion control?

Single choice
Very precise
Moderately controlled
Random
I eat until full
  1. How often do you skip meals?

Single choice
Daily
Occasionally
Rarely
Never
  1. Have you ever followed a diet trend (keto, fasting, paleo)?

Single choice
Yes, works for me
Tried but didn’t last
Interested but haven’t tried
Not interested
  1. How often do you crave late-night snacks?

Single choice
Almost every night
Occasionally
Rarely
Never
  1. Do you eat while distracted (TV/phone)?

Single choice
Always
Sometimes
Rarely
Never
  1. Do you worry about food waste in your household?

Single choice
Yes, a lot
Sometimes
Rarely
Never
  1. Do you try new cuisines or foods often?

Single choice
Yes, love trying new things
Occasionally
Rarely
Never
  1. What is your attitude towards carbs (bread, rice, pasta)?

Single choice
Essential fuel
Moderation only
Avoid when possible
Don’t care
  1. Do you plan meals ahead or decide last minute?

Single choice
Fully planned
Rough idea
Decide daily
Random
  1. How satisfied are you with your current eating habits?

Single choice
Very satisfied
Somewhat satisfied
Needs improvement
Not satisfied at all

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