Diet And Nutrition Survey
  • Name
  • Date of birth
  • Gender
  • Occupation
  • Do you have any allergies/intolerance to food? Please list them below.
  • How many servings of fruits and vegetables do you consume in a day?
  • How often do you consume red meat in a week?
  • How much caffeine do you consume in a week?
  • Do you follow a schedule for your meals?
  • please specify
  • How often do you eat fast food?
  • What foods do you dislike?
  • What are your comfort foods?

That's all, folks!