Diet and Nutrition Survey
  • Name
  • Date of birth
  • Gender
  • Occupation
  • Do you have any allergies/intolerances to food?
  • Please list them below. 

  • How many servings of fruits or vegetables do you consume in a day?
  • How often do you consume red meat in a week?
  • How often do you consume caffeine in a week?
  • How much caffeine do you consume in a week?
  • Do you follow a schedule for your meals?

  • Please elaborate

  • How often do you eat fast food?
  • What foods do you dislike?
  • What are your comfort foods?

That's all, folks!

* End page and disqualification logic can only be seen in the live survey