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Healthy Natural Diet questionnaire
1)
How many servings of fruits and vegetables you have each day?
5 o more
2
None
2)
Have you regularly breakfast?
Sometimes, mainly at the bar
Never
Yes, usually at home
3)
Where do you usually have lunch?
I do not have lunch or have a quick meal
At home (or I bring something from home)
Restaurant, fast food or cafeteria
4)
You usually shop at:
Supermarket, usually a trusted one
I never buy food or if I must anywhere goes
Sought shops, providing products that generally I do not find elsewhere
5)
How many time a week do you go out to the restaurant?
1-2 times
Rarely
More than 3 times
6)
How many times a week do you have cake or ice cream?
Every day at end the meal
Rarely
Often, especially after dinner
7)
What is your approach to food?
I eat with pleasure, I am always hungry, I never get enough
I am attentive about what I eat
I like having something good and tasty
8)
When shopping:
I generally buy the products on offer
I read the nutrition labels and check the source of food
I pay attention to the calories intake
9)
How many times a week do you eat meat or cold cuts?
More than 5
Never or rarely
2-3 times a week
10)
Do you regularly have whole grains?
No, I do not even know what they are
Sometimes
I prefer them and replace them to normal cereals
11)
Do you enjoy dairy foods (milk and derivatives)?
Yes, but I only rarely have them
You very much and eating them daily
I never eat them
12)
How do you usually cook or have your own meals?
I do not cook, I eat what is there provided it is good
I mostly eat raw or steamed food
I usually have grilled or baked food
The undersigned DECLARES pursuant to Legislative Decree no. 196 of 2003, to freely give consent to the processing of personal data
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