Food Consumption Survey

Measures how often and how much your patients consume fast food and instant meals, along with spending habits and related health conditions. Valuable data for dietitians and health educators.

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What is your gender?

Female Male Other Prefer not to say

Which of the following best characterizes your work type?

Please indicate your email so that we can reach you about the results

Do you eat fast food on a regular basis?

Yes No Not sure

On a weekly basis, how often do you eat fast food?

Do you eat food that can be cooked quickly at home (noodles, canned food, frozen food, microwave meals)?

Yes No Not sure

How often do you eat instant food at home?

Do you have a certain mealtime that you adhere to?

Yes No Not sure

Do any of your family members eat fast food?

Yes No Don't know

Have your purchase habits ever been influenced by fast food chain promotions on social media?

Yes No Not sure

Please choose the fast-food establishments you patronize the most

Do you suffer from any of the following ailments?

To transfer from your current brand to a competitive brand, how much of a discount would you need?

Which of the following is more important for you about your food consumption?

Do you utilize fast food coupons to save money?

Yes No Not sure

What are your thoughts on fast food intake and its implications on your health?

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