Food Preferences Survey

Explores your patients' eating habits: meal frequency, favorite dishes, salt, alcohol and water intake. A solid foundation for personalized nutrition plans.

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How often do you eat throughout the day?

One meal a day Two meals a day Three meals a day Three meals plus snacks Frequent small meals

How often do you eat breakfast throughout the week?

Every day 5 to 6 days 3 to 4 days 1 to 2 days Never

Which do you prefer for breakfast?

Eggs Cereal Toast or bread Fruit Yogurt Pastries Coffee only

What do you prefer for lunch and dinner?

Meat dishes Fish and seafood Pasta Salads Soups Rice dishes Sandwiches

What type of eater are you in general?

Picky eater Adventurous Health-conscious Comfort eater Convenience eater

Which of these best describe your eating habits?

I eat out often I cook at home I skip meals I snack between meals I eat late at night I meal prep

Do you add salt to your food?

Always Sometimes Rarely Never

How often do you use alcohol?

Never Occasionally Once a week Several times a week Every day

How would you describe your diet?

Balanced High-protein Vegetarian Vegan Low-carb No specific diet

How much water do you drink throughout the day?

Less than 1 liter 1 to 2 liters 2 to 3 liters More than 3 liters

Which of the following drinks do you consume the most?

Water Coffee Tea Soda Juice Energy drinks Milk

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