Healthy diet survey(10H3 7)
1. Do you eat while watching TV or using your phone?
Yes!
No…..
2. Do you eat dinner late (after 8 pm)?
Always(5-7 times a week)
Sometimes(3-4 times)
Seldom(1-2 times)
Never!
3. Do you eat 3 main meals every day?
Yes
No
4. Would you prefer fruit instead of stacks (chips, chocolates..) when you feel hungry?
Yes
No
5. Do you eat at least 2 servings of fruit every day？
Yes
No
6. Do you include a variety of different colored vegetables (e.g. cabbages, carrot, tomatoes) in your meals?
Always(5-7 times a week)
Sometimes(3-4 times)
Seldom(1-2 times)
Never!
7. Do you choose grilled or steamed food over fried food most of the time?
Always(5-7 times a week)
Sometimes(3-4 times)
Seldom(1-2 times)
Never!
8.
Do you choose to eat lean meat or fat meat mostly?
Always(5-7 times a week)
Sometimes(3-4 times)
Seldom(1-2 times)
Never!
9. Do you avoid creamy dressings and sauces(e.g. mayonnaise,maple syrup)?
Always(5-7 times a week)
Sometimes(3-4 times)
Seldom(1-2 times)
Never!
10. Do you eat only refined carbohydrates(e.g. white rice, noodles) at most meals?
Yes, I only eat refined carbs.
Mostly, I also eat small amounts of vegetables.
No, I eat the same amount of refined carbs and vegetables.
No,I eat a little refined carbs with a large amount of vegetables.
No, I don't eat refined carbs.
11. Do you consume white bread/pastries as snack?
Always(5-7 times a week)
Sometimes(3-4 times)
Seldom(1-2 times)
Never!
12. Do you limit your intake of high-starchy snacks like chips and crackers?
No, I eat them every day.
Yes, I eat them 4-6 times a week.
Yes, I eat them 1-3 times a week.
I never eat high-starchy snacks. : )
13. Do you drink sugary drinks more than twice a week?
Yes
No
14. Do you add extra sugar to your coffee or tea?
Yes (80% -100%)
Often (50% -80%)
Seldom (0 ~ 50%)
No(0%)
15. Do you drink sweetened drinks more than water and traditional teas?
Yes
No
16. How often do you eat processed foods(e.g. instant noodles, sausages)?
Always(5-7 times a week)
Sometimes(3-4 times)
Seldom(1-2 times)
Never!
17. Do you choose low-salt options when buying canned or packaged food?
Yes
No
18. Do you check nutrition labels for salt content before buying packaged food?
Yes
No
19. Something you want to tell us/comment about the survey…
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