During a typical week, how many days do you eat breakfast?
During a typical week, how many days do you eat lunch?
During a typical week, how many days do you stop your normal activities and take a break to sit down and eat lunch?
During a typical week, how many days do you eat dinner?
During a typical week, how many days do you watch television or work while you are eating dinner?
What four foods do you eat most often? (Examples: Eggs, Oatmeal, Salad, Soup, Deli Sandwiches, Hamburgers, Chicken, Fish, Legumes, Steak, Tofu, etc.)
What are your four favorite foods? (Examples: Popcorn, Pizza, Hamburgers, Pasta, Cheese, Salad, Steak, Sushi, Bacon, Chinese Food, Ice Cream, etc.)
How many times per month do you eat your meals at a restaurant?
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Breakfast:
Lunch:
Dinner:
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How many times per week do you eat vegetable based proteins? (Examples: Beans/Lentils, Soy/Tofu/Tempeh, Seeds/Nuts/Quinoa, etc.)
How many times per week do you eat meat/animal protein? (Examples: Beef, Bison, Chicken, Fish, Eggs, Cheese, Milk, Deli Meats, etc.)
How many times per week do you eat vegetables?
How many times per week do you eat a salad?
How often do you snack between meals, including candy, chocolate, fruit, chips, etc.?
Do you like hot peppers and spicy food?
On average, how many times per week do you eat fried foods? (Examples: Doughnuts, French Fries, Onion Rings, Egg Rolls, Corn Dogs, Fried Chicken/Fish, etc.)
Do you try to choose whole grains over processed grains? (Examples: Oatmeal instead of boxed cereal, brown rice or quinoa instead of white rice, whole wheat bread/buns)
On average, how many times per week do you eat nuts or seeds? (Examples: Peanuts, Cashews, Almonds, Pistachios, Sunflower Seeds, etc.)
On average, how many times per week do you eat dairy products? (Examples: Non-fat milk, low fat milk, whole milk, cheese, yogurt, butter, etc.)
How often do you drink alcohol?
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