This document contains a 21-question survey about nutritional habits. It asks questions about eating patterns such as meal frequency, the types of foods and drinks consumed including fruits/vegetables, grains, dairy and fast food. Questions also address water intake, use of fats/oils in cooking, awareness of nutrition concepts like the food pyramid, and perceptions of one's own diet. The survey aims to gather self-reported information about respondents' daily food and beverage choices.

1. S U R V E Y
S U R V E Y
O U R N U T R II T II O N A L
O U R N U T R T O N A L H A B II T S
H A B T S
1. Do you eat regularly?
Always Sometimes Never
2. How many times a day do you eat?
1 2 3 4 5
3. Do you usually eat your meals at the same time?
Always Sometimes Never
4. Do you eat… ?
a) Breakfast/First Meal Always Sometimes Never
b) Snack/Second Meal Always Sometimes Never
c) Lunch Always Sometimes Never
d) Dinner Always Sometimes Never
5. What do you usually have for breakfast?
……………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………
6. Do you eat your last meal at least 2 hours before going to bad?
Always Sometimes Never
7. How many times do you eat vegetables and fruit during in a day?
A. Four or more times a day
B. Three times a day
C. Once a day
D. I don't eat fruit and vegetables
8. How many times a week do you eat fish?
A) Everyday B)2 or 3 times a week C) Once a week D) Rarely E) Never
9. Do you eat whole-grain breads, cereals, brown rice everyday ?
□ Yes □ No

2. 10. When you eat bread, how often do you eat whole-grain breads?
□Almost always □Often □Sometimes □Seldom □ Never □ Don’t eat bread
11. Do you drink milk, yoghurt or other dairy products everyday?
□Yes □No
12. Do you snack between meals ( salty snacks like chips, pretzels or sweets ect. )?
□Almost always □Often □Sometimes □Seldom □Never
13. What do you usually drink?
a) Natural water
b) Sparkling water
c) Fruit juice
d) Fizzy drinks
e) Tea
14. Do you drink soda?
□Always □A lot □Occasionally □Rarely □Never
15. How often do you eat fast food per week?
a) More than three times a week
b) Three times a week
c) Twice a week
d) Once a week
e) Less than once a week
f) I don’ eat such food
16. Every day I drink:
a) up to 0.5l of water
b) up to 1l of water
c) up to 1.5l of water
d) up to 2l of water
e) more than 2l of water
17. In your opinion, is your diet good?
□ Definitely yes □ Yes □ No □ Definitely no
18. Do you watch your weight?
□ Yes □ No
19. Have you ever heard of the Food Pyramid ?
□ Yes □ No
20. When your mother cook does she use:
a) olive oil
b) butter
c) margarine
d) corn oil
e) sunflower oil
f) other

3. 21. When do you eat your main meal of the day ?
a) In the morning
b) During lunch time
c) In the afternoon
d) In the evening