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Eating questionnaire

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This document is an eating questionnaire that asks respondents questions about their eating habits and food preferences. It asks questions about fruit and vegetable consumption, whether emotions affect eating, the role of food in one's life, fast food consumption, enjoyment of a balanced diet, calorie counting, dieting history, parental influences on food preferences, willingness to try new foods, comfort eating, beliefs about the relationship between food and health, supermarket brand preferences, typical foods consumed, effects of stress on eating habits and food choices, definitions of a healthy diet, and factors influencing food choices.

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Condition 1 Condition 2 Eating Questionnaire Circle your gender: Male / Female 1. Do you eat five portions of fruit and vegetables a day? Yes/No 2. Do you emotions affect the way you eat? Yes/No 3. Is food a big part of your life? Yes/No 4. On average how many times do you eat fast food in a week? Never 1 2 3 4 5+ 5. Do you enjoy a balance diet? Yes/No 6. Do you calorie count? Yes/No 7. Have you ever dieted? Yes/No 8. Do you think your food preference has been influenced by your parents? Yes/No 9. Are you keen to try new foods? Yes/No 10.Do you comfort eat? Yes/No 11.Do you believe in the saying You are what you eat? Yes/No
Condition 1 Condition 2 12.Do you buy/eat supermarket own brands? Yes/No 13.From the list below select what you are most likely to eat Crisps Apples Chocolate Sweets Popcorn Carrot sticks Dips (e.g. houmous) Biscuits Dried fruit & nuts Chips Burgers Cake Cereal (e.g. coco pops) Cereal (e.g. muesli) Oranges Grapes Yogurt Pizza Roast dinner Soup Mash potato Ryvita Cheese Pineapple 14.During times of stress I tend to eat More/Less 15.During times of stress I tend to eat Full meals / snacks 16.In your opinion, what is a healthy diet? ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 17.What factors do you consider to have the greatest effect on your food choice? ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________

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Eating questionnaire

  • 1. Condition 1 Condition 2 Eating Questionnaire Circle your gender: Male / Female 1. Do you eat five portions of fruit and vegetables a day? Yes/No 2. Do you emotions affect the way you eat? Yes/No 3. Is food a big part of your life? Yes/No 4. On average how many times do you eat fast food in a week? Never 1 2 3 4 5+ 5. Do you enjoy a balance diet? Yes/No 6. Do you calorie count? Yes/No 7. Have you ever dieted? Yes/No 8. Do you think your food preference has been influenced by your parents? Yes/No 9. Are you keen to try new foods? Yes/No 10.Do you comfort eat? Yes/No 11.Do you believe in the saying You are what you eat? Yes/No
  • 2. Condition 1 Condition 2 12.Do you buy/eat supermarket own brands? Yes/No 13.From the list below select what you are most likely to eat Crisps Apples Chocolate Sweets Popcorn Carrot sticks Dips (e.g. houmous) Biscuits Dried fruit & nuts Chips Burgers Cake Cereal (e.g. coco pops) Cereal (e.g. muesli) Oranges Grapes Yogurt Pizza Roast dinner Soup Mash potato Ryvita Cheese Pineapple 14.During times of stress I tend to eat More/Less 15.During times of stress I tend to eat Full meals / snacks 16.In your opinion, what is a healthy diet? ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 17.What factors do you consider to have the greatest effect on your food choice? ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________