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Nutrition Education

What is your relationship with food?
Do you know how many calories you consume in a day?
Yes
No
Somewhat
What are the three main macronutrients? If unsure, just state unknown
Did you ever take a nutrition class, if so when and where? example: in highschool, 10 years ago
If you were more knowledgable about nutrition, do you think it would affect what you eat?
Yes
No
Maybe
How many meals do you eat a day?
1 to 2 large meals
3 to 4 portioned meals
5 to 6 snack meals
It varies
What types of liquid do you drink on a regular basis?
Juice
Water
Soda
Milk
Alcohol
Energy drinks
Coffee or Tea
Artificially sweetened beverages
Do you have a comfort food? If so, what is your favorite comfort food?
Do you follow the suggested portion sizes on food labels?
Always
Never
Occasionaly
Rarely
Sometimes
Most of the time
Do you follow any of these dietary restrictions?
Dairy free
Gluten free
Vegan
Vegetarian
Pescatarian
I believe I eat a rather healthy diet.
True
False
Prefer no to say
I am confident about the way my body looks.
True
False
Prefer not to say
I do not think my weight is a health issue.
True
False
Prefer not to say
I am educated about macro and mirco nutrients, and healthy eating habits.
True
False
Prefer no to say
On a scale of 1 to 5, Learning more about nutrition will help me make better choices about what I eat. 1 being most likely and 5 being not at all
1
2
3
4
5
What is one thing you would like to learn about surrounding food, nutrition, and health?
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