Food Preference Questionnaire
1. How would you consider yourself?
Vegan
Vegeterian
Pescatarian
None of these
2. Are you allergic to any of the following foods? Please select all that apply.
Peanuts
Tree nuts
Sesame
Dairy
Shellfish
Fish
Egg
Wheat/Gluten
Soya
Celery
Mustard
Other
3. Please indicate how much you like the following foods.
Rows
Dislike a lot
Dislike
Neutral
Like
Like a lot
Not applicable
Beef
1
2
3
4
5
6
Lamb
7
8
9
10
11
12
Chicken
13
14
15
16
17
18
Bacon
19
20
21
22
23
24
Ham
25
26
27
28
29
30
Sausages
31
32
33
34
35
36
Fish
37
38
39
40
41
42
Eggs
43
44
45
46
47
48
Beans
49
50
51
52
53
54
Bread
55
56
57
58
59
60
Cereals
61
62
63
64
65
66
Rice
67
68
69
70
71
72
Potatoes
73
74
75
76
77
78
Chips
79
80
81
82
83
84
Cheese
85
86
87
88
89
90
Fruits
91
92
93
94
95
96
Spinach
97
98
99
100
101
102
Mushrooms
103
104
105
106
107
108
Broccoli
109
110
111
112
113
114
Salad leaves
115
116
117
118
119
120
Butter
121
122
123
124
125
126
Cream
127
128
129
130
131
132
Mayonnaise
133
134
135
136
137
138
Chocolate
139
140
141
142
143
144
Ice cream
145
146
147
148
149
150
4. Which of the following do you consider the most when eating a meal?
Comfort of the place
A good location
Time to cook
Grab and go options
Variety
Taste
Nutrition
Service speed
Price
Portion size
Other
5. Do you usually add salt to your food?
Never
Sometimes
Generally
Always
6. How much water do you drink each day?
Less than 0.5 liters
0.5-1.5 liters
1.5-3 liters
More than 3 liters
Name (Optional)
First Name
Last Name
Email (Optional)
example@example.com
Phone Number (Optional)
Please enter a valid phone number.
Format: (000) 000-0000.
Please verify that you are human.
*
Submit
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