Junk Food Health Hazards Questionnaire
Help us understand public knowledge and attitudes about the health risks of junk food. Your responses are anonymous and will be used for educational and research purposes.
Full Name
*
First Name
Last Name
Age
*
Gender
*
Male
Female
Other
Prefer not to say
How often do you eat junk food (e.g., chips, fast food, sugary snacks, soft drinks)?
*
Daily
Several times a week
Once a week
Rarely
Never
Which types of junk food do you consume most often? (Select all that apply)
*
Chips and salty snacks
Sugary drinks (soda, energy drinks)
Fast food (burgers, fries, pizza)
Candy and chocolate
Ice cream and desserts
Other
How concerned are you about the health risks associated with junk food?
*
1
2
3
4
5
Please indicate your agreement with the following statements about junk food:
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Junk food can cause serious health problems.
1
2
3
4
5
I try to limit my junk food intake.
6
7
8
9
10
Junk food is addictive.
11
12
13
14
15
Healthy alternatives are easily available.
16
17
18
19
20
I am aware of the ingredients in junk food.
21
22
23
24
25
Which health problems do you associate with regular junk food consumption? (Select all that apply)
*
Obesity
Diabetes
Heart disease
High blood pressure
Dental problems
Digestive issues
Other
Have you experienced any of the following after consuming junk food? (Select all that apply)
*
Stomach discomfort
Fatigue
Mood changes
No noticeable effects
Other
Would you like to reduce your junk food intake?
*
Yes
No
Not sure
If you have any suggestions or comments about junk food and health, please share them below:
Submit
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