Dietary Food Group Intake Questionnaire
Please complete this Dietary Food Group Intake Questionnaire Form to help us understand your typical food group consumption patterns. All questions are designed for clarity and ease of use.
Age
*
Gender
*
Female
Male
Non-binary
Prefer not to say
Other
How many servings of vegetables do you typically eat per day?
*
Please Select
0
1
2-3
4-5
6 or more
How many servings of fruit do you typically eat per day?
*
Please Select
0
1
2-3
4-5
6 or more
How many servings of whole grains do you typically eat per day?
*
Please Select
0
1
2-3
4-5
6 or more
How many servings of lean proteins (e.g., poultry, fish, beans) do you typically eat per day?
*
Please Select
0
1
2-3
4-5
6 or more
How many servings of dairy or dairy alternatives do you typically consume per day?
*
Please Select
0
1
2-3
4-5
6 or more
How often do you consume processed or packaged foods?
*
Never
Rarely
Sometimes
Often
Always
How many glasses of water do you typically drink per day?
*
Please Select
0-2
3-5
6-8
9 or more
Do you follow any specific dietary pattern?
*
No specific pattern
Vegetarian
Vegan
Pescatarian
Low-carb
Other
Please share any additional comments about your dietary habits (optional)
Submit
Should be Empty: