Nutrition Habits & Food Choices Survey 🌿

How often do you eat balanced meals in a typical week?*

Think about meals that include a mix of protein, vegetables or fruit, and whole grains.

Which foods do you eat most often in a normal week?*

Select all that apply based on your usual eating habits.

How many servings of fruits and vegetables do you usually eat per day?*

A best estimate is fine if you do not count exactly.

How satisfied are you with your current eating habits?*

Choose the answer that best matches how you feel overall.

Very dissatisfied to Very satisfied

What usually influences your food choices the most?

Pick the main factor that affects what you eat day to day.

How often do you drink water during the day?*

Include water with meals and between meals.

What makes it hardest for you to eat nutritious meals?

Choose all that apply if more than one fits your situation.

What is one nutrition change you would most like to make?

Share one realistic goal or improvement you are thinking about.

How confident do you feel about making healthy food choices most of the time?*

This helps us understand how supported and informed people feel.

Not confident at all to Very confident

Thank you for taking a part in this survey.

This is a HeySurvey survey template.