Online Nutrition Questionnaire

Online nutrition questionnaires are designed by nutritional survey or research organizations. Such questionnaires help people analyze their nutritional needs and deficiencies. It guides them how to regularize their eating habits, and makes them more health conscious. It helps them to maintain healthy weight and achieve desired fitness level.  Online availability of such questionnaires makes it accessible to masses.

Online Questionnaire Sample:

Name:                                                                         Age:

Country:                                                                    Gender:

Weight:                                                                      Height:

Q1: Do you eat a proper breakfast?

  • Daily
  • Often
  • Sometimes
  • I skip breakfast!

Q2: How many meals do you eat in a day?

  • Two large meals.
  • Three moderate meals.
  • Five small meals.

Q3: Do you have a fixed timing for meals?

  • Yes
  • No
  • Mostly

Q4: Are you aware of the concept of ‘food pyramid’?

  • Yes
  • No

Q5: Do you follow food pyramid?

  • Yes, absolutely!
  • As much as possible.
  • Rarely

Q6: How many servings of fresh fruits do you eat in a day?


Q7: How many servings of vegetables do you eat in a day?


Q8: Do you regularly consume dairy products?

  • Yes
  • No

Q9: Which meat do you eat more, red or white?

  • Red
  • White
  • I m a vegetarian

Q10: How often do you eat in restaurants?

  • Very often
  • Sometimes
  • Seldom

Q11: Does your diet include spicy and oily food?

  • Not at all!
  • Mostly
  • Occasionally

Q12: Do you snack between meals?

  • Always
  • Sometimes
  • Hardly ever

Q13: What do you snack on? (You can choose multiple options)

  • Fruits
  • Nuts
  • Raw vegetables
  • Chips
  • Chocolate
  • Ice cream
  • Juice
  • Other

Q14: How many hours do you exercise in a week?


Category: Online Questionnaire

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