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Nutritional Questionnaire Form

Personal Information

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Gender
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Dietary Habits

How often do you eat meals per day?
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What type of diet do you follow?
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How often do you consume the following foods?
Daily3-5 times a week1-2 times a weekRarely/Never
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Nutritional Goals and Preferences

What are your primary nutritional goals?
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Do you have any food allergies or intolerances?
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How much water do you drink daily?
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Do you follow any special dietary restrictions?
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Lifestyle Information

How often do you exercise?
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How would you rate your overall stress level?
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Description of Each Section

1. Personal Information: Collects basic demographic and physical information.
2. Dietary Habits: Assesses the respondent's meal frequency, dietary choices, and food consumption patterns.
3. Nutritional Goals and Preferences: Gathers information on dietary objectives, allergies, and supplement use.
4. Lifestyle Information: Examines exercise habits and stress levels, which are important for nutritional assessments.

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