Health Questionnaire Disclaimer: this survey may be done online Age: (Only if it is important and since this is health questionnaire it should be important) How much water do you drink per day (250ml)/average size glass)? a) 1 glasses b) 2 glasses c) 3 glasses d) 4 glasses e) Other_______(please specify) How often do you do physical exercise per week? a) Once b) Twice c) Three d) Four e) Five f) Six g) Seven How much fruit do you eat per day (can be any fruit?? a) One serving b) Two servings c) Three servings d) Four servings e) Other____________(please specify) Are you a vegetarian (circle one)? Yes No Other (Vegan) How much fast food do you eat per week? (State beside how fast food you eat per day) a) One time per week____ b) Two times per week_____ c) Three times per week____ d) Four times per week____ e) Five times per week____ f) Six times per week____ g) Seven times per week____ Optional: Do you suffer from any type of disorder/disease? (Recurrent migraines, liver disease, etc)
How much do you like McDonald’s?
- Summer '18
- Andre Bergeron
- Nutrition, health questionnaire