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I always make sure to eat breakfast, lunch and dinner.
1-Strongly Disagree 2-Disagree 3-Neutral 4-Agree 5-Strongly Agree
 
 
 
Most of my meals are prepared using fresh ingredients.
1-Strongly Disagree 2-Disagree 3-Neutral 4-Agree 5-Strongly Agree
 
 
 
I eat organic foods.
1-Strongly Disagree 2-Disagree 3-Neutral 4-Agree 5-Strongly Agree
 
 
 
Most of my meals are frozen or prepackaged.
1-Strongly Disagree 2-Disagree 3-Neutral 4-Agree 5-Strongly Agree
 
 
 
I consume the recommended amount of fruits and vegetables.
*Approximately 2 cups of fruit and 2.5-3 cups vegetables daily
1-Strongly Disagree 2-Disagree 3-Neutral 4-Agree 5-Strongly Agree
 
 
 
My diet includes meat.
1-Strongly Disagree 2-Disagree 3-Neutral 4-Agree 5-Strongly Agree
 
 
 
I consume “fast food” at least twice a week.
1-Strongly Disagree 2-Disagree 3-Neutral 4-Agree 5-Strongly Agree
 
 
 
I am often in a rush and end up “snacking” instead of eating complete meals.
1-Strongly Disagree 2-Disagree 3-Neutral 4-Agree 5-Strongly Agree
 
 
 
I take supplements and/or vitamins on a daily basis.
1-Strongly Disagree 2-Disagree 3-Neutral 4-Agree 5-Strongly Agree
 
 
 
I am limited to the foods I eat because of dietary restrictions.
(Allergies, sensitivities, religious reasons, etc.)
1-Strongly Disagree 2-Disagree 3-Neutral 4-Agree 5-Strongly Agree