THE RESEARCH OF NUTRITIONAL HABITS

Dear participant,

I am studying in University of Health Sciences. My thesis for a master‘s degree is to examine students‘ eating habits. The project success will highly depend on completion of this questionnaire, so it is very important to get your honest answers. This survey is absoliutely annonymous!

Please spare three minutes of your time to fill questionnaire below. Your help is highly appreciated.

The poll results are public

male female

with parents own or rent an apartment / house hostel

up to 500 (e)up to 1000(e)up to 1500 (e)2000 (e) and more

yes no

1 – 2 3 – 4 5 and more

yesnosometimes

yes, mostly sometimes no

vegetable oilbutterrgarineanimal fat

yesno

yes no sometimes no, but I would like to

I lost some weight I lost just a small bit of weight no affect on my weightno, i did't

underweightnormaloverweighti don't know

yesno

at least once a weeksometimesnever

goodaveragepoor

yesno

positively, i promote a healthy lifestylepositively, but i don't promote itneutral, i'm not interestednegatively, it's unnecessaryi don't know what healthy style is

THE RESEARCH OF NUTRITIONAL HABITS

Gender:

Age:

You live:

Your monthly income:

Do you have a steady job?

How many times a day do you eat?

Do you eat breakfast?

Do you eat regulary (regular nutrition - breakfast, lunch, dinner)?

What kind of fat do you usually use for cooking?

Do you use nutrition suppliements?

Do you check nutrition label when buying food products?

The main criteria that you choose your foods (multiple answers are possible):

How often do you take these foods?

Do you observe any diets?

If yes, how did that affect your weight?

How do you evaluate your body weight?

Had you in the last month a high stress or strain?

How often over the last year did you complain about stomach pain, heartburn?

How do you rate your health?

Are you satisfied with your health (excellent feel, rarely sick)?

How do you rate a healthy lifestyle promotion?