THE RESEARCH OF NUTRITIONAL HABITS

Dear participant,

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

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

Results are publicly available

malefemale

with parentsown or rent an apartment/househostel

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

yesno

1 – 23 – 45 and more

yesnosometimes

yes, mostlysometimesno

vegetable oilbuttermargarineanimal fat

yesno

every day	at least 2 - 3 times/week	once a week or less	never
bread, rice, cereals

fresh vegetables, fruit or berries

fish and fish products, seafood

milk and milk products, sour milk, buttermilk, cheese

meat, meat products and offals

fast food (pizza, hamburgers, hot dogs, etc.)

sugar, sweets (cake, chocolate, candies, etc.)

soft drinks, lemonade

potato crisps (chips), roasted peanuts

yesnosometimesno, but I would like to

I lost some weightI lost just a small bit of weightno effect on my weightno, I didn'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 a healthy lifestyle 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 regularly (regular nutrition - breakfast, lunch, dinner)?

What kind of fat do you usually use for cooking?

Do you use nutritional supplements?

Do you check the 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?