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Tu Salud February 2011: Tell us about your eating habits

Speak Your Mind!

Fitness and nutrition experts agree that keeping track of what we eat daily is a way to control and change our eating patterns. Whether you aspire to lose weight, get fit or simply reap nutritional benefits, becoming aware of your dietary habits is key to achieving these goals. This survey will help you recognize your current relationship with food.
1. What year were you born? (e.g., 1975)
2. What is your gender?
3. What is your household income?
Under $15,000
100,000 and over
4. What is the highest level of education attained?
Some high school
High school graduate
Some college
Bachelor's degree or higher
5. What is your ethnicity?
American Indian or Alaska Native
Arab or Middle Eastern
Black or African American
Hispanic or Latino
Native Hawaiian or other Pacific Islander
6. What zip code do you live in?
7. When are you more inclined to snack? (Check all that apply.)
When I'm studying
When I'm watching TV
When I'm socializing
When I'm bored
When I'm feeling down
8. What types of foods do you usually eat as snacks?
Fast foods (pizza, french fries)
Ice cream, cake, cookies, candy
Chips or crackers
Nuts and fruits
9. What kind of beverages do you drink the most? (Check all that apply.)
Diet soda
Fruit juice
Coffee/tea, sweetened
Coffee/tea, unsweetened
10. How many alcoholic beverages do you drink during the week? (A glass of wine, bottle of beer, mixed drink or shot glass of liquor counts as one.)
1 to 7
8 to 14
15 or more
11. How often do you eat dairy products during the week?
1 to 4 times
5 to 8 times
Twice a day or more
12. How often do you eat fish or lean meat (chicken, turkey, beef) during the week?
1 to 4 times
5 to 8 times
Twice a day or more
13. How often do you eat vegetables (at least ½ cup cooked or raw) during the week?
1 to 4 times
5 to 8 times
Twice a day or more
14. How often do you eat fruit (at least ½ cup fresh or frozen) during the week?
1 to 4 times
5 to 8 times
Twice a day or more

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