Healthy Eating Survey

Exit this survey

 

1. How important is it to you to eat healthy?

How important is it to you to eat healthy?   Very important Somewhat important Not that important Not at all important

Other (please specify)

2. What does “eating healthy” mean to you? (Check all that apply)

What does “eating healthy” mean to you? (Check all that apply)   Low calorie foods Low carbs Low fat Low sodium Low sugar Eating fresh Well-balanced Organic foods Natural foods Whole grains

Other (please specify)

3. During the last 6 months, would you say you’re eating healthier than before?

During the last 6 months, would you say you’re eating healthier than before?   Definitely healthier A little healthier Unchanged Less healthy

Other (please specify)

4. How easy/difficult is it for you to get your 5 daily servings of fruits and vegetables as recommended by the USDA?

How easy/difficult is it for you to get your 5 daily servings of fruits and vegetables as recommended by the USDA?   Easy Fairly easy Somewhat difficult Very difficult

Other (please specify)

5. During the last 30 days, how often did you get your 5 daily servings of fruits and vegetables?

During the last 30 days, how often did you get your 5 daily servings of fruits and vegetables?   Just about every day Most of the time Sometimes Rarely Never

6. Check which of these you think constitutes a serving of fruits or vegetables.

Check which of these you think constitutes a serving of fruits or vegetables.   fruit or vegetable juice vegetable side dish side salad entrée salad whole fruit or vegetable fruit smoothie vegetable soup fruit dessert (apple pie, strawberry shortcake, cobbler) vitamin or supplement

Other (please specify)

7. Where do you usually consume fruits and/or vegetables?

Where do you usually consume fruits and/or vegetables?   Always at home Mostly at home About equally, home and at work Mostly at home, some dining out About equally, home and when dining out Mostly when dining out

Other (please specify)

8. Do you try to eat healthy when dining out?

Do you try to eat healthy when dining out?   Almost always Usually Sometimes Rarely Never

Other (please specify)

9. Do you usually get a salad (entrée or side) when dining out?

Do you usually get a salad (entrée or side) when dining out?   Almost always Usually Sometimes Rarely Never

10. When dining out, or at the supermarket, do you usually make use of the salad bar (if one is available)?

When dining out, or at the supermarket, do you usually make use of the salad bar (if one is available)?   Almost always Usually Sometimes Rarely Never

Other (please specify)

11. How easy/difficult is it to get your children to eat their vegetables?

How easy/difficult is it to get your children to eat their vegetables?   Easy Somewhat easy Somewhat difficult Very difficult N/A (don’t have children at home)

Other (please specify)

12. How often do you have a fruit smoothie?

How often do you have a fruit smoothie?   Very often Occasionally Rarely Never

13. What’s your favorite way to get a serving of fruit?

What’s your favorite way to get a serving of fruit?   Whole fresh fruit Fruit salad Smoothie Fruit dessert Dried fruit Frozen fruit Canned or jarred fruit Packaged fruit cup

Other (please specify)

14. Do you read nutrition information materials provided by restaurants?

Do you read nutrition information materials provided by restaurants?   Almost always Usually Sometimes Rarely Never

Other (please specify)

15. Do you read the Nutrition Facts labels on grocery items?

Do you read the Nutrition Facts labels on grocery items?   Almost always Usually Sometimes Rarely Never

Other (please specify)

16. Do you do any research on your own (magazines, Internet) on the nutritional value of foods, food brands and restaurant menus?

Do you do any research on your own (magazines, Internet) on the nutritional value of foods, food brands and restaurant menus?   Often Sometimes Rarely Never

Other (please specify)

17. Have you made a conscious effort to try to “eat local” more often by buying from farmers markets, a Community Supported Agriculture (CSA) farm, or locally-grown foods in the supermarket?

Have you made a conscious effort to try to “eat local” more often by buying from farmers markets, a Community Supported Agriculture (CSA) farm, or locally-grown foods in the supermarket?   Often Sometimes Rarely Never

Other (please specify)

18. Gender

Gender   Male Female

19. Age

Age   Under 18 18-25 26-35 36-45 46-55 56-65 66-75 75+ Prefer not to answer