Food Preference Questionnaire

Food Preference Questionnaire
1. How would you consider yourself?

VeganVegeterianPescatarianNone of these
2. Are you allergic to any of the following foods? Please select all that apply.

PeanutsTree nutsSesameDairyShellfishFishEggWheat/GlutenSoyaCeleryMustardOther

3. Please indicate how much you like the following foods.

4. Which of the following do you consider the most when eating a meal?
5. Do you usually add salt to your food?

NeverSometimesGenerallyAlways
6. How much water do you drink each day?

Less than 0.5 liters0.5-1.5 liters1.5-3 litersMore than 3 liters
Name (Optional)

First NameLast Name
Email (Optional)
example@example.com
Phone Number (Optional)
Please enter a valid phone number.Format: (000) 000-0000.
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