Simply Tasty Nutrition Survey Form

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1. How often do you eat fast food?
 Never 2 or 3 times a year Once a week Every day

2. You eat fast food because? (check all that apply)
 It is fast Cheap Convenient Easy to get to Like the taste Too busy to cook A good place to hang out

3. How often do you eat your meals at home?

4. When you eat meals at home do you?
 Prepare your own meals (most of the time) Bring food home from your favorite restaurant Purchase pre-cooked or frozen meals from your supermarket

5. Do you feel that eating healthy is expensive?
 Yes No

5a. If the answer is yes please say a little about why you feel eating healthy is expensive.

6. What do you believe most determines your state fo health?
 Diet Lifestyle Genetics

7. What does the term “health food” mean to you?

8. Do you think eating healthy means giving up the foods you love?
 Yes No

9. Are you aware that cooking at home can actually save you time and money?
 Yes No

10. What is your biggest obstacle to eating healthy?

11. Are there any questions or comments you would like to add?