Diet and Immune Function

1. Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential.

Thank you very much for your time and support.

2. What is your gender?

Male

Female

3. What is your age?

4. What is your race/ethnicity?

5. Please answer the following questions to the best of your ability based upon your diet within the last year.

The recommended daily serving size for fruit is between 2-2.5 cups a day. On average, how many cups of fruit do you consume a day?

1) 1

2) 2

3) 3 or more

4) I rarely or never eat fruit

6. The recommended daily serving size for vegetables is between 2.5-3 cups a day. On average, how many cups of vegetables do you consume a day?

1) 1

2) 2

3) 3 or more

4) I rarely or never eat vegetables

7. The recommended daily serving size for dairy products (i.e. cheese, milk, yogurt)is 3 cups. On average, how many cups of dairy do you consume a day?

1) 1

2) 2

3) 3

4) I rarely or never eat dairy products

8. On average, how often you include whole grains (i.e. whole wheat breads, cereal, oats, pasta, etc.) into your daily diet?

1) 1-2 times a day

2) 3-4 times a day

3) 5 or more times a day

4) I rarely or never eat whole grains

9. On average, how often do you include protein (i.e. red meat, white meat, nuts, fish, eggs, beans, soy) into your daily diet?

1) 1-2 times daily

2) 3-4 times daily

3) 5 or more times a day

4) I rarely or never eat protein

10. On average, how many times a week do you consume fast food?

1) 1-2 times a week

2) 3-4 times a week

3) 5 or more times a week

4) I rarely or never eat fast food