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Gender:
 
Male
 
Female
 
 
 
Age
 
18-25
 
25-34
 
35-44
 
45-54
 
55-64
 
65-74
 
75+
 
 
 
Occupation
 
Employed (Full-time)
 
Employed (Part-time)
 
Student
 
Unemployed
 
 
 
Marital Status
 
Single
 
Married
 
Other (Please Specify)
 
 
 
 
On average how many meals do you eat each day?
 
1
 
2
 
3
 
4
 
 
 
Do you regularly eat breakfast?
 
Every day
 
Some days
 
Rarely
 
Never
 
 
 
Do you eat your 5 A DAY
 
Yes
 
Sometimes
 
Rarely
 
Never
 
 
 
How many take-aways do you eat each week?
 
0
 
1-2
 
3-4
 
More than 4
 
 
 
On average how many days a week do you consume alcohol?
 
1-2 Days
 
3-4 Days
 
5-6 Days
 
Every Day
 
 
 
How many units of alcohol do you consume each week?