Lactose Intolerance -dessert

How old are you?

5-10

10-15

15-20

20+

What is your gender?

Female

Male

Other

Are you lactose intolerant?

yes

no

At what age did you become lactose intolerant?

Do you have any other dietary restrictions? If so, please write them below:

Out of 5 how would you rate your physical health?

Row 1

Row 2

Do you eat generally healthy?

yes

no

Other

Do you worry about your diet?

yes

no

Can you eat common desserts?

yes

no

sometimes

Which do you like better?

sweet

salty

neither

Both!