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  5. Survey on teenage eating habits
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What do you eat for breakfast ?
 
Sugar coated cereals
 
Healthy cereals
 
Beans on toast
 
Tea
 
I don't eat breakfast
 
Other

 
 
 
Do you eat break in school ?
 
Yes - healthy
 
Yes - unhealthy
 
NO

 
 
 
What do you eat for lunch ?
 
Sandwich and a treat
 
School - hot food
 
School - food to go
 
Other
 

 
 
 
What do you eat for dinner ?
 
Takeaway
 
Homemade dinner (healthy)
 
Homemade dinner (unhealthy)
 
Microwave meal
 
Other
 

 
 
 
How many portions of fruit and vegetables do you eat daily ?
 
1
 
2
 
3
 
4
 
5
 
6
 
7
 
Other
 

 
 
 
Do you count how many calories you eat a day ?
 
Yes - I eat ________ calories a day
 
No - I don't know how many calories I eat

 
 
 
Do you snack in between meals ?
 
Yes
 
No

 
 
 
If question 7 is a yes , please state what you eat ?
 
Crisps
 
Chocolate
 
Fruit
 
Vegetables
 
Other
 

 
 
 
Do you drink enough water everyday ?
 
Yes - I drink __________ cups a day
 
No - I drink ___________ cups a day
 
I don't know how much I drink a day

 
 
 
What do you drink during the day ?
 
Energy drinks
 
Smoothies
 
Water
 
Fruit juice
 
Milk
 
Coffee
 
Other