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| Which range includes your age? |
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| Please indicate your gender. |
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| How active are you during the week? |
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| Are you involved in extracurricular activities? |
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| How often do you eat out? |
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| Do you look at the food labels before buying your food? |
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| How many times a day would you say you eat? |
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| When do you find you eat the most: (more than one answer can apply)
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