Healthy Eating Questionnaire Template

Available on the Free Plan

Whether you’re a nutritionist or a health professional, this healthy eating questionnaire template can help you research people’s eating habits and better understand their challenges. Dig into your patient’s dietary patterns and use these valuable insights to outline an action plan for them. Use the template from 123FormBuilder and adapt it to your own assessment approach with our easy-going drag & drop survey maker tool. If you are a covered entity that requires additional data protection, you can enable HIPAA-compliance on questionnaires using an Enterprise subscription plan on 123FormBuilder.

Frequently Asked Questions

What are some good questions about healthy eating?

When exploring an individual’s healthy eating habits, try to cover as many details as possible to understand what triggers certain behaviors and motivates them. Ask about their meaning of healthy eating, what they eat, when/ where/ how they take their meals, their information sources on healthy foods, etc.

How to assess eating habits?

A practical and systematic way to assess the eating habits of individuals or families is to send them a healthy eating questionnaire where they can share details about their habits and patterns. Be brief and precise with your questions to gather accurate information. With an online questionnaire like this one, it will be pretty easy for you to review the information and gain a clear picture of your respondent’s eating lifestyle.

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