Nutrition Questionnaire

1. This week I ate (on average):

a. Less than one meal a day

b. One meal a day
c. Two meals a day
d. Three meals a day
e. More than three meals a day

2. This week I felt hungry:

a. Rarely
b. Occasionally
c. Some of the time
d. Most of the time
e. All of the time

3. Did you eat your meals at regular times this week? If yes, when did you eat?
If not, why were you not able to eat at the same time each day?

4. What influenced your food decisions this week? (e.g. your peers,
accessibility to food, AYI/parental cooking, physical training, time)

5. What time of the day did you feel most alert this week? Why do you think this
is? Have you noticed any patterns in alertness or mood?

6. Did you eat between meals this week? If yes, what foods did you mainly
consume?

7. On average, how much water did you consume each day?

Based on your responses, what do you think would be a good

nutritional goal to work on that is within your control?