Food Frequency Questionnaire Step 1 of 14 7% Date* MM slash DD slash YYYY Name* First Last Email* Do you drink milk, milk alternatives, or eat other dairy foods? Please check all that apply. Skim milk 2% milk Whole milk Kefir Hemp milk Soy milk Almond milk Oat milk Rice milk Yogurt Cottage cheese If you consume milk, how do you add it to your diet? Do you drink it daily, weekly, monthly? Or, use it only as part of recipes or on cereal? Please describe. Do you eat cheese? Full fat cheese 2% milk fat cheese Low fat cheese such as string cheese If you eat cheese, how do you add it to your diet (topping, in sandwiches, snacks)? Please describe. How many times a week do you eat cheese? Do you eat eggs? Yes No If you eat eggs, how do you add them to your diet (as a breakfast food, salad topping, snack)? Please describe how you add them to your diet. How many times a week do you eat eggs? Do you eat animal protein? Beef Pork Poultry Fish If you eat animal protein, what is your preference from the above list? How many times a week do you eat some sort of meat or fish? Do you eat vegetables, including salads? Please check your preferences. Broccoli Asparagus Cauliflower Brussels sprouts Carrots Other Lettuce Corn Cabbage Kale Peas Squash Tomatoes Vegetable juice Other If you have other favorite vegetables, please indicate below. How many times a week do you eat vegetables (daily, only a few times weekly, almost never)? Do you eat fruit? Please check your preferences. Apples Oranges Berries (strawberries, blueberries, raspberries, blackberries) Bananas Cherries Grapefruit Grapes Melons (Cantaloupe, Honeydew) Papaya Dates Peaches Pineapple Peaches Prunes Watermelon Kiwi Juices (orange, apple, grape, pomegranate) Other If you have other favorite fruits, please indicate below. How many times a week do you eat fruit (daily, only a few times weekly, almost never)?Mark the response that applies to your taste preferences. I prefer fruit over vegetables I prefer vegetables over fruit I like fruits and vegetables equally Do you eat starchy foods? Please check your preferences. Rice (white, brown, wild) White potato Sweet potato Squash Pasta Potatoes White bread Whole grain breads Quinoa Barley Couscous Yams Polenta Lentils Peas Beans If you eat other starchy foods not listed, please indicate below. How many times a week do you eat starchy foods (daily, only a few times weekly, almost never)? Do you try and avoid eating too many starchy foods?Which fats do you eat? Please check all that apply to your current diet. Olive oil Full fat salad dressings Canola oil Coconut oil Butter, stick Butter, whipped or reduced fat Margarine Peanut butter Other nut butter Avocado Other If you add fats to your diet, how do you do so (in cooking, salad dressings, recipes)? Please describe.Do you use cooking sprays such as Pam spray? Yes No Check the beverages you regularly drink. Black coffee Coffee with cream and/or sugar Specialty coffees Black tea Sweetened tea Diet soda Diet drinks such as Snapple, Crystal Lite Regular soda Beer Wine Hard mixed drinks Check the snacks you eat on a regular basis. Popcorn Pretzels Trail mix Nuts Potato chips Reduced fat potato chips Check the desserts you eat more than three times a week. Ice cream Pie Cookies Cake Chocolate Other candy Other Please list your top 5 favorite foods.Please share what you ate in the last 24 hours.PhoneThis field is for validation purposes and should be left unchanged. Δ
