NURITION IN LIFECYCLE PRE- SURVEY

Specify your Age

Gender

• Male
• Female

What is your current stage in life?

• Infant (0-2 years)
• Child (3-12 years)
• Adolescent (13-18 years)
• Young Adult (19-30 years)
• Adult (31-65 years)

On a scale of 1 to 5, how confident are you in your understanding of nutrition and its importance in maintaining health and well-being? (1 = Not confident at all, 5 = Very confident)

• 1
• 2
• 3
• 4
• 5

Do you believe that nutrition plays a significant role in promoting overall health and preventing various diseases?

• Yes
• No
• Maybe

Have you ever received formal education or information about nutrition specific to your current stage in life (e.g., childhood, adolescence, pregnancy, senior years)?

• Yes
• No
• Maybe

How would you rate your current diet's nutritional quality and balance?

• fair
• poor
• good
• excellent

Please select the life stage that is most relevant to you (the stage you have experienced or are currently experiencing):

• infancy
• childhood
• Adolescence
• young adulthood
• adulthood

Do you feel that your nutritional needs and dietary preferences have changed as you've moved through different life stages?

• Yes
• No
• Maybe

Please indicate any specific dietary concerns or challenges you face related to your current or past life stage