healthy life style questionnaire

Name:

How often do you eat breakfast?

• always

• usually

• sometimes

• never

What do you drink first thing in the morning?

• Milk

• Cola

• Cappuccino

• water

How much do you drink water daily?

• a cup of water

• a litre

• two litres

• never

How often do you eat eggs?

• daily

• usually

• sometimes

• never

How often do you eat meat / chicken?

• daily

• usually

• sometimes

• never

How often do you eat fruit?

• always

• usually

• sometimes

• never

How often do you eat vegetables?

• always

• usually

• sometimes

• never

How often do you excercise?

• 3-5 days

• 1 day

• only the weekend

• never

How often do you eat fast food?

• always

• usually

• sometimes

• never