Questions about eating style

Last name, First name: Date:

INSTRUCTIONS PART 1:

For each type of food suggested in the left column, decide how much you like to eat this type of food:

never rarely sometimes often very often

and mark the appropriate box.

I like to eat that type of food

never rarely sometimes often very
often
1 Seafood and grilled fish
2 Desserts such as cakes, puddings
3 Salads
4 Vegetables (steamed, grilled)
5 Deep-fried or foods cooked in breadcrumbs
(e.g.fries, chicken nuggets)
6 Hamburgers, steaks – fries, potato chips
7 Fruit cakes, desserts with fruits
8 Grilled white meat (e.g. chicken)
9 Seafood and fried fish / breaded fish
10 Fruits and fruit salad
11 Pastas and pizzas
12 Vegetable soups
13 Cereals (rice, wheat) and legumes (lentils)
14 Cheese, buttered foods
15 Chocolates, candies, cookies, biscuits
16 Yoghurt

Same instructions for drinks

I like to drink that type of beverage

never rarely sometimes often very
often
1 Black tea, herbal tea (no sugar)
2 Alcoholic beverages (beer, wine, liquor)
3 Soft drinks (syrup, coke, tea with sugar...)
4 Water (plain, sparkling)

1 Department of Genetics, CHUV, November 2011

 INSTRUCTIONS PART 2:

How often do you eat the type of food suggested in the left column:

Never, maximum 1x per month, 2 to 4 x per month, 2 to 3x per week, more than 3x per week

and mark the appropriate box.

I eat that type of food

never maximum 2 à 4x per 2 à 3x per More than
1x per month week 3x per week
month
1 Seafood and grilled fish
2 Desserts such as cakes, puddings
3 Salads
4 Vegetables (steamed, grilled)
5 Deep-fried or foods cooked in breadcrumbs (fries,
chicken nuggets)
6 Hamburgers, steaks – fries, potato chips
7 Fruit cakes, desserts with fruits
8 Grilled white meat
9 Seafood and fried fish / breaded fish
10 Fruits and fruit salad
11 Pastas and pizzas
12 Vegetable soups
13 Cereals (rice, wheat) and legumes (e.g.lentils)
14 Cheese, buttered foods
15 Chocolates, candies, cookies
16 Yoghurt

Same instructions for drinks

I drink that type of beverage

never maximum 2 à 4x per 2 à 3x per More than
1x per month week 3x per week
month
1 Tea, herbal tea (no sugar)
2 Alcoholic beverages (beer, wine, liquor)
3 Soft drinks (syrup, coke, tea with sugar…)
4 Water (plain, sparkling)

Fritures
Salades
de poisson
de fruit et
et de
yahourts
fruits de mer

J’aime
J’aime
2 manger
mangercecetype
typededenourriture
Departmentnourriture
of Genetics, CHUV, November 2011

ΟΟ jamais
jamais ΟΟ rarement
rarement ΟΟparfois
parfois ΟΟsouvent
souvent ΟΟtrès
trèssouvent
souvent
 PART 3:

Generally, how often do you eat snacks between the three main meals of the day:

never rarely sometimes often very often A that time what are you
generally eating?
1 In the morning
2 In the afternoon
3 In the evening
4 At night

For each question in the left column, decide if the statement is true for you:

never rarely sometimes often very often

and mark the appropriate box.

never rarely sometimes often very

often
1 If food tastes good to you, do you eat more than
usual?
2 If food smells and looks good, do you eat more
than usual?
3 If you see or smell something delicious, do you
have a desire to eat it?
4 If you have something delicious to eat, do you eat
it straight away?
5 If you walk past the baker, do you have the desire
to buy something delicious?
6 If you walk past a snackbar or a café, do you have
the desire to buy something delicious?
7 If you see others eating, do you also have the
desire to eat?
8 Can you resist eating delicious foods?
9 Do you eat more than usual when you see others
eating?
10 When preparing a meal, are you inclined to eat
something?

Fritures
Salades
de poisson
de fruit et
et de
yahourts
fruits de mer

J’aime
J’aime
3 manger
mangercecetype
typededenourriture
Departmentnourriture
of Genetics, CHUV, November 2011

ΟΟ jamais
jamais ΟΟ rarement
rarement ΟΟparfois
parfois ΟΟsouvent
souvent ΟΟtrès
trèssouvent
souvent