1.
How many times a week do you eat fried foods?
4 or more times a week
1 – 3 times a week
seldom or never
2.
2. How often do you eat a meal prepared by someone else (i.e. restaurant, take-away, dinner party, canteen, etc.)?
most days
about 3 times per week
no more than 1 per week or hardly ever
3.
Which of these would you most likely choose if you were to eat take-away foods or restaurant meals?
pizza, creamy pasta, a meal containing hot chips and sauces
burger with non-creamy sauce or steak with salad (with dressing) or vegetables
fish or chicken (no sauce) with salad (no dressing) or vegetables or tomato based pasta
4.
Do you remove all visible fat and skin from meat and chicken before cooking or eating it?
no
sometimes or remove fat or skin after cooking
yes, or do not eat meat or chicken
5.
What do you use mostly on salads?
mayonnaise, creamy or oily salad dressings
low fat salad dressings or don’t eat salads
nothing or fat free salad dressings or balsamic vinegar
6.
How many pieces of fresh fruit do you eat daily (1 glass of fruit juice counts as 2 fruits)?
1 or less, or more than 5
2 – 3
4 – 5
7.
How many different servings of salad or vegetables do you eat daily?
1 or less
2 – 3
more than 3
8.
Do you use margarine or butter on vegetables?
always or don’t know
sometimes or don’t eat vegetables
seldom or never
9.
Which type of dairy products do you use mostly?
full cream
reduced fat or low fat
fat free
10.
Which of the following would you choose to eat at a cocktail party?
mini pies, samoosas, pastries, cheese
sandwiches and boiled egg halves
crudités and dips
11.
Do you use an oil spray or non-stick frying pan to fry foods?
no, I use oil, butter or margarine or am not sure what is used to fry my foods
yes, I use the spray or nothing
12.
Which of these do you eat at least 3 times a week?
sausage, chops, ribs, fatty cuts of red meat such as lamb or mutton
lean cuts of red meat, chicken pieces, eggs
fish, white meat chicken (no skin), ostrich or legumes
13.
How do you eat fish or seafood most of the time?
fried in batter or crumbed
shallow fried or with a creamy or cheese sauce
grilled, steamed or baked
14.
Which topping do you usually have on a sandwich?
cheese, cold meats, patés, chicken, tuna or egg mayonnaise
low fat cheese, avocado, low fat cheese spread, peanut butter
honey, jam, salads, marmite, fat free cottage or cream cheese, fish paste, ham, tuna or chicken with no mayonnaise or low fat mayonnaise
15.
How much liquid (water, herbal tea, sugar free cold drinks – excluding regular tea and coffee) do you drink daily?
0 – 4 glasses/cups
5 – 7 glasses/cups
8 or more glasses/cups
16.
How many meals do you eat daily?
less than 3 or irregular meals
3 meals
more than 3 meals including snacks
17.
How often do you drink alcohol?
more than 4 times a week
2 – 3 times a week
seldom or never
18.
When you drink alcohol, do you replace the starch portion of your meal with the alcohol?
no
yes, usually
19.
Do you know how to read food labels to ensure a low fat, low sugar intake?
no or unsure
yes
