Diet Survey

Take our free diet survey – all answers kept 100% confidential.

Personal information

Name*
Date of Birth
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Quiz

I often feel either starving or very full.
I often skip meals.
I like to cook my own food.
I dine out frequently.
I often eat the largest meal at night and then snack until I go to sleep.
I feel torn betweens foods I know I "should" eat, and food I like.
I read food labels
I count calories